We are delighted to announce that our handover process for voluntary mental health patients in emergency departments, in partnership with the Metropolitan Police Service, took home the Best Patient Safety Initiative in A&E at this year’s HSJ Awards.
The collaboration came together after a 2017 independent investigation into a London murder case concerning a mentally ill patient who had absconded from accident and emergency was finalised. It concluded there was a need for better handover when police attend A&E accompanying someone with mental health needs.
We’ve worked in partnership with the Metropolitan Police to develop just such a process, to be used when a patient voluntarily attends the emergency department with an officer.
It involves a handover form with details about the individual, including any substance misuse; the reason for their attendance at A&E; and any suicidal thoughts.
There is also a verbal handover, to ensure the individual’s circumstances and needs are fully understood by all parties.
Once complete, one copy of the form is kept by the police and the other by healthcare staff.
In the emergency departments that have piloted the new process, there has been an 82 per cent reduction in missing persons reports.
In a statement explaining the panels’s decision the HSJ said, “the judges felt that this was an amazing example of cross boundary, patient centred work that has real benefit to both patients and staff. There was demonstrable cost savings and a real opportunity to disseminate nationally.”
Best Patient Safety Initiative in A&E finalists
- Brighton and Sussex University Hospitals Trust: Prompt cards in the emergency department – Highly commended
- Brighton and Sussex University Hospitals Trust: Single clerking – prioritising safety and efficiency in A&E and the acute floor
- Cambridge University Hospitals Foundation Trust: Using digital technology to provide faster access to sepsis care and treatment
- Cardiff and Vale University Health Board: Managing nutritional risk at the front door – the introduction of a dietetic service to the emergency unit
- Colchester Hospital University Foundation Trust: Recognition of the deteriorating child in ED
- Royal Victoria Hospital, Belfast Health and Social Care Trust: SIM-PLE (Simulation – Patient Led Education)
- University Hospitals Bristol Foundation Trust: Emergency department high impact user team
- Wythenshawe Hospital, Central Manchester University Hospitals Foundation Trust: The Matthew Clock/Chart – a low cost tool for emergency care