scholarly journals Practical experience from a regional secure unit

1992 ◽  
Vol 16 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Adrian James
Keyword(s):  
Royal College ◽  
Performance Indicators ◽  
Clinical Audit ◽  
Essential Element ◽  
Working Party ◽  
Practical Experience ◽  
Medical Audit ◽  
Psychiatric Setting ◽  
Secure Unit ◽  
Regular Review

The Royal College of Psychiatrists' Working Party on Medical Audit has emphasised the multidisciplinary nature of patient care in psychiatry (Royal College of Psychiatrists, 1989). Much has been published on individual audit topics and on definitions of the various aspects of audit such as peer review, performance indicators and quality assurance. The essential element of audit is its systematic nature and little has been written concerning an overall structure for clinical audit within an individual psychiatric setting. It is not sufficient to start with ‘a simple project with minimum of cost in terms of both time and money expended’, as recommended by the Royal College of Psychiatrists' Working Party. What is needed is an overall structure for regular review so that the systematic nature of the process is not lost and that recommendations from audit meetings are reviewed regularly for their usefulness and level of implementation.

scholarly journals Medical audit among Scottish child psychiatrists

1992 ◽  
Vol 16 (5) ◽  
pp. 273-274
Author(s):  
H. G. Morton ◽  
R. J. R. McCabe ◽  
W. Parry-Jones ◽  
J. Pickett
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Performance Indicators ◽  
Working Group ◽  
Preliminary Report ◽  
Clinical Audit ◽  
Child And Adolescent ◽  
Medical Audit ◽  
Considerable Variability ◽  
And Performance

Working for Patients (DOH, 1989) has provided considerable impetus to the development of medical audit. The Royal College of Psychiatrists (1989) Preliminary Report on Medical Audit defined and distinguished between clinical audit, peer review and performance indicators, and referred to some of the particular problems affecting the development of audit in psychiatric practice. There are special concerns for child and adolescent psychiatrists developing medical audit programmes because of the wide diversity of child and adolescent practice and the considerable variability of resources in the subspecialty. Nicol (1989) has described the initial concern of the National Child Psychiatry Section's Working Group on audit with the Korner Report (HMSO, 1982) and the proposals on performance indicators outlined by the DHSS in 1987.

scholarly journals Multidisciplinary audit in child and adolescent psychiatry

1992 ◽  
Vol 16 (4) ◽  
pp. 214-215 ◽  
Author(s):  
Andrew Leahy ◽  
M. S. Thambirajah ◽  
Linda M. Winkley
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Multidisciplinary Team ◽  
Clinical Audit ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Team Work ◽  
Medical Audit

Recent guidelines recommend that where appropriate, procedures for the development of audit in medicine and professions allied to medicine can be replaced by comprehensive multidisciplinary audit of services. The Royal College of Psychiatrists (1990) suggests that clinical audit, involving the work of other staff in the multidisciplinary team, is preferable to purely medical audit. Given the importance of team work in child psychiatry, it seems appropriate to establish a system of audit which enables all disciplines to be involved.

scholarly journals Facilities for mentally impaired patients: three years experience of a semi-secure unit

1990 ◽  
Vol 14 (6) ◽  
pp. 333-335 ◽  
Author(s):  
Janet Mayor ◽  
Milan Bhate ◽  
Hugh Firth ◽  
Anne Graham ◽  
Pam Knox ◽  
...  
Keyword(s):  
Royal College ◽  
Mentally Ill ◽  
Hospital Setting ◽  
Working Party ◽  
Interim Report ◽  
Mentally Disordered ◽  
Mental Handicap ◽  
High Security ◽  
Secure Unit ◽  
Mentally Impaired

The Working Party on Security in NHS Hospitals (The Glancy Report, DHSS, 1974a) and the interim report of The Butler Committee (DHSS, 1974b) both recommended that secure provision should be made available for the treatment of mentally disordered patients who required greater security than could be provided in a standard hospital setting. They recommended that patients with mild or borderline mental handicap should be treated together with the mentally ill but that “severely subnormal patients” should be treated separately. Later the Royal College of Psychiatrists (1981) largely endorsed this advice proposing that: (a) individuals with borderline and mild mental handicap could be adequately treated in the secure units for mentally ill individuals(b) individuals with moderate mental handicap needed a special secure facility(c) individuals with severe mental handicap did not need high security, and should be managed in high-staffed wards in mental handicap hospitals.

