St Andrew's Healthcare is one of three hospital sites chosen by NHS England to pilot a Women's Blended Secure Service. Negating the need for secure transitions between medium and low security levels, our blended service aims to reduce people's length of stay by providing an innovative model of care on one ward environment. The service intends to offer a better experience for patients with a clear emphasis on recovery and progression.
Spacious living area
Arts and activities room
Bright dining area
on site swimming pool
Vocational workshop oppotunites
Our blended service is appropriate for adult women including transgender who are 18 years+:
By blending our medium and low secure services we aim to:
A number of measures have been developed with NHS England to measure every aspect of the service, helping us understand the impact of this model of care. The measures will include:
To achieve the ambitious aims and objectives of the service, an innovative care model has been co-produced by patients and experts by experience. This has resulted in a trauma informed and responsive relational security model of care with a focus on recovery and progression.
This bespoke treatment programme encourages self-care and self regulation, challenging women in secure settings to understand and manage the they experience in the early stages of their treatment and preparing them for their next step. Therapies are adapted to specific needs and may include:
Each patient will have a care team comprised of a Consultant Psychiatrist, a Speciality Doctor, Nurses and Healthcare Assistants, a Psychologist, Teachers, an Occupational Therapist, a Social Worker, and an Assistant Practitioner. The team also has access to other professionals such as a Dentist, a Physiotherapist, a pharmacist, a Dietician, a Speech and Language Therapist, a Physical Healthcare Nurse, a Self-Care and Body Image Therapist and General Practitioners. Other staff that will facilitate timetabled sessions include OT/TI, Teaching TI and Sport and Recreation Facilitators. Each patient will have a designated Care Co-ordinator.
The multidisciplinary team are skilled in assessing a range of different areas including mental health and mental disorder, cognitive assessment, neurodevelopmental disorders including Autistic Spectrum Conditions and structured risk assessments.
To reduce length of stay the service will work with Home Area Teams to improve collaboration and partnership working. A working group, including the patient, their family, carers, the Home Area Team and the care team will be formed from the point of admission to ensure that a clear care and discharge plan is developed.
It is expected that the majority of patients from the Blended Service will transition to suitable community accommodation. To support this objective we have created an Outreach Team which will liaise with local community teams to facilitate community transitions. This will include family and carer liaisons, engagement with community mental health teams and crisis planning and support.Where suitable accommodation is unavailable locally, we will work to develop community packages with the local teams to facilitate this transition at the earliest stage.
Dr Samudra Sarkar