Supporting Oxford Health to provide safe, better quality care to its patients and improve the working lives of its staff.
On acute adult psychiatric wards, failing to return from leave from acute psychiatric wards can have a range of negative consequences for patients, relatives and staff. Positive risk taking is part of the recovery process so staff need to work to ensure that patients are as safe as possible when they leave wards on Section 17 leave or take time away. This project sought to improve the return rates at the agreed time to enhance the safety of people in their care.
For each adult acute ward to reduce failure to return on time from Section 17 leave or agreed time away by 50% within 12 months of the start of their project.
The project was initiated and lead at Oxford Health NHS Foundation Trust as part of their Improvement Programme.
The failure to return from leave project addresses:
The project followed Institute for Health Improvement (IHI). The project tested a number of ideas generated by the staff and service users who worked on the pilot ward:
The project is established in Oxford Health NHS Foundation Trust. At baseline, the rate for on-time return was 56.0%; this increased to 87.1% post-intervention, a statistically significant increase of 55.5%. SPC charts showed that the interventions were associated with improvements. The pilot ward is now achieving 96% return on time rate and the process is stable. The project earned the Matron Mental Health Nurse of the Year in the Journal of Clinical Nursing 2016.