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

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National Report

We are pleased to announce that we have released our first National Report. It focuses on feedback collected from patients and staff on 55 participating wards which completed both stages of the Quality Mark between 2012 and January 2018.  

Patients and staff ratings were explored at each stage, to measure any improvements that are made between the two stages. The report also focuses on whether there are any differences between wards that did achieve the award and wards that did not.

Key findings:

Wards who participate show an increase in patient experience scores across 2 stages of data collection 

  • The increase was found in all 5 domains: Comfort, Eating & Drinking, Staff Attitude, Getting Help and Privacy & Dignity

  • The Quality Mark benefits wards by improving the delivery of care to elderly patients 

  • The domain that increased the most was ‘Getting Help’ 

Wards with a high frequency of positive comments from patients are more likely to achieve the QM, and wards with a high frequency of negative comments from patients are less likely to achieve the QM 

  • The patient questionnaire and derived score are well aligned to patient experience and can be used to discriminate between high quality and poor-quality care. 

  • Patients that commented negatively on staff attitude were more prevalent among wards who did not achieve the QM 

By Stage II, all Staff Questionnaire domains had significantly improved

  • Greatest changes were access to adapted cutlery, responding to staffing levels and having enough time to provide practical assistance. 

  • Time to care was lowest at both stages, but did still make a substantial improvement  

If feedback from the first stage of the QM was shared amongst staff, wards were significantly more likely to achieve the award 

  • Sharing feedback from patients is important to achieve better standards of care and meet patients needs 

Staff training and development is a significant factor in achieve QM 

  • Particularly training related to dementia 

Action planning and quality improvement activity is sustained beyond achievement of QM 

  • Interim reviews showed a range of improvements in place, directly related to patient and staff feedback collected in the Quality Mark 

Some aspects of patient experience score less positively at both stages 

  • Quality of food, ward temperature, sociable mealtimes and ability to talk privately to staff were scored lowest across both stages  

More information about the Quality Mark.

 

 

 

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