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The Royal College of Psychiatrists Improving the lives of people with mental illness

NAV

About the Audit

The Royal College of Psychiatrists' Research and Training Unit established the National Audit of Violence in 1999. 265 inpatient units participated in the 2003/5 wave that ended in March 2005.

Its success led the Healthcare Commission to fund a new wave of work, which began in Spring 2006 and finished in October 2007. The Healthcare Commission funding enabled all NHS trusts and independent sector providers of in-patient mental health services in England and Wales to select three wards to take part.


Who took part?

Of the three wards we asked each participating trust/organisation to enrol, we requested:

 

  • One acute psychiatric ward;
  • One ward for older people with mental health problems;
  • One 'other' ward of their own choice i.e. this could be another ward of the types above or another adult specialty.

A total of 67 trusts/organisations took part in the audit, enrolling a total of 211 wards.

 

What did it involve?

The audit methods were refined and proved popular and feasible for participating services. The standards used in the previous phase of the audit were updated to incorporate the more recently published NICE Guideline 'Violence - The short-term management of disturbed/violent behaviour in inpatient psychiatric settings and emergency departments', (NICE 2005).


Data Collection included

  • Contextual information to support benchmarking and networking;
  • Module 1: survey of the experiences of staff, patients and visitors;
  • Module 2: audit of the environment
  • Module 3a: review of a series of violent incidents
  • Module 3b: case note/drug chart audit of the use of rapid tranquillisation

To download the National Audit of Violence 2006/7 Final Reports please click here

 

  • NAV Standards

National Audit Of Violence: Standards for Inpatient Mental Health Services


  • NAV General Guidance

Project Managers Pack

NAV Introductory Workshop Presentation Slides

General NAV Poster 

General Information Leaflet

Examples of 'Good Practice'

Module 1 Poster

Module 1 Leaflet


  • NAV Audit Tools and Guidance 

 

Module 1 Questionnaire questions

Staff Questions

Patient Questions

Visitor Questions

Carer/Next of Kin Questions

Module 1 Guidance

Module 1 General Guidance

Module 1 Guidance Grid

Module 2

Module 2 Audit Tool (for use in both working age adult and older people's service)

Module 2 General Guidance

 
Module 3a

Module 3a Audit Tool (Working age adults version)

Module 3a Audit Tool (Older people’s / dementia version)

Module 3a General Guidance

Module 3a Guidance Grid

Module 3a Guidance Notes for Patient Interviews

Module 3a Patient Interview Schedule

Module 3b

Module 3b Audit Tool (Working age adults version)

Module 3b Audit Tool (Older people’s / dementia version)

Module 3b General Guidance

Module 3b Guidance Grid

 

  • NAV National Reports

 

Final Report-

Working age adults

2006/7

Final Report-

Older people's services

2006/7

Contextual Data Report

(England)

Contextual Data Report

(Wales)

Module 1: Ward Survey 
Module 1 Report - Working age adults Module 1 Report - Older people's services
Module 2: Environmental Audit 
Module 2 National Report -

Combined

Module 2 National Report - Working age adults only

Module 2 National Report  - Older people's services only

Module 3a: Review of a Series of Violent Incidents 
Module 3a National Report - Combined 
Module 3b: Drug chart/Case note audit: the use of rapid tranquillisation 
Module 3b National Report -

Working age adults

SPC Chart for rapid

   tranquillisation (Appendix)

Rapid tranquillisation

   Algorithm (Appendix)

Module 3b National Report -

Older people's services

The National Audit of Violence (2003 - 2005) Final Report 

 

  • NAV Action Plan Database

As part of participation in the National Audit of Violence 2006/7, all trusts/organisations were asked to submit an ‘action plan’ for each ward that had taken part. 48 trusts/organisations submitted these to us amounting to 70% compliance.

To support local teams to share ideas about their planned actions with other project teams that might be considering making similar improvements, we have compiled the action plans into a searchable database.

 

 

 




 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAV Contact details:

Maureen McGeorge
Programme Manager
Tel: 020 7977 6644

Fax: 020 7481 4831
Email: mmcgeorge@cru.rcpsych.ac.uk
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