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    Coronavirus (COVID-19): Information for patients and visitors

    You can find up to date information on Trust services as well as NHS advice and guidance and links to other national and local support resources. 

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    Vaccines safety 

    We understand that there is a lot of anxiety around the safety of the vaccines. The coronavirus (COVID-19) vaccines are safe and effective. They will give you the best protection against coronavirus. 

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    South London Listens: new community survey launched

    A new community survey has just been launched as part of South London Listens to help find the solutions to the impact Covid-19 has had on the mental health of our communities.

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    NHS is still here for you 

    We continue to see patients at all our sites, as well as in their homes, and have a number of measures in place to ensure our sites are Covid secure, including the wearing of face masks and coverings, deep cleaning, one-way signage and cleaning stations.

Tolworth redevelopment

Tolworth Hospital Redevelopment

As part of the Trust’s Integrated Programme we have also received approval - as part of the Full Business Case and subject to certain conditions - to develop new health facilities at the Tolworth hospital site.

Tolworth Hospital will become another modern centre of excellence delivering expert mental health care.

Background

Our facilities at Tolworth Hospital simply do not meet today's need. Existing buildings are mainly old, unsuitable and expensive to run which means we have less to spend on frontline services and jobs. Through our programme we intend to invest in better mental health services to create modern mental health inpatient services at Tolworth Hospital.

Investing in Tolworth Hospital

We want to ensure our patients receive the best possible care in the best facilities. Our new buildings at Tolworth Hospital will meet the latest standards for mental health care as suggested by the Care Quality Commission (the NHS regulator), providing excellent facilities for our patients and a good working environment for our staff.

The new hospital will require millions of pounds of investment but overall there will be a significant reduction in running costs and excellent clinical benefits for our patients. Our aim is for our new hospitals at Springfield and Tolworth to lead the way and become centres of excellent for mental health service provision.

What’s happening at Tolworth?

Following careful consultation with service users, carers and staff, we are planning to redevelop Tolworth Hospital alongside Springfield University Hospital as our two largest sites.  

After the new healthcare buildings are completed at Springfield, Tolworth will form the second phase of our programme and will be subject to further approvalprocesses before we are able to start work. Timings for developments at Tolworth are also dependent on the sales of our surplus estates, but are currently scheduled to commence in early 2023, concluding in early 2025.

Benefits

  • Updating the current, outdated buildings
  • Improving ward layouts, creating a good environment for patients and staff
  • Effective use of NHS resources in the long-term future
  • Providing care and accommodation of the very best standard
  • Reducing running costs so more can be spent on frontline services and jobs

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Springfield hospital history

Springfield has housed a mental health hospital from 1840. Until the 19th Century, few facilities were available for people who suffered from mental illness.

Many individuals wandered the streets or were looked after by their families. Standards in private 'asylums' and the few public hospitals that did exist were very low.

The Asylum Act of 1808 encouraged the building of public hospitals. In the 1830s, Surrey magistrates decided to establish a county asylum. Building began in 1838 on Springfield Park, originally the site of an 18th Century mansion.

The hospital opened on 15 June 1841 as the Surrey County Pauper Lunatic Asylum. It received 299 patients, transferred from various private pauper asylums across Surrey. In the beginning, the asylum coped with every sort of clinical problem; specialist facilities developed gradually over time. The cottage hospital opened in 1872, and an infirmary block and operating theatre followed in 1881.

In 1897 the annex (now the admission building) opened, admitting 20 mentally handicapped children. Patients with learning disabilities were also removed from the general wards. This was an ambitious move at the time. It enabled the asylum to develop an active approach to the education and training of those with learning disabilities.

The members of the asylum committee were often wealthy aristocrats who had altruistic motives and time to spare. The medical staff worked with few resources and little training as psychiatry was still in its infancy. There were no professional standards of knowledge or practice, and most doctors trained by apprenticeship.

Over the next 100 years, admission rates soared. Many were suffering the effects of poverty and alcoholism. And as more people moved away from agricultural life to city living, those with mental illness often became a burden their families could not support. In 1959, an act of parliament allowed the number of patients to be controlled and their needs matched to a specific type of treatment.

