Nottinghamshire Healthcare NHS Foundation Trust

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Patients were involved in their assessments and staff took their preferences into account including preferred names and pronouns. It took about 18 months for treatment to start but staff contacted patients every 4 weeks to assess wellbeing and risk. Each referral was discussed by a full multi-disciplinary team ensuring they took a holistic approach to treatment. Staff had good working relationship with the community mantal health teams to ensure patient needs were met. The service used nationally recognised outcome measures when planning and reviewing patient treatment plans.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us that staff asked them questions about preferred names, pronouns and asked if they had any physical health issues during their assessments. There was a wait between being assessed and starting treatment and one person told us they had to wait for 18 months to start treatment, but this was a few years ago. People told us that during the wait which was a few months the service would check in every 4 weeks and one person told us that psychology checked in with them twice a week to make sure they were safe and keeping well.

Staff and leaders explained the assessment process, they send out specific forms in regards with eating disorders. We were shown the process flow of information. This showed patient involvement and a multi-disciplinary team approach throughout. The multi-disciplinary team met at a referral meeting to discuss treatment plans and when they would be able to start work with the person. Staff discussed how they involved the person as a whole and not just their needs with the eating disorder but also any additional needs they may have. Clinicians spoke passionately about how they use different pathways of support and treatment to work with their demographic of people that come to them. They worked closely with another provider to refer people who are presenting with mild/moderate needs in their eating disorders. Staff explained how patients were contacted when they were on the waiting list and gave them support information. In the weekly team meetings partners from the local mental health team joined to hear the cases and offer any advice or support and signposting to other mental health services in the area.

Reviews of treatment were discussed in weekly team meetings. The team worked closely with the local mental health teams, engaged with a local program which is based in Leicester and is being piloted as an intensive day program to prevent inpatient admissions. The service used recognised outcome measures such as clinical outcomes in routine evaluation (CORE), eating disorder examination outcome measure (EDE-Q) and clinical impairment assessment (CIA). The program and the clinicians involved had created an ongoing review process which was documented in patients care and treatment plans. We reviewed 5 peoples care plans to review risk assessments, case notes and blood monitoring. We found no concerns and staff explained the process of record keeping.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.