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Safe Staffing for Nursing in Inpatient Mental Health Settings

Sandra Crawford, Associate Director of Nursing, Quality and Patient Experience, Nottinghamshire Healthcare NHS Foundation Trust spoke at today’s Safe Nursing Staffing in Mental Health conference on:

● safe staffing for nursing in mental health inpatient units   
● service user outcomes and indicators associated with safe staffing for nursing in inpatient mental health settings
● is there evidence of a relationship between nursing staff levels or skill mix and increased risk of harm? 
● do nursing staff levels or staff-to-service user ratios impact on outcomes? 
● which outcomes should be used as indicators of safe staffing?

Ahead of her presentation Sandra commented; “Although disappointing that NICE was unable to complete its work in setting staffing levels providing standardisation across units, it is appropriate that the task force looks wider at what other skills and expertise is required to provide positive patient outcomes in this area.  For patient’s it should be around safety, a positive therapeutic environment, care and compassion.  Good leadership at all levels is absolutely required around staffing levels, from the nurse in charge to board members, and it is communicating that clarity in what the outcomes should be and having the courage to address gaps.”

Sandra's PowerPoint slides are available for download at the bottom of this page.

Sandra is a highly experienced Mental Health Nurse who qualified as an Enrolled Nurse [M] in 1984 and as an RMN in 1989, joining Nottinghamshire Mental Health Services in the same year.  Sandra has extensive experience in Adult Mental Health Services, was instrumental in the implementation of the National Service Framework teams within an area of Nottinghamshire and has dealt with, and advised on, the practicalities of the current Mental Health Act in a range of settings and has until recently facilitated multi agency training with colleagues, for many years on various aspects of the Act.

Sandra is currently a member of the Chief Nursing Officers BME Advisory Group and was the Deputy Divisional Nurse for Local Services leading on issues such as Non-Medical Prescribing, Equality and Diversity, and Professional Issues, up until her successful appointment to the post of Associate Director of Nursing, Quality and Patient Experience in March 2013.  She was appointed onto the NICE Guideline for Safe Staffing for Nursing in Inpatient Mental Health Settings in 2015.  

Future events of interest: 

For mental health practitioners & those working in psychiatry & psychology.

Improve/enhance professional nursing practice & personal performance.

Download: sandra-crawford_1248.pdf

16 November 2015


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