CO-DESIGN OF INPATIENT FACILITIES
Progress in eradicating ‘dormitory’ facilities
Derbyshire Healthcare NHS Foundation Trust is co-designing its ambitious new mental health facilities with service-users and clinical staff. The team behind the ‘Making Room for Dignity’ programme reports on the exciting plans for new inpatient facilities, and the progress made to date, for The Network.
In 2020 the Government pledged more than £400 m to eradicate dormitory accommodation from mental health facilities across the country to improve the safety, privacy, and dignity, of patients experiencing mental illness. In Derbyshire, significant national and local investment of over £150 m has been allocated for the development of new facilities, providing single room, en-suite accommodation across two new 54-bed acute mental health hospitals – the Northern Derbyshire Adult Acute unit at Chesterfield Royal Hospital, and the Southern Derbyshire Adult Acute unit at Kingsway Hospital, Derby, as well as a psychiatric intensive care unit (PICU) at Kingsway Hospital, with more facilities planned. The programme is called ‘Making Room for Dignity’, and the NHS Trust leading it, Derbyshire Healthcare NHS Foundation Trust, has attempted to put the views of patients and clinicians at the heart of the programme, at every step on the journey.
Building patient experience into the programme team The Making Room for Dignity programme team committed to diversity and inclusivity from the programme’s outset with the inclusion of an Expert by Experience – Nick Richards – as the Programme Support officer. He offers
experience as both a person with a physical disability and having mental ill health, using Trust services. The team also boasts a Clinical project manager, Sifo Dlamini, who provides the clinical voice for the Making Room for Dignity programme. Sifo is a qualified Mental Health Nurse (RMN), and previously worked as a Specialist Complex Needs Nurse. He has experience working in quantity surveying and commercial property management, making him ideally suited to this role.
A greater degree of service-user ‘ownership’ Between them, these roles enabled the delivery of service-user input and scrutiny via links with newly-created service user/ carer and peer support reference groups, which provided the projects with a greater degree of service-user ownership, as well as transparency and integrity. These groups directly influenced the modelling of the services and new facilities. Andy Harrison, Programme director of
Making Room for Dignity, said: “The team has championed diversity and inclusion from the outset, with the involvement of patients, lived experience representatives, nurses, occupational therapists, operational staff, doctors, Estates and Facilities colleagues, staff side ‘reps’, HR, and Organisational Development
The ‘Making Room for Dignity’ programme name was conceived by Laura Newbould-Jones from the Trust’s Community Perinatal mental health team, with the logo designed by award- winning children’s artist and former service-user, Kate Smith.
personnel. The team is also committed to working with local providers to ensure inclusivity of the local community and their ideas, ensuring that benefits continue to be offered. It is this inclusive approach that will enable the successful development of our new hospitals, providing services and facilities that best meet the needs of our service-users.”
Engaging with clinical colleagues In line with the Trust’s ‘putting people first’ value, a rolling programme of staff engagement sessions (at different times to accommodate shift patterns) was offered. These sessions were led by the programme’s Clinical lead, and proved vital in gathering staff service design and ideas for delivery into the projects. Colleague involvement has been invaluable throughout the process, in areas ranging from internal aesthetics and therapeutic service design, to a full Trust competition to rename the programme. Staff were asked to submit ideas within a given remit, and then a shortlist was promoted via the intranet and email for a staff vote. This will be replicated with the naming of units and wards. The ‘Making Room for Dignity’
Clinical project manager, Sifo Dlamini, who provides the clinical voice for the ‘Making Room for Dignity’ programme. A qualified Mental Health Nurse (RMN), he also has quantity surveying and commercial property management experience.
THE NETWORK | FEBRUARY 2023
programme name was conceived by Laura Newbould-Jones, a member of staff from the Trust’s Community Perinatal mental health team, following an internal staff
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