CO-DESIGN OF INPATIENT FACILITIES
rooms. The purpose-built facilities and single rooms will allow for better infection control, and reduce the risk of incidents involving patients or staff, including via the safe cohorting of patients if there are outbreaks of infection or viruses. The new units will be focused on therapeutic interventions, with a person-centred recovery approach.
A better quality patient experience The developments will enhance the services currently available, while providing a better quality patient experience, improving privacy and dignity, and bringing our inpatient provision in line with national requirements. The new hospitals will be purpose-built, and equipped with modern facilities and additional resources (e.g. a shared therapy suite incorporating an activities of daily living (ADL) kitchen, indoor fitness room, online library resource room, arts room, and access to a secured roof terrace/ garden for first floor wards). Following service-user and staff
feedback, therapy-based tools will be increased to aid recovery. The new hospital allows for this to a greater extent than the current buildings. Non-binary, flexible ward spaces
will be available at the new unit in Northern Derbyshire, to ensure that
Work ongoing for the 54-bedded mental health Adult Acute facility for males at the Derby Kingsway Hospital site.
the needs of those not comfortable in a gender-designated ward can still be accommodated. This will greatly increase personal privacy and dignity, and enable our services to be fully accommodating
Recent funding for the whole programme
Since the news of the financial commitment to funding of the new 14-bedded PICU at Kingsway Hospital (see artist’s impression), further developments within the Trust have seen it receive confirmation of the additional investment required to complete the other planned elements of the programme, as follows: l Relocation of the Northern Derbyshire Older Adults inpatient service from the Hartington Unit at Chesterfield Royal Hospital to Walton Hospital, also in Chesterfield: a 12-bed relocation of older adults with functional mental health issues.
l Refurbishment of the existing Radbourne Adult Acute Unit at Royal Derby Hospital: a 34-bed refurbishment for females over two wards (originally five wards with males – with reprovision of that service to Kingsway Hospital Adult Acute Unit).
l ‘Acute Plus’, Kingsway Hospital, Derby: An eight-bed refurbishment of the Audrey House unit for females. Derbyshire does not currently have an ‘acute plus’ facility for women (this service sits between adult acute inpatient services and a Psychiatric Intensive Care Unit). Given the smaller number of women who require a PICU bed, it is not viable to develop a female PICU within the county, although the ‘acute plus’ facility will be developed, providing an increased level of support for women locally. The Trust received the confirmation of funding for these facilities in late December
last year, so the timings and recommencement of their planning are still being worked through. The Making Room for Dignity team said: “These developments will transform the services offered locally by providing private en-suite bedrooms for acute patients, and reducing the number of out-of-area placements.”
and flexible without being discriminatory. Interim CEO for Derbyshire Healthcare
NHS FT, Carolyn Green, said: “This is a hugely positive investment for the people of Derbyshire, as it puts dignity and respect at the centre of the patient experience, and allows us to now provide single, en-suite rooms in modern, welcoming environments to all who uses these services. By developing the PICU, moreover, far fewer people will have to travel outside the Derbyshire area for this more intensive level of support.”
Co-design and innovation Several innovative design features service- users and staff co-designed include:
En-suite door innovation: The programme team was faced with a challenge when asked by clinical staff to provide an en-suite door which met service-users’ privacy and dignity needs, was anti- ligature and accessible by clinical staff for safety reasons, but could also be lockable. Service-user feedback showed people felt most comfortable with the option of a lockable door. Many of the doors presented were either not anti-ligature, had no option to lock them, or the locking mechanism introduced potential ligature risks. The team wanted to give the impression of a lock without the safety risk, and realised this concept via a magnetised innovation. This gives the impression of a locked door, or private space, with no ligature risk, while still allowing discreet safety checks. The team designed this ‘in house’ with the Kingsway Group, which manufactured a prototype successfully trialled with service-users and staff.
Anti-shock glass: Arts and art therapy are a central part of recovery for many of
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