1. Care Programme Approach Social Inclusion Dignity & Respect Multidisciplinary Approach Person Centred Planning Health Promotion and Education CPA is the national government policy to help deal with people with enduring severe mental illness. All people receiving treatment, care and support from secondary mental health services are entitled to receive quality care based on an individual assessment. This is to meet the patient’s needs and choices. These underpinning sets of values and principles of person centred care are essential. All CPA is and was meant to be, is good practice (Buckley 2010). Barker (2008) Believes that recovery is a journey rather than a goal. The journeys defined by the persons story which is of course as individual as they are. It’s their story in their words. By encouraging social inclusion this shows that we are a learning environment, which supports good mental health by providing an accommodating environment and showing a positive and enabling attitude as stated in the National Social Inclusion Programme (2009) Community involvement as defined by the patient is central to the recovery process www.signhealth.org.uk www.signhealth.org.uk Care Planning Care planning is fundamental to the nursing process, as it identifies nursing problems. Person–centred care planning forms an integral part of the care planning process (Department of Health 2001; Thompson and Cobb, 2004) Recovery Recovery is being able to live a meaningful and satisfying life, as defined by each person, in the presence or absence of symptoms. It is about having control over and input into your own life (Scottish Recovery Network 2009).Recovery is something worked towards and experienced by the person with mental illness. It is not something services can do to the person the staff contribution is to support the person in their journey towards recovery.Slade(2009) Sanderson (2000) states that person centred planning is based on learning through shared action problem solving and creating solutions rather than fitting the individual into the service, it’s creating the service to fit the individual’s needs. It is a collaborative plan with the involvement of the patient, their family and the supporting community and hospital services looking at the individuals needs and devising a plan to meet these needs. Working in partnership with service users, carers, families and colleagues to provide care and interventions that not only make a positive difference but also do so in ways that respect and value diversity including age, race, culture, disability, gender, spirituality and sexuality. (Woodbridge, K, and Fulford, B. (2004) National Institute for Mental Health England When properly implemented, the multidisciplinary approach provides positive measurable outcomes. With a diverse group of healthcare professionals, such as doctors, nurses, pharmacists, dieticians, and health educators, social service and mental health providers there is more certainty that all of the needs of the patient will be met. The most important member of the multidisciplinary team is the patient. He or she is at the centre of the team. This approach is holistic. http://www.associatedcontent.com/article/291553/the_multidis ciplinary_team_approach.html?cat=5 Healthcare in the UK is constantly evolving. As new technologies and processes are introduced into the NHS, patient outcomes improve, which result in better quality of healthcare. However, technology is only one part of the 'innovation pathway' - organisational innovation and service redesign also has a major role in improving patient care. Lean methodologies are increasingly being adopted into the NHS, boosting efficiency and productivity (Institute of Health Promotion and Education (2011). Within Mental Health nurses use a myriad of techniques to help deliver the care to the people they look after. To do this the nurse needs a tool box, enabling them to help their patient through their problems. Within the rehabilitation area of Mental Health we look at empowering the individual to help them on their road to recovery. The process followed is the Care Programme Approach and recovery model. student ID 09045996 Policy Drivers Accountability & Delegation Personalisation proposes that well-being is inextricably linked with social inclusion and active participation in civic society. Our health and well-being are strongly dependent on the extent to which we can work, learn, have meaningful relationships and contribute to, as well as receive from, those around us. Whatever our needs or disabilities, active citizenship is seen to be vital to individual and collective well-being. That is why this report draws together personalisation and inclusion; they should be mutually reinforcing policy and practice. (Social Care Institute for Excellence 2009) The Care Programme Approach (CPA) was introduced in 1990 as a framework for people with mental health needs (DoH, 1990). Design for Life, (WAG 2005) advocates providing services and support for people at home or as close to home as possible and emphasises the need to concentrate on an individuals long term recovery and rehabilitation. As part of the clinical future, it aims to create a world class health service; rehabilitation is a concept that should be embraced within that. The National Service Framework for Adult Mental Health (WAG 2002) was developed to move services forward and promote excellence by setting standards for practice. NSF Standard 6 states that all areas should provide a comprehensive range of rehabilitation services aimed to maximise independence and recovery. Mental health services should provide effective interventions that promote quality of life by treating symptoms and their causes, preventing deterioration, reducing potential harm and assisting rehabilitation. Make the care of people your first concern, treating them as individuals and respecting their dignity Work with others to protect and promote the health and wellbeing of those in your care, their families and carers, and the wider community Provide a high standard of practice and care at all times Be open and honest, act with integrity and uphold the reputation of your profession As a professional, you are personally accountable for actions and omissions in your practice and must always be able to justify your decisions. You must always act lawfully, whether those laws relate to your professional practice or personal life. Failure to comply with this Code may bring your fitness to practise into question and endanger your registration Voluntary Organisations Gwent Association of Voluntary Organisations (GAVO) offer people with severe mental illness the opportunity to become valued members of their community. This gives the service user a sense of purpose. www.gavowales.org.uk www.gavowales.org.uk The delegation of nursing or midwifery care must be appropriate, safe and in the best interests of the person in the care of a nurse or midwife. Prior to agreeing to delegation, the nurse or midwife has the responsibility to understand this advice. Failure to follow the provision of this advice may bring the nurse or midwifes fitness to practice into question. However, the decision to delegate would be judged against what could be reasonably expected from someone with their knowledge, skills and abilities when placed in those particular circumstances. The code: Standards for conduct, performance and ethics for nurses and midwives, states. "You must establish that anyone you delegate to is able to carry out your instructions.“ "You must confirm that the outcome of any delegated task meets the required standards." "You must make sure that everyone you are responsible for is supervised and supported. NMC (2008) Principles and values To assist clients to build a meaningful and satisfying life as defined by themselves. Hope is created through belief in the intrinsic value of the person worth. Problems and set backs are part of the recovery process rather than barriers to it. By helping maintain and access roles, relationships, activities and resources necessary for recovery.