During day two (26 November 2019) of the national improvement conference – Re-thinking how we improve (hosted by Improvement Cymru), Dr Andrea Davies, Clinical Psychologist and Systemic Psychotherapist, Princess of Wales Hospital highlights exciting plans within the health board to build improvement capability and capacity amongst staff in mental health services.

In early 2020, 14 staff members are getting started on their Quality Improvement (QI) journey through a new QI training programme – Transforming and Improving Safe and Effective Care Together: Mental Health

Cwm Taf University Health Board were also invited (following a successful abstract submission process) to highlight its learning from introducing a multi-disciplinary team approach to developing quality improvement capability within Bridgend locality mental health services over the past two years.

In 2018, the managers of the five clinical teams were asked to nominate staff who were enthusiastic about change ideas to work as part of a small group of frontline staff in identifying areas of improvement. This multidisciplinary group of QI Champions took responsibility for identifying areas for improvement and worked with colleagues to implement and evidence change.

Improvements included:
• Decreasing the number of re-admissions to the Psychiatric Intensive Care Unit (PICU);
• Increasing accuracy of electronic transfers of care from the acute admissions ward;
• The Production and dissemination of digital staff stories;
• Co-producing ‘how to include us guides’ to ensure collaborative working with service users and carers.

During the project, the locality service hosted:

• A twenty bed acute assessment and treatment ward,
• An eight bed Psychiatric Intensive Care unit,
• A Crisis Resolution Home Treatment Team; and
• Two Community Mental Health Teams.

The QI work in the locality continues and has now broadened to include older person’s mental health services and a QI Community of Practice.

Linking into the wider conference discussion around the value of improvement as a mind-set, with improvement becoming a way of doing things, rather than as a thing to be done, Andrea commented:

“We come into healthcare for different reasons, but what unites those reasons is a desire to improve the mental health of people who use our services.

I have witnessed my colleagues become bold in their aspirations for change, and gain increased confidence in knowing that they are able to make a difference to the way services are offered through access to QI tools and training.
QI offers health professionals a way to come together across disciplines to work collaboratively on improving experiences of receiving care, and equally important, on improving experiences of providing care.
Linking with new colleagues from the wider health board has sustained the energy for improving quality, and we are very excited to offer the Transforming and Improving Safe and Effective Care Together: Mental Health training early next year.”

If you would like to find out more about this project or the health board’s wider plan for developing QI capability across mental health services, come and chat with us on the Cwm Taf Morgannwg exhibition stand. Alternatively email Andrea at: Andrea.Davies@wales.gov.uk

Follow our conversation on Twitter @CwmTafMorgannwg /@CTMCymraeg (#ourCTM /#einCTM)

What is Q Cymru?

Q Cymru is a network of quality improvement enthusiasts in Wales. Through the Network, people with an interest or passion for improvement come together to enhance their improvement knowledge, to develop new knowledge that can be applied in the workplace, to share experienced and to Network. We have over 230 Q Cymru members in Wales,   Read more about the opportunities to get involved.


Building Quality Improvement capability in mental health services across Cwm Taf Morgannwg University Health Board