NICE Consultation: Service User Experience

The National Institute for Health and Clinical Excellence (NICE) currently has a consultation open on their draft guidance around service user experience in adult NHS mental health services, and we want to hear your thoughts on it.Man and 2 women discussing

This guidance will be used as a quality standard across the NHS. The 22 draft quality statements below, which form the basis of the consultation, aim to promote person-centred care, taking into account the needs and preferences of service users. The full set of documents for this consultation can be found at the bottom of the page.

Unfortunately, NICE isn't able to accept responses from individuals on this occasion, and although we asked them if they would consider changing the procedure for this consultation, they are unable to change the process at this stage. However we are happy to submit feedack on your behalf so please do e-mail your comments to campaigns@rethink.org. If your comment relates to a particular quality statement (listed below), it would be helpful if you could include the number. We'd also like to hear from you if you think anything has been overlooked. 

The consultation closes on Tuesday 19th July, so we need your responses by Wednesday 13th July. The final guidance is due to be published in October 2011 and we'll publish any response we get from NICE before then.

Draft Quality Statements

NICE has proposed these draft quality statements as a set of standards to ensure that service users have a positive experience in adult NHS mental health services.

1 People using mental health services and their families or carers are supported to feel optimistic about their care by mental health and social care professionals who are empathetic and non-judgemental.

2 People using mental health services are supported by mental health and social care professionals who have received cultural awareness training from a programme that has input from local voluntary organisations who work with the black and minority ethnic communities.

3 People using mental health services are actively involved in treatment decisions and shared decision-making, and engaged in self-management.

4 People using mental health services are supported by staff from a single, multidisciplinary team, who they know and with whom they have a continuous relationship.

5 People using mental health services can be assured that the views of service users are used to help monitor the performance of services.

6 People have timely and efficient access to mental health services.

7 People using mental health services are given explanations and information about the assessment process, their diagnosis and treatment options, and receive emotional support for any sensitive issues.

8 People working in mental health services are trained in person-centred care and/or customer care by service users.

9 People using mental health services are given a written copy of a care plan that includes details of activities to promote social inclusion such as education, employment, volunteering and other specified occupations such as leisure activities and caring for dependants.

10 People using mental health services who are at risk of hospitalisation have a crisis plan that includes preferences for admission and treatment; treatment refusals; possible early warning signs; and the practical needs of the service user.

11 People in crisis have an assessment undertaken by a competent professional that includes their relationships, their social and living circumstances and level of functioning, their symptoms, behaviour, diagnosis and current treatment.

12 People admitted to hospital for mental health treatment and care are addressed using the name and title they prefer and have their psychological and emotional needs and preferences taken into account.

13 People admitted to hospital for mental health treatment and care are formally assessed within 2 hours of arrival.

14 People admitted to hospital for mental health treatment and care are introduced to the health and social care team as soon as possible.

15 People in hospital for mental health treatment and care, including service users subject to the Mental Health Act, are routinely involved in shared decision-making with healthcare professionals.

16 People in hospital for mental health treatment and care see, on a one-to-one basis, their named healthcare professional every day for at least 1 hour and their consultant at least once a week for at least 20 minutes.

17 People in hospital for mental health treatment and care have access to meaningful activities, including creative and leisure activities, exercise and self- care 7 days a week during and outside normal working hours.

18 People in hospital for mental health treatment and care are involved in their discharge planning and have at least 2 days’ notice of their discharge date.

19 Professionals using control and restraint, and compulsory treatment including rapid tranquillisation, are trained and competent to undertake them safely and use them as a last resort with minimum force.

20 People using mental health services who are subject to control and restraint or compulsory treatment including rapid tranquillisation have the reasons for it explained immediately afterwards and at discharge, and are given the opportunity to document their experience of it in their care record.

21 People using mental health services are asked if and how they want their family and/or carers to be involved in their care.

22 People using mental health services can be assured that services are working with other local organisations to combat the stigma associated with mental health problems, mental illness and mental health services in the local community and the NHS.

NICE documents

A full set of the documents can be accessed by clicking the links below:

Full Consultation - this contains all the evidence and information NICE used to develop their recommendations.

NICE guidance - this contains the draft quality statements (listed above) and brief supporting information.

Quality Standards - this document contains the draft quality statements and the proposed measures for each statement. 

More details on the consultation can be found here.