There are 2,393 high, medium or low secure hospital beds for people with learning disabilities in England. Patients treated within these hospitals have extensive co-morbidity, histories of abuse and deprivation and often fall between the boundaries of generic mental health and specialist learning disability services. The team at PiC LDS, which treats over 80 patients in medium and low secure and rehabilitation wards, are nominated for this award because they:
- have a system that incorporates the audit of routine measures collected during treatment into a minimum dataset for evaluation of long and short term treatment outcomes. This dataset has been peer reviewed, published and refined further. These outcome audit variables, divided into measures of symptom severity, patient safety and patient experience, are now reflected in the minimum dataset that has been proposed in the Royal College of Psychiatrists Report published in 2013.
- have contributed significantly to the training, development and setting up of a community forensic learning disability team within the NHS. This process has been the subject of a peer reviewed publication. This collaboration with an NHS team has facilitated the discharge of patients to the community and improved their chances of remaining there.
- have contributed to developing an active service user forum (patient council) from which service users now have a track record of delivering lectures to students at the local university, contributing to research bids funded by the Mental Health Research Network (MHRN) and helping with service management.
- host the MHRN funded Clinical Research Group on Forensic Intellectual and Developmental Disorders which brings together clinicians and researchers from over 10 UK universities and over 25 service providers in the NHS and independent sectors www.forensiclearningdisability.com
Both these documents had significant contributions from other clinicians and service users within this service. The first document is having a significant effect on service delivery within this sector with the Care Quality Commission incorporating the bed categories proposed in the report in their future censuses.
The Psychiatric team includes Dr Sudeep Hoare (Clinical Director), Dr Ignatius Gunaratna (Consultant Psychiatrist), Dr Folake Esan (Consultant Psychiatrist), Dr Regi Alexander (Consultant Psychiatrist) and Ms Verity Chester (Research Assistant). They are part of a strong multidisciplinary team that includes among others Dave Kitchen (Training Manager), Simon Botting, Cathy Thomas, Julia Large and Jane Chilvers (Psychologists), Iona Oughton (Therapies Director), Rachel Hill, Jemma Baker, Andrew Smith, Hannah Coleman, Camilla Lees (Occupational Therapists), Alex Graham, Jackie Grace, Lucinda Cheshire (Social Workers), Fatima Green (Nursing Director), Deb Bullman, Sharon Drake, Kayleigh Low (Nursing Managers), Beautrix Ndbele, Gordon Mukokeri, Sam Popple, Chris Hobley, Claire Parker (Charge Nurses), Fungai Nhiwatiwa (Unit Manager) and Rosario O’Connell(Regional Executive Director).