Dr James Copland (1791–1870) and his Dictionary of Practical Medicine

2021 ◽  
pp. 096777202110323
Author(s):  
Simon Gray
Keyword(s):  
West Africa ◽  
Medical Practice ◽  
Royal College ◽  
Royal Society ◽  
Literary Work ◽  
Practical Experience ◽  
Private Life ◽  
Tropical Diseases ◽  
Practical Medicine ◽  
Orkney Islands

Dr James Copland (1791–1870) was born in the Orkney Islands and studied medicine at Edinburgh where he graduated in 1815. The following year was spent in Paris to acquire knowledge of the latest developments in pathology and he then travelled for a year along the coast of West Africa gaining practical experience of treating tropical diseases. After establishing his medical practice in London, which eventually became extremely successful, he contributed to medical journals and also became editor of the London Medical Repository from 1822 to 1825. His greatest work was The Dictionary of Practical Medicine written entirely by himself which was completed between 1832 and 1858. More than 10,000 copies of the dictionary were sold and its author became world famous during his lifetime. In 1833, Copland was elected a Fellow of the Royal Society and from 1837 onwards he played a prominent role in the proceedings of The Royal College of Physicians. This article shows how his extensive professional and literary work was combined with an unusual private life.

scholarly journals The Statutory Registration of Psychotherapists?

1980 ◽  
Vol 4 (11) ◽  
pp. 166-168 ◽  
Author(s):  
Michael Shepherd
Keyword(s):  
Royal College ◽  
Working Party ◽  
British Association ◽  
Different Order

The Report of the Professions Joint Working Party (1978) raises a number of questions. The first of these springs from the composition of the Working Party. Five of the organizations are overtly in business to train and certify practitioners of psychotherapy along psychodynamic lines, but though the Report speaks collectively of ‘seven organizations representing practitioners of psychotherapy’ neither the British Association for Behaviour Psychotherapy nor the Royal College of Psychiatrists can be categorized in the same way. Each of these organizations raises issues of a different order.

Why has our recovery rate dropped? An audit examining waiting times, starting scores and length of treatment in relation to recovery within an IAPT service

2015 ◽  
Vol 8 ◽  
Author(s):  
Kyla Vaillancourt ◽  
John Manley ◽  
Nicholas McNulty
Keyword(s):  
Performance Indicators ◽  
Clinical Audit ◽  
Waiting Times ◽  
Electronic Records ◽  
Depression And Anxiety ◽  
High Recovery ◽  
Length Of Treatment ◽  
Psychological Therapies ◽  
Moderate Depression ◽  
Service Data

AbstractThe Improving Access to Psychological Therapies (IAPT) initiative was created to provide mental health services for those experiencing mild to moderate depression and anxiety. IAPT is commissioned on the basis that it achieves adequate performance on a number of ‘key performance indicators’, one of which is the proportion of clients who ‘move towards recovery’ following treatment. The impetus for the current evaluation was a significant reduction in the proportion of clients recovering within an IAPT service. Data for this clinical audit was obtained from IAPT electronic records (IAPTus). Three factors (waiting times, clinical contact and starting scores on the PHQ-9 and GAD-7) were examined and explored separately for each level of care (i.e. steps 2 and 3). These factors were analysed in relation to recovery and compared between periods of low and high recovery within the service. Results reveal that there was little change in the severity of clients’ starting scores between the periods of low and high recovery. Increased waiting time in the period of low recovery was not associated with recovery status. The amount of clinical contact was related to recovery at both time periods. Limitations and implications of the findings are discussed.

The Role of the home office Inspector

1995 ◽  
Vol 23 (1) ◽  
pp. 39-49
Author(s):  
Donald W. Straughan
Keyword(s):  
Performance Indicators ◽  
Best Practice ◽  
Animal Experiments ◽  
Practical Experience ◽  
Home Office ◽  
Modest Increase ◽  
Project Assessment ◽  
Changing Attitudes

The organisation, qualifications and duties of the Home Office Inspectorate under the Animals (Scientific Procedures) Act 1986, and the assessment of project licence applications, are reviewed. Project assessment has evolved in the light of practical experience, and as a result of changes in knowledge and policy on “best practice”. It seems likely that the philosophy, design and analysis of experiments will improve further as a consequence of changing attitudes and education. The effectiveness of the controls on animal experiments and their assessment are noted. Although the number of animal experiments continues to decline with time, the number of licensees is more stable, and it is suggested that a modest increase in the numbers of Inspectors (from the present 21) would be of value. However, this would probably have to be justified by meaningful performance indicators, if these could be devised.

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