Evaluation of the Safety in Mental Health Settings (SiMHS) Training Programme

We were commissioned to produce an evaluation of the impact of the Cavendish Square Group’s SiMHS project interventions on safety and culture changes in adult acute mental health care wards and psychiatric intensive care units (PICUs) across London.

The interventions include:

  • A pan-London roll-out of the See Think Act (STA) Framework in acute care and PICU services through an STA Framework Facilitator Training and Development Programme,* and an associated acute care STA Framework toolkit.
  • A pan-London roll-out of the Trauma Informed Approach position statement* through a LEAD Safely Leadership Exploration and Development Programme.*
  • An acute care community of practice with trusts and key partners, to support standardising practice and transferable skills related to safer care.

* Find out more about the Trauma Informed Approach position statement, and the STA and LEAD Safely programmes (requires account registration/login).

View the report and appendices via the links below:

To find out more about this evaluation please contact safetyimprovement@rcpsych.ac.uk.

Read our privacy notice below:

The National Collaborating Centre for Mental Health (NCCMH), based at the Royal College of Psychiatrists (the College), delivers projects that aim to enable the provision of high-quality, equitable mental health care.

The NCCMH’s projects involve working with individuals, services within NHS trusts or organisations, or with the NHS trust or organisation overall.

The College is the data controller for the information you provide to us as part of a project.

If you have any queries about the process or how we handle your information, please contact us at dataprotection@rcpsych.ac.uk.

The Safety in Mental Health Settings Evaluation 

The SiMHS Evaluation is a piece of work being undertaken by the NCCMH to evaluate the SiMHS project. The aim of the project is to address the issue of violence and aggression on adult acute mental health care wards and psychiatric intensive care units (PICUs) across London, through developing staff capability, skills and confidence.  It is also anticipated that this project will help to improve staff morale and strengthen staff recruitment and retention.

The overall aim of the evaluation work, which the NCCMH is undertaking, is to determine the experience, effectiveness and impact of the SiMHS project interventions, which are:

  • An Integrated Leadership for Safety programme (‘Lead Safely’) 
  • A See Think Act (STA) facilitator training and development programme and Acute Care STA toolkit
  • A Community of Practice.

Information used by the NCCMH for the SiMHS Evaluation

The NCCMH will be gathering data using a variety of methods and tools, specifically to evaluate:  

  • The experience of, and effectiveness, of the Integrated Leadership for Safety programme 
  • The experience of, and effectiveness, of the See Think Act (STA) facilitator training and development programme and Acute Care STA toolkit
  • The experience of, and effectiveness, of the Community of Practice
  • The impact of work towards a common understanding and commitment to a Trauma Informed Approach
  • The overall impact of the programme on safety culture changes in the acute care wards and PICUs that are participating in the programme, both from the perspective of frontline clinical staff and that of service users.

To achieve this, the research methods and tools will include information taken from:

  • Questionnaires and surveys
  • Knowledge tests
  • Focus groups
  • Staff data.

What information do we ask for, and why?

The NCCMH will not collect more information than we need to fulfil our stated purposes and will not retain it for longer than is necessary. The information we ask for is used to provide data for the purposes of the evaluation only.

We will process:

  • demographic and job role information
  • staff’s perspectives on the content of the training and the relevance for their job 
  • staff’s thoughts and experiences of the STA toolkit
  • information relating to knowledge and skills following the training
  • information relating to attitude, confidence and commitment, barriers and facilitators to applying this new knowledge to job role
  • information relating to safety culture and staff morale
  • routinely collected data on retention and recruitment of staff within the participating NHS trusts.
  • service users' perspectives on the impact of the Safety in Mental Health Settings programme on safety culture and staff morale.

Questionnaires, surveys and knowledge tests

  1. Questionnaires, surveys and knowledge tests will be sent out to participants using Microsoft Forms ensuring the responses are set to anonymous. 
  2. Anonymous surveys will be thematically analysed by the project research team and the findings shared as part of the final research report.

Focus groups 

  1. All participants in the focus groups are required to sign a confidentiality agreement and consent form. 
  2. The focus group discussions will be recorded by the internal NCCMH project team. 
  3. Recordings will be stored securely and accessed only by members of the NCCMH project team.
  4. Recordings will be transferred to a transcription service within a password protected folder using end-to-end encryption then transcribed anonymously by a transcription service.
  5. Recordings will be destroyed immediately following transcription and will be retained in line with College IT protocols
  6. The anonymous transcription will be saved in a secure location. 
  7. The findings will be thematically analysed by the NCCMH project team and shared as part of the final research report.

In addition, the following actions will be implemented to maintain confidentiality and adhere to the GDPR and the College’s data protection principles:

  • All of the information you provide will only be used for the purpose for which you provided it or to fulfil business, legal or regulatory requirements if necessary. 
  • We will not share any of the information provided to us with any third parties for marketing purposes. 
  • All the data is accessible only to the NCCMH research team and data processors by approval.  
  • Passwords will be held by the NCCMH Project Manager and Researcher and will only be shared within the NCCMH project team.

How long is the information retained for?

  • All information containing personal identifiable information will be destroyed at the end of the project. 
  • All anonymised data for the project (evaluation) will be retained in adherence to the timescales specified in the Commissioners’ Record Retention Schedule.
  • If you wish to learn more about this retention period, please contact us using the details below.

Legal basis for processing

The NCCMH processes data with consent from the individual providing the data.


The information received and managed by the NCCMH project team is treated as confidential. 

The NCCMH project team will not publish information that can enable individuals to be identified, nor allow third parties to access the data.

Your rights

Under the Data Protection Act 1998, and the General Data Protection Regulation (GDPR), you have rights as an individual which you can exercise in relation to the information we hold about you.

What if I do not want my information used by the College?

The project participants can choose to opt-out of the project at any time.

For more information about how to opt-out, please contact the Project Manager hazel.webb@rcpsych.ac.uk.

Complaints or queries

The College takes any complaints we receive about the way in which we use personal data very seriously.

We encourage people to bring it to our attention if they think that our collection or use of personal data is unfair, misleading or inappropriate.

If you want to make a complaint about the way we have processed your personal data you can contact us using the details at the bottom of this notice.

You can also complain to the Information Commissioner’s Office directly:

Wycliffe House
Water Lane 
Website: http://www.ico.org.uk/
Tel: 0303 123 1113

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