Reducing Seclusion in a male, low secure forensic, acute admission, inpatient ward

"Seclusion refers to the supervised confinement and isolation of a patient, away from other patients, in an area from which the patient is prevented from leaving, where it is of immediate necessity for the purpose of the containment of severe behavioural disturbance which is likely to cause harm to others."  (ref: NHS Patient Safety Thermometer).

The use of seclusion is fraught with the risk of various adverse effects for both patients and staff. It is an intervention that is generally disliked by the patients and staff that use it. The desire to reduce the use of seclusion is a priority for many health care providers particularly in light of least restrictive practice principles and the reduction of known mental health patient safety harms including, the use of restraint and violence and aggression (ref: NHS Patient Safety Thermometer).

The Yorkshire & Humber Academic Health Science Network (AHSN) Improvement Academy, have been working with one low secure, male, acute admission ward to reduce the use of seclusion within its service through, amongst other things, the introduction of safety huddles and a de-briefing process.

What have we achieved?

The following statistical control chart shows sustained improvement in the number of seclusion episodes on the test ward.

Outputs include:

 Ward Metrics  The team on Westerdale Ward

Safety huddles and de-brief process

Future plans:

For further information please contact project lead Lyndsey Charles.