Each patient in the hospital has a team of professionals working with them to provide the best care for their needs. This is called a multi-disciplinary team (MDT). The MDT will meet together with the patients every week or two weeks to review their ongoing care and treatment, to ensure it continues to meet their needs.
Each member of the MDT will work with the patients to help them achieve their short and long-term recovery goals. Patients can use their MDT meetings to discuss their progress and request changes in their care. Decisions about this will be made collaboratively by the team and patient.
The MDT will include:
Approved Clinician (AC)
An Approved Clinician (AC) is “a person approved by the appropriate national authority to act as an approved clinician for the purposes of the Mental Health Act 1983”. The Responsible Clinician is the “AC who has been given overall responsibility for a patient’s case”.
The Mental Health Act 2007 identifies the following as eligible to act as approved clinicians in England:
– practitioner psychologists listed on the register maintained by the Health and Care Professions Council (HCPC)
– first level nurses with a field of practice in mental health or learning disability
– occupational therapists registered by the HCPC
– social workers registered by Social Work England.
Responsible Clinician (RC)
This is a consultant psychiatrist who will oversee the patient’s care, and play a key part in any decisions made. They are known as the Responsible Clinician, as they have overall responsibility for the care and treatment of the patient while they are detained under the Mental Health Act. While important decisions will always be made in collaboration with service users and the rest of the MDT, the RC will have the overall responsibility for decisions made.
Art and Music Psychotherapist
Art and music psychotherapists help people think about and express their feelings by using different kinds of art and music.
All patients within secure care services will have a Case Manager allocated to oversee and support service users to ensure care and treatment is appropriate. This person will work with the patient for the duration of their stay.
Dental treatment is available on site, patients are given an annual dental check as well as the service providing emergency treatment.
A Dietician will work with patients individually to support them with a healthy diet and lifestyle within the hospital.
Our GP works in partnership with the Physical Health Team, and wider MDT, to support patients. Having a GP on site reduces health inequalities and provides patients with direct access to support and care. The GP and Physical Health Team can support and work with patients that have long term health conditions and increase life expectancy.
Nurse Consultants provide clinical leadership to ensure that our care and treatment is safe, effective, holistic and patient-led, where appropriate, they act as responsible clinicians for patients within our service.
Each ward has a team of qualified Nurses, Associate Practitioners and Health Care Assistants. A qualified Nurse will be allocated to each patient, as well as Associate Nurses and Nursing Assistants, meaning each patient has a dedicated team who will work with them. The wider Nursing Team are on site 24 hours a day 7 days a week to support all patients on the ward.
Occupational Therapist (OT)
Each ward MDT has an Occupational Therapist, who will work with the patient on an individual basis and also run group sessions to develop and maintain life skills.
Peer supporters are experts by experience and have been employed by the Trust to support patients in recovery spending time with patients and helping patients to work out how to best manage patient recovery. They are particularly good at helping patients develop a Wellness Recovery Action Plan (WRAP) or staying well plan.
A pharmacist will work with the MDT to make sure that each patient is on the right medication and to help patients manage any side effects of medication.
Physical Health Nurses
Physical Health Nurses are general (adult) trained nurses who provide physical health care to patients on site, as well as support ward and medical staff. The team run several clinics that include Weight Management Clinic, Clozapine Clinic, Diabetic Clinic, Annual Health Check Clinic, Chest Clinic and more. The team work with patients and ward staff to make recovery goals and health actions plans to promote a healthier lifestyle, that they can continue once discharged.
Physiotherapists work with patients to help restore movement. They provide physiotherapy assessment and treatment.
A Psychologist will work with the patients on an individual or group basis to help them towards their recovery. This could be through therapy, addressing underlying issues and developing coping strategies, or working to build confidence and self-esteem.
Recovery and engagement facilitators
There are a range of activity specialists on site who provide activities on wards and in the Recovery College in Northgate Park to support your loved one to build skills, increase confidence and make connections with others.
A Social Worker will help patients with things such as benefits, plans for discharge and maintaining good relationships.
A Specialist Nurse provides professional leadership, advice and role modelling to the clinical nurse team. They provide education training to staff and review standards of practice and care delivered to patients.
Speech and Language Therapist (SALT)
Patients may have support from a Speech and Language Therapist if they have difficulty with communication, eating, drinking or swallowing.