"Night time seclusion, no thanks"

About: Wathwood Hospital

(as a service user),

I had the pleasure of attending the trust board meeting at Wathwood Hospital in February.

There were many aspects which were impressive, not least the high regard in which Patient Opinion is held.

As one might expect with a trust with the size and scope as Notts NHS there was a prominent air of competence, care and excellence.

As a patient at Wathwood Hospital I was particularly interested to hear of the practice of night time Seclusion which is in operation at Rampton Hospital; the savings that it has brought, the views of patients and the measures that are to be taken with regard to staffing to ensure the safety of familiarity is maintained in assessing patients who may be at risk.

It was noted, too, by the board that Wathwood Hospital has been ranked Top in national assessments of RSUs in 2012 & 2013 and hoped that Wathwood would do similarly this year.

I have raised the issue of night time seclusion at our Patients' Forum this week. We understand that Arnold Lodge may be following Rampton with its introduction. I believe it was the unanimous view of those present that night time seclusion would not be welcome at Wathwood, a view echoed by the staff present and a handful of additional staff that I have canvassed.

Wathwood's status and good reputation derives, first and last, from the good and genuine therapeutic and everyday human relationships that are nurtured and celebrated by the Wathwood Community.

Incidents are low, the skills of de-escalation on the part of the staff are high, as is the reputation of the unit and the satisfaction of service users and their families and carers. Let's keep it that way.

So on behalf of my fellow patients current and future, and supported by ground level staff I would like to put up front to the Trust board the opinion that night time seclusion may very have its rightful place, but that place is not Wathwood Hospital.

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Response from Involvement Team , Involvement & Experience, Nottinghamshire Healthcare NHS Trust

Thank you for your feedback on ‘night time confinement’. At the recent Trust board meeting held at Wathwood Hospital there was discussion looking at the evaluation of night time confinement at Rampton High Secure hospital.

Overall, the evaluation was very positive and demonstrated that most patients at the hospital had found night time confinement helpful.

At the end of the meeting Dr Mike Harris, the Executive Director for the service asked that a paper regarding the possibility of night time confinement at Arnold Lodge medium secure unit be considered at the next board meeting in March subject to the paper being approved by the executive team of the Trust.

It was agreed that the consultation paper on the potential for night time confinement programme at Arnold Lodge would be presented at the next Trust board meeting in March.

The proposal is one of many possibilities being examined to look at efficiencies within Arnold Lodge and would, if agreed have a projected implementation date of 2016. The paper actually suggests a very wide consultation with all stakeholders but most importantly the patients and staff at Arnold Lodge and the various regulating bodies.

If it does go ahead after the consultation it would initially be a pilot on 2 wards and a detailed evaluation on the benefits and difficulties before going any further.

Currently there are no plans to roll this out any further at Wathwood

I hope this offers some reassurance to the concerns that you have raised around and can we thank you again for raising the issue on the Patient Opinion Web Site

Steve Ball General Manager Wathwood Hospital

Hazel Hayward General Manager Arnold Lodge

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