"Admission to male personality disorder services "

About: Rampton Hospital

(as a staff member posting for a patient/service user),

Feedback was gathered to improve the admission process, posted on behalf of patients as part of the patient feedback challenge; patients were asked for their feedback on:

'What was it like when you were told you were coming to Rampton?'

1. I had a psychiatrist assess me. My Named Nurse came to see if I was motivated to come here. It was helpful as it was reassurance when I told them what I was told (negative things about Rampton). They said that’s not what happened it was reassuring. I would like to have had more visits from the Named Nurse. They told me about routines, that I would be locked in my room at night. I’m alright with that. I got leaflets of what I could and couldn’t bring and info leaflets.

2. I was happy because this is a better place than the hospital I was at before. I moved because I am nearer family. This was important to me, my family visit once a month now.

3. When I first came here I couldn’t handle it as I didn’t know what to do but more responsibility is good for you and I like the fact that I can make a drink or have some cereal. I’m hoping for a better future. If you want to change and move on I want to be able to do things for myself.

4. I thought it was a fresh new start and change my life for the better but then upon arrival I realised the true level of failure in NHS as a whole.

5. No (I did not get opportunity to find out what wanted to know before arrival).

6. I can remember the procedure, get a shower, clean clothes and search here. I had all my blood pressure took, obs etc – all the normal stuff. The ward staff were a bit apprehensive, on paper I’m a different person than I am normally; they’d read the papers and were worried about me. It took the staff about a month and a bit to get to know me and to talk to me.

7. The staff were polite. They look after you and respect you here. They were bullies at the last hospital. I wrote and told the other patients that it was better here, don’t worry. They said they got an idea of what the place was like so that helped them.

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Responses

Response from Christine Milburn, Nurse Consultant, Rampton Hospital Men's Personality Disorder and National Women's Directorate, Nottinghamshire Healthcare Trust

Thank you for taking the time to share your experiences with us. It is really helpful as it gives us information as to how we can develop our services and approaches. Your reflections go along way to help the staff understand what it feels like as a patient to come to Rampton. Hopefully working together to improve the process for others in the future. With in your comments there are some positive experiences which helps us understand what we are getting right. Thanks for feeding this back. These include:

- visits to a patient prior to admission and having contact with your future nursing team

- some of you getting written information about what happens at Rampton

- Also information about what you can expect on the ward the patient is coming to.

- positive ways the nursing staff get to know you, talk to you and how things work for you

- maintaining /improving family contact

- great contact by patient to help others know what it is really like at Rampton to allay others fears.

- being encouraged and able to take on responsibility for yourself wherever possible

These are the areas you suggest we could improve in. They are:

- making sure everyone who is referred gets written info as well as a visit where ever possible.

- perceptions that staff were apprehensive around a newly admitted person due to the focus being on written info related to risk.You wanting more talking in the first month to get to know the person not just relying on what is written about them.

- feeling the whole NHS is failing patients.

Things we are already doing that you need to know about which address your points

1. New leaflets about the hospital and the ward areas are being printed and available very shortly

2. Within the male personality disorder service we are hoping to work together with you to create a Myth buster leaflet with all your comments and ideas about how we can help those referred not worry to much about the type of rumours that can some times to talked about in relation to Rampton Hospital. It is then hoped this could be sent or given to all those who are referred in the future.

3. Link your feedback into staff training re how it feels in the first month when patients arrive at Rampton and the process of engaging with the person during this time.We hope to engage with the patients to help us deliver that.

Finally I was sorry to hear your experience (one patients view) that the whole of the NHS is failing patients. However it is really important that here we listen to all feedback and try to continually improve patient experience with in this service

Once again thank for taking the time to share your experiences and I hope you will continue to do so

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