The CQC has today rated the Trust as ‘Good’ overall, with some areas judged ‘Outstanding’ following its comprehensive inspection in December 2017.
The Trust had previously been appraised as ‘Requires Improvement’ and today’s improved rating reflects a year of intensive work by staff at all levels to drive up the overall quality of services across all areas.
Singled out for particular praise by the CQC were the Trust’s Substance Misuse Services and community-based Older People Services which were rated ‘Outstanding’. Also deemed ‘Outstanding’ by the CQC was the Trust’s effectiveness as an organisation.
Chief Executive, Angela McNab, said: “I am delighted that this progress has been so well-recognised by the CQC. It is a tribute to the huge efforts of all our staff, service users and carers to work together to ensure the best possible care.”
Some of the highlights identified by the CQC include:
“An excellent Clinical Strategy providing clear future direction for the services delivered”
“Good progress” in ensuring that patients had their physical health care needs met
Promotion of “the use of research to improve the care and treatment of patients" and “many examples of innovative models of care” including our teams being placed in GP surgeries to provide mental health care
A “truly holistic approach to assessing, planning and delivering care and treatment” to patients in our community-based mental health services for older people
Clinicians “at the forefront of developing and testing post-diagnosis interventions for people with dementia and older people with mental health issues”
The success of the Substance Misuse Services in Camden which has led to a reduction of 37% in patient attendances at A&E, with hospital admissions down by 27% and the number of days in hospital cut by almost 50%
Very positive recognition of staff and service user engagement and the focus on culture
Areas identified by the CQC requiring further work included staff recruitment and retention; higher completion rates for mandatory training; and maintaining the safety of patients where physical interventions, such as restraints, were used.
Angela McNab said: “We recognise there are still challenges to be addressed but we have action plans underway to tackle all of these, with many areas already starting to show positive results.
She added: “We are confident of our ability to continue to progress in order to achieve an ‘Outstanding’ rating in the not too distant future.”
Dr Paul Lelliott, Deputy Chief Inspector, (and lead for mental health) said: “Camden and Islington Mental Health Trust is generally providing a good service to the people it cares for. I congratulate all who work for the trust for making substantial improvements since our first comprehensive inspection in 2016.
“The trust had an excellent clinical strategy that provided clear future direction for the services it delivered. This strategy drew on a good understanding of the mental health needs of the population that the trust serves. Managers also had a clear view about the importance of a healthy culture within the staff group.
“In the future though, I would like to see improvement in the safe category, that we have again rated as Requires Improvement.”
Notes to Editors
Camden and Islington NHS Foundation Trust – Strategic Priorities *
Our three strategic priorities are:
Early intervention and prevention
Recovery and wellbeing through working together and
Research and innovation
About Camden and Islington NHS Foundation Trust
We provide mental health and substance misuse services to people living in Camden and Islington, and a substance misuse and psychological therapies service to residents in Kingston.
We have two inpatient facilities, at Highgate Mental Health Centre and St Pancras Hospital, as well as community based services throughout the London boroughs of Camden and Islington. Our Trust is also a member of University College London Partners (UCLP), one of the world’s leading academic health science partnerships.
We provide services for adults of working age, adults with learning difficulties, and older people in the London area either in a community or inpatient setting.
Our annual income is around £139million and we have approximately 1,800 staff. Our staff work in multi-disciplinary teams providing a holistic approach to recovery. This means that we often work with partner agencies and the voluntary sector. Camden and Islington Mental Health and Social Care Trust was established in 2002. In March 2008 we became the first Care Trust to achieve Foundation Trust status and are licensed by NHS Improvement.
C&I has moved the service we normally offer in emergency departments to our 24-hour Mental Health Crisis Assessment Service, at St Pancras Hospital. The service will see people in need of urgent care so that they do not have to go to a hospital emergency department unless they have an urgent medical need. Emergency departments are under unprecedented pressure due to COVID-19 – the illness caused by coronavirus. We are urging people in mental health crisis to telephone our 24/7 crisis line on 020 3317 6333 or contact their usual community mental health team. If service users attend the 24-hour Mental Health Crisis Assessment Service in person we will see you but we urge you to contact the crisis line in advance for advice to ensure you are only leaving home when absolutely necessary.