Mrs Mairead Mitchell

Assistant Director of Service Improvement and Governance

Setting The Scene

Muckamore Abbey Hospital

North and West Belfast Health and Social Services Trust

Community and Hospital

Background:

Population - 160,000

Staff - 3,500

Income - £145M

Service Locations - 50

A Centre of Excellence in the treatment and care of people with Learning Disabilities since the late 1950’s

What Do We Do?

We provide assessment and treatment services for people with learning disabilities who have an additional mental disorder:

• Psychiatric Illness

• Severe Challenging Behaviour

• Co-existing complex neurological disorder

Main Services:• Specialist Psychiatric and Nursing Services

• Clinical Psychology

• Dental Services

•Physiotherapy

• Speech and Language Therapy

• Orthotics

• Social Work

• Daycare

• Podiatry

• Opened in the late 1950s/ early 1960s• Provides a regional specialist

assessment and treatment service for people with Learning Disabilities.

• Max Patient No.s 1980s - Over 800• Currently 290 Patients• Staff No’s 620 • Strategic Direction

– Resettlement of Long Stay Patients to the Community

– Reduction of Inpatient Bed Capacity – Assessment and Treatment Services

Muckamore Abbey Hospital

Strategic Direction

•Resettlement of Long Stay Patients to the Community

•Reduction of Inpatient Bed Capacity

•Assessment and Treatment Services

Meeting the Targets“Three major challenges facing the NHS; firstly patients must be put first at each point of contact with health and social

care services, second, all of the services that patients receive must be transformed

and finally, staff and particularly clinicians must be involved in shaping the

change

Patricia Hewitt MP

Secretary of State for Health

Targets

• Improving Quality of Service

• Access to Services

• Working in Partnership

• Service User Involvement

• Delivering Value for Money

In The Midst of Change:

• Redevelopment of Hospital Services

• Resettlement Programme

• Reprovision of Children’s Services

Specialist Hospital Services will be for People with Learning Disabilities who live in the community and:

•Who require Assessment and Treatment because of associated Mental Health or Behavioural Difficulties.

or

•Who require Assessment and Treatment in a semi-secure environment because of their offending behaviour.

Future Hospital Service

Phase 1 Assessment and Forensic Units

Muckamore Abbey Hospital

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Quality Agenda

• Continuous Quality Improvement

• Patient/Carer Involvement

• Standards/targets

• Development of a multidisciplinary audit tool

• Awards

Achievements:

Service Improvement:

Public Servant of the Year

User Involvement

Aim: To set out a plan to enhance service user involvement and to give guidance and information about involvement issues

Three Strands:

1. Information Dissemination

2. Consultation

3. User Participation

Developing a Culture

• Build Trust

• Value People and their views

• Must be sustainable

• Equal Terms

Vision:

Valuing people who have a learning disability, ensuring their right to full citizenship, equality of opportunity and self determination