The Scottish Patient Safety Programme (SPSP) is part of Healthcare Improvement Scotland's Improvement Hub supporting improvement across health and social care. This is a unique national programme that aims to improve the safety of healthcare and reduce the level of harm experienced by people using healthcare services. SPSP aims to support National Health and Wellbeing Outcome 7: People using health and social care services are safe from harm.
The programme, is also part of the wider Mental Health portfolio within Healthcare Improvement Scotland’s Improvement Hub (ihub), using the improvement collaborative approach which underpins the programme and supports NHS boards with focused improvement work in identified priority areas to support local delivery of improvements.
The aim of the Scottish Patient Safety Programme for Mental Health is People are and feel safe.
SPSP Mental Health is working with the Scottish Government and partners to deliver the "Mental Health Strategy: 2017 - 2027" which has meant that the SPSP-MH programme is now expanding its remit from inpatient units to include Child and Adolescent Mental Health Services (CAMHS), Perinatal Services, Older Peoples Services, learning disabilities, as well as community. There will be a continuation of work within in-patient General Adult Psychiatry (GAP) wards and units.
Cultivating learning among those delivering and in receipt of care, using that knowledge to improve safety, are core values of the Scottish Patient Safety Programme for Mental Health (SPSP-MH). Collaboration and innovation from staff, service users and carers and the use of quality improvement and improvement science have been pivotal over the last 7 years.
Safety Principles in Mental Health
The Safety Principles in Mental Health have been revised and condensed into four principles.
Communication Leadership & Culture Least Restrictive Practice Physical Health
Read more about the four Safety Principles in Mental Health
Scottish Patient Safety Programme Improving Observation Practice (SPSP-IOP)
The Scottish Patient Safety Programme–Improving Observation Practice (SPSP IOP) aims to extend and build on existing good practice in mental health services to provide an improved model of person-centred care that can be applied in any healthcare setting.
Read more about SPSP Improving Observation Practice
Human Rights Based Approach
Healthcare Improvement Scotland is the national organisation which drives improvements in the quality of healthcare people receive in Scotland. The SPSP Mental Health programme has undertaken a Human Rights Based Approach delivery and further details can be found here Please watch the below video to see the importance of undertaking a rights based approach to delivery.
- Tools and resources
Browse the Safety Principles for Mental Health for further information on tools and resources relating to the Mental Health programme.
Below you will find links to some of the tools and resources which are available.
Clozapine Handy Guide
The SPSP Mental Health team are piloting a handy guide for Clozapine. View the guide (PDF)
Patient Safety Climate Tool
NHS Boards across Scotland are using the Patient Safety Climate Tool with over 800 patients being given the opportunity to have a say about their care and treatment using this tool.
It is a Scottish innovation that is leading the way in person centred safe delivery of care. The tool is designed to enquire about environmental, relational, medical and personal safety. Cultivating learning among those delivering and in receipt of care, and using that knowledge to improve safety are core values of the Scottish Patient Safety Programme (SPSP).
Patient Safety Climate Tool
Patient Safety Climate Tool - Guidance
The Patient Safety Climate Tool is being adapted for use in other areas of mental health care such as CAMHS and Learning and Intellectual Disabilities.
in 2018 a report, Perspectives on co-production in developing the Patient Safety Climate Tool, was published. Read more about the report on our news page
Staff Safety Climate Survey and Analysis Tool
Organisations working to develop or improve a culture of safety need a reliable measure to monitor the success of their initiatives. Using a Safety Climate Survey developed for the SPSP Mental Health programme, teams can gain information about the perceptions of front-line clinical staff about safety in their clinical area and management’s commitment to safety.
The survey can also provide information about how perceptions vary across different departments and disciplines. As the participating team tests and implements changes to improve the culture, it can repeat this survey periodically to assess the impact of those changes.
Here is the SPSP-MH Staff Safety Climate Survey, Guidance and an Excel Analysis Tool which has dummy data entered to illustrate its functionality. Please download them for use within your teams, and let us know how you get on!
- Staff Safety Climate Survey - Analysis
- SPSPMH - Safety Climate Survey - Guidance
- Staff Safety Climate Survey - Questionnaire
Improving monitoring of as required 'prn' psychotropic medication
Stickers have been developed, within a number of boards, to improve the use and monitoring of PRN medication.
- Oral PRN
- Intra Muscular PRN
- Non Pharmacological Intervention
- Data Measurement and Collection
Data provides rich, valuable information that allows us to understand variation in our system. Data collection is fundamental in quality improvement and there are many types of data that are helpful in supporting changes that result in improvement, including continuous measurements and counts of observations.
The Mental Health programme published the revised measurement plan in March 2018. We have set a bi-monthly reporting schedule together with a bi-monthly cycle for leadership reports for NHS boards. Data is collected at ward level, with collated measures across the board submitted by programme managers to the national team. Learning from data is key and supports staff to implement the changes required to achieve the aims of the programme. Feedback reports of data assessment are agreed in collaboration with programme managers.
The SPSP Mental Health programme work is not just testing how to implement changes that reduce harm but also:
- what part of the system needs changing to reduce harm
- what specific changes will lead to a reduction in harm, and
- what measures can be used to reliably measure levels of harm.
