Psychiatric Intensive Care and Acute services

PICU and Acute ServicesBranwell Ward

Cygnet HospitalWyke

The team work closely and collaboratively with service users, their family and the referrers to provide a seamless pathway from referral to discharge

Branwell WardAn acute service, Branwell Ward can support up to 19 men in a therapeutic and calming setting. The service is an emergency admission ward that aims to work with people with a broad range of mental health problems. The team works closely and collaboratively with service users, their family and the referrer to provide a seamless pathway from referral to discharge.

Branwell Ward accepts referrals for service users whether informal or detained under the Mental Health Act.

The service is not risk averse and has a willingness to accept referrals which may be challenging and can work successfully with individuals who experience a higher level of complexity and challenge, posing a risk to themselves or others. This is possible as both the Branwell and Wkye’s PICU service, Austen Ward, work closely together in order to assess and manage risk factors.

Branwell Ward offers a rapid response to all referrals, with a target of an hour from the receipt of adequate clinical information. The service also guarantees a care plan will have been created for an individual within five hours of admission.

Branwell Ward’s ethos is about caring for service users and treating people in the least restrictive environment. Service users are able to access the local community via unescorted or escorted leave as appropriate; staffing levels are such that ordinarily leaves can be facilitated. Along with nursing staff, occupational therapists and activity co-ordinators take a role in this activity.

A range of interventions are available on Branwell Ward including mental and physical health assessment, risk assessment, care planning using the My Shared Pathway approach, medication review, medication-free assessments and health management strategies to prevent relapse.

The service has a specialist drugs and alcohol programme in place for all service users to access.

IntroductionCygnet Hospital Wyke offers a range of services for men including acute and psychiatric intensive care along with a specialist locked service for older men. The hospital sits in more than three acres of grounds, which are quiet and private. The environment at Cygnet Hospital Wyke is purpose built and is close to the M62, on the border of Bradford and Calderdale.

The multi-disciplinary team work to assess people and their skills, establishing what they need in order to move forward

Support and OutcomesA range of group and psychological therapies including cognitive behaviour therapy and substance misuse treatment are available on Branwell Ward, facilitated by our well established and full multi-disciplinary team. This includes a consultant psychiatrist with experience in acute and PICU, a specialty doctor, nurses, occupational therapist, therapy assistant, substance misuse practitioner, forensic/clinical psychologist and assistant psychologist.

The multi-disciplinary team work to assess people and their skills, establishing what they need in order to move forward and where there are opportunities to improve skills and understanding including support in budgeting, cooking, orientation and transport.

The ward offers a psycho-education programme to help service users better understand their illness and workshops and support are offered to help service users cope with everyday tasks after they leave the hospital.

As soon as a person is admitted we work with them, their carers and aftercare team to make sure there is a clear care plan in place to maximise the chances of positive outcomes.

Amongst the outcomes we aim to achieve are:

Reduced number of aggression or self harm incidents

Improved wellbeing

Improved social functioning

Service users treated and stabilised in order to move on to care in the community

A crisis plan will be agreed pre-discharge with arrangements for future incidents relating to the service user’s illness

Most people leaving Branwell Ward will move home or into an acute ward in their local area.

Branwell Ward has recently completed a pilot project, ‘Planning Appropriate Discharges’ (PAD). The project has achieved a significant 30% reduction in the average length of stay.

Groups on Branwell Ward include problem solving, anger management and others. One to one therapy is available on a regular basis. We have are specialists substance misuse workers who can offer a full assessment and support based upon service users need. The team being made up of two substance misuse practitioners across the hospital, as well as two nursing assistants identified on each ward to work with those affected by addiction.

Branwell Ward focusses on harm minimisation work and is a partner for SMART Recovery UK which is a national programme. SMART Recovery (SMART) is a science-based programme to help people manage their recovery from any type of addictive behaviour. This includes addictive behaviour with substances such as alcohol, nicotine or drugs, or compulsive behaviours such as gambling, sex, eating, shopping, self-harming and so on. SMART stands for ‘Self- Management and Recovery Training’.

Secure transport is available for admission and discharge as required.

Facilities and activities As well as comfortable single, en-suite rooms, the hospital has extensive grounds, social space, leisure facilities on site including a fully equipped gym, exercise & fitness room, art room, horticulture area, IT classroom and learning kitchen.

The project has achieved a significant 30% reduction in the average length of stay.

www.cygnethealth.co.uk

To find out more contact Cygnet Hospital Wyke, Blankney Grange, Huddersfield Road, Wyke, Bradford, BD12 8LR Tel: 01274 605500