Dear Royal Free London NHS Foundation Trust,

Specialling/1-1/Bed watch

I am seeking the feedback from suitably qualified NHS professionals regarding the above service.

1. Please can you state how this service is currently provided.
2. If out-sourced which department would be responsible for deciding to call additional staff onto site and which department is responsible for arranging the contract?
3. How often does the Trust require assistance with patients displaying challenging behaviours?
4. What is the current average monthly spend on these services?
5. What training do staff providing these services receive? For example, what qualifications do they hold?
6. What are the limitations of the current service?
7. Who is the person or persons responsible for these services, please provide contact details of the budget holder or holders and any other relevant staff.
Please provide any other relevant information
The information when completed will be treated as confidential.

Yours faithfully,

Lou Keeley

FOI, rf (ROYAL FREE LONDON NHS FOUNDATION TRUST), Royal Free London NHS Foundation Trust

Dear Lou Keeley

Thank you for your request under the Freedom of Information Act. The reference for this request is noted in the subject header above.

You will receive a response from us within 20 working days of receipt or an explanation as to why this is not possible.

Yours sincerely

Freedom of Information Team
Royal Free London NHS Foundation Trust

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FOI, rf (ROYAL FREE LONDON NHS FOUNDATION TRUST), Royal Free London NHS Foundation Trust

Dear Lou Keeley

 

Further to your request for information please see the responses below in
red font.  This response covers the hospitals and services managed by the
Royal Free London NHS Foundation Trust, namely the Royal Free Hospital,
Barnet Hospital and Chase Farm Hospital and associated group services. 

 

1.            Please can you state how this service is currently provided.

®     Provided by our own staff (who are then backfilled) and/ or in-house
bank and agency;

®     1 to 1 care from health care assistants commonly for confused
patients at risk of wandering or falls

®     1 to 1 care from registered nurses for patients with high clinical
needs such as tracheostomy or step down from critical care

®     1 to 1 care from registered mental health nurses (RMNs) for patients
with mental health needs

®     Patients are nursed in cohort bays with additional Health care
assistants (bay tagging which ensures there is always staff present in the
bay)

1.                  If out-sourced which department would be responsible
for deciding to call additional staff onto site and which department is
responsible for arranging the contract?

®     Not outsourced, managed by ward managers and matrons using a risk
assessment tool.  Additional staff requested and provided by in-house bank
office or agency.

2.                  How often does the Trust require assistance with
patients displaying challenging behaviours?           

®     On a daily basis

3.                  What is the current average monthly spend on these
services?

®     As outlined above, some of the care is provided by allocating
rostered ward staff to care for those patients

®     Our  e-Roster system records when additional staff are needed to
provide “specialing”  or one to one care.  The average monthly spend over
the last three months for the additional staff excluding RMNs is for HCAs
£94,520 and for RNs £11,084.

®     Care  provided by bank or agency RMNs has had an average monthly
spend (based on the last 3 months) of £120,000.

 

4.                  What training do staff providing these services
receive? For example, what qualifications do they hold?

®     Nursing assistants undertake a programme called the Care certificate
and as part of that undertake CAPER training ( Collateral, Assessment,
Partnership, Enablement, Role modelling) as part of the trust’s dementia
strategy.

5.                  What are the limitations of the current service?

®     Availability of staff in particular RMNs

6.                            Who is the person or persons responsible for
these services, please provide contact details of the budget holder or
holders and any other relevant staff.

®     Local assessments and requests managed by wards and divisions.
Provision of temporary staff by in-house temporary staffing office and
external agencies.

 

 

Your appeal rights

 

We hope that you will be satisfied with our response to your request, if
not you may ask us to review our decision in which case you should write
to Ms Emma Kearney, director of corporate affairs and communications,
Royal Free London NHS Foundation Trust, Pond Street, London  NW3 2QG,
explaining what you would like us to review and including your reference
number.  If you are not satisfied with the internal review, you can appeal
to the Information Commissioner.  The contact details are: Information
Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9
5AF, telephone 01625 545 700 or see [1]www.ico.org.uk

 

Yours sincerely

 

 

 

Alison Macdonald

Board Secretary

 

 

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Dear FOI, rf (ROYAL FREE LONDON NHS FOUNDATION TRUST),

thank you

Yours sincerely,

Lou Keeley

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