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25 - National Standards and good practice

from Part III - Management of the Psychiatric Intensive Care Unit/Low Secure Unit

Published online by Cambridge University Press:  22 August 2009

M. Dominic Beer ,
Stephen M. Pereira  and
Carol Paton
By
Stephen Dye ,
Andy Johnston  and
Navjyoat Chhina
M. Dominic Beer
Affiliation:
Oxleas NHS Foundation Trust
Stephen M. Pereira
Affiliation:
Goodmayes Hospital, Essex
Carol Paton
Affiliation:
Oxleas NHS Foundation Trust
Stephen Dye
Affiliation:
Consultant Psychiatrist, Kimble PICU, Haleacre Unit Oxfordshire & Buckinghamshire Mental Health, Partnership NHS Trust, Amersham Hospital, Amersham, Bucks, UK
Andy Johnston
Affiliation:
Hospital Manager, RMN Huntercombe Hospital, Roehampton, London, UK
Navjyoat Chhina
Affiliation:
Specialist Registrar, MRCPsych, Kimble PICU, Haleacre Unit, Oxfordshire & Buckinghamshire Mental Health, Partnership NHS Trust, Amersham Hospital, Amersham, Bucks, UK
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Summary

Introduction

By the very nature of its practice, psychiatry today continues to be influenced not only by mental health professionals but also by the framework within which care and treatment are delivered. In the UK this includes legal [e.g. The Mental Health Act dealing with compulsory detention of patients (Department of Health 1983)], social (e.g. family and carers), user involvement (e.g. user groups) and political interventions (e.g. Department of Health guidelines). Given the rights of patients enshrined within statute and other government guidance, e.g. Care Programme Approach (Department of Health 1999a), in no other subspeciality is the interface with legal, ethical, political and social issues more acute than within locked Psychiatric Intensive Care Units (PICUs). Yet astonishingly, up until relatively recently, it is the one area within which these issues had been most neglected. The publication of the UK National Minimum Standards (NMS) (Department of Health 2002) gave clinicians, managers and commissioners a framework to deliver high-quality services and care to some of the most severely and acutely unwell patients treated by the mental health system. This chapter will outline development of the standards, summarise and review their structure and content, as well as describe evidence of practice in UK PICU and Low Secure Unit (LSU) settings.

National Association and need for Standards

In the UK, the National Association of Psychiatric Intensive Care Units (NAPICU) was established in 1996.

Type
Chapter
Information
Psychiatric Intensive Care , pp. 340 - 350
Publisher: Cambridge University Press
Print publication year: 2008

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  • National Standards and good practice
    • By Stephen Dye, Consultant Psychiatrist, Kimble PICU, Haleacre Unit Oxfordshire & Buckinghamshire Mental Health, Partnership NHS Trust, Amersham Hospital, Amersham, Bucks, UK, Andy Johnston, Hospital Manager, RMN Huntercombe Hospital, Roehampton, London, UK, Navjyoat Chhina, Specialist Registrar, MRCPsych, Kimble PICU, Haleacre Unit, Oxfordshire & Buckinghamshire Mental Health, Partnership NHS Trust, Amersham Hospital, Amersham, Bucks, UK
  • M. Dominic Beer, Stephen M. Pereira, Carol Paton
  • Book: Psychiatric Intensive Care
  • Online publication: 22 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543593.028
Available formats
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • National Standards and good practice
    • By Stephen Dye, Consultant Psychiatrist, Kimble PICU, Haleacre Unit Oxfordshire & Buckinghamshire Mental Health, Partnership NHS Trust, Amersham Hospital, Amersham, Bucks, UK, Andy Johnston, Hospital Manager, RMN Huntercombe Hospital, Roehampton, London, UK, Navjyoat Chhina, Specialist Registrar, MRCPsych, Kimble PICU, Haleacre Unit, Oxfordshire & Buckinghamshire Mental Health, Partnership NHS Trust, Amersham Hospital, Amersham, Bucks, UK
  • M. Dominic Beer, Stephen M. Pereira, Carol Paton
  • Book: Psychiatric Intensive Care
  • Online publication: 22 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543593.028
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • National Standards and good practice
    • By Stephen Dye, Consultant Psychiatrist, Kimble PICU, Haleacre Unit Oxfordshire & Buckinghamshire Mental Health, Partnership NHS Trust, Amersham Hospital, Amersham, Bucks, UK, Andy Johnston, Hospital Manager, RMN Huntercombe Hospital, Roehampton, London, UK, Navjyoat Chhina, Specialist Registrar, MRCPsych, Kimble PICU, Haleacre Unit, Oxfordshire & Buckinghamshire Mental Health, Partnership NHS Trust, Amersham Hospital, Amersham, Bucks, UK
  • M. Dominic Beer, Stephen M. Pereira, Carol Paton
  • Book: Psychiatric Intensive Care
  • Online publication: 22 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543593.028
Available formats
×