For further details, read the measurement plan below.
Data submission dates
1st May 2019
1st July 2019
2nd September 2019
1st November 2019
Leadership report submission dates
3rd June 2019
1st August 2019
1st October 2019
2nd December 2019
- Useful links
Acumen is an advocacy organisation that covers Argyll & Bute, East Renfrewshire, Inverclyde, Renfrewshire and West Dunbartonshire. Its philosophy is to maximise service users and carers involvement in all areas of service provision this ensuring a quality of service is received which, in turn, improves the individuals quality of life.
For more information visit Acumen
Bipolar Scotland is a membership-based voluntary sector organisation which provides information, support and advise for people affected by bipolar disorder / manic depression and those who care for them.
For more information visit Bipolar Scotland
Carers Trust (Scotland)
Carers Trust Scotland (formerly The Princess Royal Trust for Carers) has been operating in Scotland since 1991. They are the largest provider of comprehensive carers support services in Scotland, reaching around 40,000 adult carers and more than 3,500 young carers from all groups and communities, through a unique network of independent carers centres and young carers services (Network Partners) throughout Scotland.
They work with partners to improve support, services and recognition for carers in communities across Scotland.
For more information visit Carers Trust Scotland
Carers Trust Scotland has developed a guide to raise awareness of carers' needs amongst healthcare professionals and to recognise carers as partners in care. The Triangle of Care: A Guide to Best Practice in Mental Health Care in Scotland is an alliance between service user, carer and staff member that promotes safety, supports recovery and sustains wellbeing.
For more information visit Triangle of Care
HUG - Highland Users Group
HUG is a network of people with experience of mental health problems. Their main aim is to improve the way in which users of mental health services are treated by campaigning to improve the rights, services and treatment of people with mental health problems, and to challenge stigma and discrimination. Launched in 1996, HUG now has around 350 members and thirteen local branches across the Highlands.
For more information, visit HUG.
LAMH - Lanarkshire Association for Mental Health
LAMH is a charity and provider of a range of services to people with mental health difficulties. They develop and provide support services in partnership with people who experience mental health difficulties, their carers and other agencies. They also provide training to businesses around the mental health awareness information and how to support employees with mental health issues.
For more information visit LAMH
Mental Health Foundation
In Scotland the Mental Health Foundation focuses on social justice and inequality in mental health, raising awareness of mental health with the public and working in partnership with community organisations, policy makers and researchers.
Their programmes link together policy, research evidence and practice, helping people and polciy recognise the role mental health plays in life.
For more information visit Mental Health Foundation
Mental Health Network (Greater Glasgow)
Are a service-user led charity which acts as a collective advocacy voice for people with a lived experience of mental-ill health and their carers.
For more information visit Mental Health Network (Greater Glasgow)
Mental Welfare Commission for Scotland
Protect and promote the human rights of people with mental illness, learning disabilities, dementia and related conditions. They carry out their statutory duties be focusing on five main areas of work which are - visiting people, monitoring the acts, investigations, information and advice, and influencing and changing.
For more information visit Mental Welfare Commission for Scotland
National Rural Mental Health Forum
Dedicated to ensuring people in rural Scotland lead mentally healthy lives. The Forum has a broad membership from the public, private and third sectors.
For more information visit Rural Wellbeing
SAMH - Scottish Association for Mental Health
SAMH is a charity that works to ensure that people are talking about mental health and this is done in the following four ways:
- Community based services for people with mental health problems
- National programmes
- Policy and campaigning work
- Raising funds to ensure that their work can continue
For more information visit SAMH
See Me is Scotland's Programmed to tackle mental health stigma and discrimination. They are funded by Scottish Government and Comic Relief and are managed by SAMH and the Mental Health Foundation.
For more information visit See Me
Support in Mind Scotland
Are known for their particular expertise in understanding schizophrenia and psychosis and the impact that this has on families and they actively campaign to challenge the stigma experienced specifically by people living with schizophrenia.
For more information visit Support in Mind Scotland
UCI – User and Carer Involvement
User and Carer Involvement is a Scottish charity operating across the Dumfries and Galloway Region. Their mission is to ensure that people who have mental illness, dementia or learning disabilities, and their carers have a representative voice and, as a result, see positive changes in their service provision.
For more information, visit User and Carer
VOX – Voices Of eXperience
VOX is a National Mental Health Service User-Led organisation, working in partnership with mental health and related services to ensure that service users get every opportunity to contribute positively to changes in the services that serve them and wider society. VOX supports individuals and works with members to ensure that their views are listened to. Mental health service user-led groups are also able to become members of VOX, thus ensuring that VOX represents a range of views and work together with groups who have a great deal of local or specialist knowledge and information.
For more information, visit VOX
- Contact the team
To contact a member of the Mental Health team, please click on the relevant name below.
David Hall Clinical Lead Jonathan O'Reilly Improvement Advisor Steven Robertson Programme Manager John Holligan Senior Project Officer Sarah Wilson Project Officer Hana Barvik Administrative Officer