Philip Grieve Senior Charge Nurse Huntlyburn Ward What Matters to me? Philip Grieve Senior Charge Nurse Huntlyburn Ward

Background Attended a person centered conference earlier in year “What Matters To Me” discussed and used in children's ward and older adult mental health ward (Edinburgh/Glasgow) Introduced into Huntlyburn Ward in an effort to continue to deliver person centered care

What is it? Simple question asked – “What Matters To Me?” We added “when you are in hospital” It needed to be more focused for people to let us know exactly what mattered when they were in hospital

Important to note Some people are not well enough Some people simply not interested or engaged Some people genially don’t know what matters when in hospital Person has choice to participate

Trial and Error Initially used the “What Matters To Me?” to collaboratively produce a specific care plan alongside other recovery focused care planning Didn’t quite fit for patients with short stay Beneficial for those patients in for a longer period Examples were subtle and would be easy to implement to ensure person centered care e.g. knock on my room before coming in (rather than an additional care plan)

What we do now Positive steps meeting every morning with all patients – “What Matters To Me” on the agenda daily All rooms have a laminate sheet on their white board and pens provided for patients to identify what matters to them Every morning a nurse updates the patients board in their room as to who the nurse in charge is and who their key worker is The nurse will note if “What Matters To Me” is completed and pass onto the rest of the team

Not mandatory to care and treatment whilst in Huntlyburn Ward Very much patient led Actively encouraged daily to complete Does enhance patient journey through in patient care Good insight given from patient perspective – e.g. knock on door (place of work V safe place

Examples Staff knocking on my door and waiting Visiting times not early enough Being able to get my medication early or out with regular times Being left to sleep in the morning if I am tired Feeling safe from harming myself Help with managing angry feelings and thoughts Nice nurses who are considerate The freedom to walk around the building

If I am asleep and need to be at a group – wake me up Dispensing my own medication helps me and stops me feeling useless Not just being doped up on medication, it’s a false fix to problems To feel safe Staying in contact with family and friends Respect form both patients and staff

What we did for patient For …………….. not to be woken for 8am and allow time to wake and approach staff for morning medication, agreed if time reaches 10am staff can approach Kathleen for medication  The nursing team will enquire about an additional washing machine All staff will be made aware that ………… would prefer that staff knock and wait on her bedroom door  If there is a queue at medication times ………………. will not queue and will wait for the nursing team to call her when her medication is ready Visiting times will be open and flexible The team will endeavour to ensure consistency with Keyworker allocation Chair will be removed from smoking shelter to afford more space 

………….. has her own clothes dryer  …………… will be asked daily about her safety within the ward The physiotherapist has been asked to provide more regular slots in advance ……………. can have visitors in her room ……………. can have time off the ward with and without staff

Still to do Capture patient stories to measure impact Regularly review of completed sheets Lessons learned Identify key changes within ward to demonstrate co produced service and enhance person centred care