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The right stuff nurses who become chief executives.

Alison Moore

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |November 1, 2016
    PubMed
    Summary

    Kent and Medway NHS and Social Care Partnership Trust addressed a significant issue with out-of-area mental health placements. This initiative aimed to reduce the substantial monthly costs associated with these placements.

    Area of Science:

    • Healthcare Management
    • Mental Health Services
    • Health Economics

    Background:

    • High prevalence of out-of-area mental health placements within the Kent and Medway NHS and Social Care Partnership Trust.
    • Significant financial burden associated with these out-of-area beds, amounting to £1 million per month.
    • The trust faced a challenge with 76 patients placed outside the designated area in early June.

    Purpose of the Study:

    • To investigate and address the issue of out-of-area mental health patient placements.
    • To reduce the number of patients placed in beds outside the trust's geographical area.
    • To mitigate the substantial financial expenditure incurred due to these placements.

    Main Methods:

    • A strategic review and intervention by the new chief executive, Helen Greatorex.

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  • Focus on internal capacity and resource allocation for mental health services.
  • Data collection on patient placement numbers and associated costs.
  • Main Results:

    • The trust initiated a concentrated effort to manage out-of-area placements.
    • The scale of the problem was quantified: 76 patients in external beds.
    • The monthly cost was identified as £1 million.

    Conclusions:

    • Urgent attention was required to optimize mental health patient placement strategies.
    • Reducing out-of-area placements is crucial for financial efficiency in mental healthcare.
    • Effective leadership is key to addressing systemic challenges in NHS trusts.