3. Rapid Impact Assessment summary report

Transcription

1 Audit Risk Level: Low (Risk level will be added by EQIA steering group) 3. Rapid Impact Assessment summary report Each of the numbered sections below must be completed Interim report Final report X (Tick as appropriate) 1. Title of plan, policy or strategy being assessed Guidance re the Use of Alcohol, Illicit Substances and Non-Prescribed Drugs in the Royal Edinburgh Hospital 2. What will change as a result of this proposal? There will be a clear and consistent message to inpatients, carers and members of the public that the Royal Edinburgh & Associate does not allow the use or supply of alcohol, illicit substances and non-prescribed drugs by inpatients or their visitors. 3. Briefly describe public involvement in this proposal The draft guidance was circulated to Advocard Advocacy, CAPS Advocacy, Consultants, Charge Nurses, Partnership, Patients Council and Senior Allied Health Professionals and all were invited to comment on the document 4. Date of RIA - 2 nd April Who was present at the RIA? Identify facilitator and any partnership representative present Name Job Title Date of RIA training Susan Tennyson susan.tennyson@nhslothian.scot.nhs.uk Senior Charge Nurse Advanced Practitioner? approx 10 yrs ago. Participated in 3 RIAs Andy Wills Smita Grant Clinical Services Manager Team Leader Minority Ethnic Inclusion Andrew.wills@nhslothian.scot.nhs.uk smita.grant@nhslothian.scot.nhs.uk

2 Katy Smith Lynda Lumley Service Care Manager Community Rehabilitation Tea, Charge Nurse Balcarres Ward REH 6. Evidence available at the time of the RIA Evidence Available? Comments: what does the evidence tell you? Data on populations in need Yes National evidence showing the damage to health and wellbeing related to the misuse of alcohol and drugs. Local evidence through datix and patient and staff feed back of the fear and distress caused by alcohol/ drug related violence and aggression on the wards. Data on service uptake/access Data on quality/outcomes Research/literature evidence Yes Patient experience information Consultation and involvement findings Yes Shows that a reduction in the use of drugs & alcohol inpatient wards is associated with decrease in aggression and violence in general and better mental health outcomes for individuals Gathered through Patient Experience Questionnaires and Safety, Privacy and Dignity Meetings tell us that inpatients experience fear and alarm related to alcohol/ drug related violence and aggression on the wards. Wide consultation with staff and advocacy groups show that the guidance was welcomed. Good practice guidelines Yes Dual diagnosis in mental health inpatient and day hospital settings Guidance on the assessment and management of patients in mental health inpatient and day hospital settings who have mental ill-health and substance use problems Department of Health (2006) Other (please specify)

3 7. Population groups considered Older people, children and young people Women, men and transgender people (include issues relating to pregnancy and maternity Disabled people (includes physical disability, learning disability, sensory impairment, long term medical conditions, mental health problems) Minority ethnic people (includes Gypsy/Travellers, non-english speakers) Refugees & asylum seekers People with different religions or beliefs Lesbian, gay, bisexual and heterosexual people People who are unmarried, married or in a civil partnership People living in poverty / people of low income Potential differential impacts There may be difficulties for some people with cognitive impairments or a learning disability, or those with some mental health conditions, in understanding the policy. In some minority ethnic groups there is a great deal of stigma associated with drug taking which might affect whether or how individuals will disclose issues with drugs. There may be some issues around the use of traditional or herbal medicines which have similar effects to legal highs and users of such may not consider these to be drugs. Some mental health patients and people with some religious faiths may hold beliefs that differ from the scientific evidence and the law of the land about the nature and use of drugs Homeless people People involved in the criminal justice system

4 People with low literacy/numeracy People in remote, rural and/or island locations Carers (including parents, especially lone parents; and elderly carers) Staff (including people with different work patterns e.g. part/full time, short term, job share, seasonal) OTHERS (PLEASE ADD): Inpatients within Mental Health Services This group may struggle with written materials promoting the policy, such as posters and leaflets. Inpatients may be all of the above and we considered that they would all be impacted in the same way.. 8. What positive impacts were identified and which groups will they affect? Impacts Affected populations in patient and staff safety All inpatients in patient confidence and feeling safe in staff availability to all patients ( not all taken up dealing with the effects of alcohol & drugs on 1 or 2 patients) access to support for those patients with problem drinking and drug misuse mental health of those individuals who were drinking or misusing drugs Violence and aggression on the wards accidents due to intoxication damage to property 9. What negative impacts were identified and which groups will they affect? Impacts Affected populations identified 10. What communications needs were identified? How will they be addressed? 1. Clear posters around the ward stating that the use of alcohol, illicit substances and non- prescribed drugs whilst an inpatient is not acceptable. 2. Leaflet with similar message to be part of individual information packs available on admission 3. Individual discussion about the topic by key workers as part of the admission and assessment process 4. Involvement of the Minority Ethnic Health Inclusion Service and/or BigWord (telephone translation service) for those individuals where there are language difficulties and to support staff to be culturally sensitive when they are working with patients from minority ethnic groups.

5 11. Additional Information and Evidence Required If further evidence is required, please note how it will be gathered. If appropriate, mark this report as interim and submit updated final report once further evidence has been gathered. 12. Recommendations 1. Complete and circulate written and pictorial list of items that should not be brought into hospital. 2. Review accompanying poster information in light of comments from critical friends. 3. Reinforce and look at ways of building on awareness of availability and roles of MEHIS and the Interpretation and Translation Service ~ recent information on this has gone out to the inpatient service. 4. Ensure that all wards know how to access BigWord. 13. Specific to this RIA only, what actions have been, or will be, undertaken and by when? Please complete: Specific actions (as a result of the RIA) Who will take them forward (name and contact details) Deadline for progressing Review date 1. Complete list of items that should not be brought into hospital 2. Take final agreed document to the REAS QIT 3. Review accompanying poster information 4. Ensure wards know how to access to BigWord end Apr end of May 2013 end Apr How will you monitor how this policy, plan or strategy affects different groups, including people with protected characteristics? 1. Ongoing monitoring of Datix 2. Ongoing Safety, Privacy and Dignity Groups 3. Ongoing Patient Experience Questionnaires 4. Quarterly Acute Inpatient Forum attended by staff and advocacy groups. Manager s Name: Date:

6 Please send a completed copy of the summary report to: James Glover, Head of Equality and Diversity James.Glover@nhslothian.scot.nhs.uk Note that you will be contacted by a member of NHS Lothian s impact assessment group for quality control and/or monitoring purposes.