From the 1960s onwards, the number of inpatients began to fall. This reflected changes in treatment, and changes in attitudes towards mental health. Some large institutions that had provided long-term residential care for people with mental health problems closed.

Springfield University Hospital remained open, but implemented changes. Now, there are fewer inpatient beds and the majority of services are provided in outpatient or community settings.

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Therapies at the Trust

We have many opportunities for therapists at our Trust.

There are many opportunities for therapists working in in-patient and community teams within our adult, older people’s, CAMHS and specialist services as well as training and practice development roles, and in team and service management posts at all levels in the Trust. 

If you have any questions about Therapies at our trust, please contact our Head of Therapies, Helen Miles - Helen.miles@swlstg.nhs.uk.

 

 

 

Occupational Therapy

Occupational Therapists enable children and adults of all ages to overcome mental health related challenges and achieve their full potential in doing all the things they need or want to do.This can include supporting people to develop skills, confidence and motivation in looking after themselves (self-care), doing something productive like work or education (productivity), and being involved in hobbies and activities to relax and enjoy (leisure).Occupational Therapists help people develop a daily and weekly routine of everyday activities which supports their recovery and gives them a sense of purpose.

Occupational Therapy in the Trust

There are many opportunities for occupational therapists in the Trust, working in in-patient and community teams within our adult, older people’s, CAMHS and specialist services. Occupational Therapists also work in training and practice development roles, and in team and service management posts at all levels in the Trust.

All OTs are supported by a strong leadership structure that delivers professional supervision, enables service development & facilitates continuing professional development. Quality, improvement and innovation are a priority and support is given to OTs wishing to develop new ways of doing things to improve quality. The OT service is involved in a variety of research projects and pilots of innovative mental health interventions including Graduated Living outside the ward (GLOW), Increasing participation in everyday life (IPEL) and Valuing active life in dementia (VALID).

The Trust has adopted the Model of Human Occupation as its main model of practice to ensure that staff deliver high quality evidence based assessments and interventions.

We also draw on a range of frames of reference including cognitive behavioural therapy (CBT), dialectical behavioural therapy (DBT), psychodynamic psychotherapy and provide the role of disability champions to our services.

Occupational Therapists may be involved in the following interventions:
  • Functional assessment: assessment of a person’s ability to manage the practicalities of everyday life
  • Activities of daily living: skills training; aids & environmental adaptations
  • Lifestyle planning: exploring occupation-related options; setting goals; activity scheduling
  • Leisure enablement: working collaboratively with a person to resume or take up a valued leisure activity as part of their mental health recovery
  • Vocational & educational interventions: as above but with work or education as the focus of the intervention
  • Activity as Therapy: using activity media (often as groups) for therapeutic benefit, including using activity to optimise a person’s sensory environment
watch a video

Occupational Therapy in Acute and Urgent Care

Occupational Therapists work on in-patient units split over three hospital sites:
  • Tolworth Hospital
  • Springfield Hospital (Tooting)
  • Queen Mary’s Hospital (Roehampton)

The purpose of hospital admission is to provide care and treatment where it is not safe or appropriate to provide this in the home or other residential setting. Occupational Therapy takes an instrumental role in the assessment, treatment and discharge planning process to ensure safe and effective transitions for patients and their families.

Occupational Therapists have the following roles and responsibilities:
  • Individual assessment & interventions re independent living skills
  • Coordinating the activity / therapy provision & ensuring patient involvement / feedback
  • Acting as Disability Champion for the ward

Watch a video

Occupational Therapy in the Community

Occupational Therapists work in many of the community teams including
  • Recovery support teams (RSTs)
  • Early Intervention services (EIS)
  • Primary care services (Sutton Uplift)
  • Recovery college( as trainers)
  • Specialist- Attention deficit hyperactivity disorder (ADHD) / Autistic Spectrum Disorder (ASD) service
  • Community Mental Health Learning Disability team
  • Home treatment teams
  • Assessment teams

Occupational Therapists are integral to the multidisciplinary team. They offer time- limited recovery focused interventions, supporting individuals to maintain their roles and to develop strategies for managing their symptoms. They often work in care coordinating roles and have protected time to offer specific Occupational Therapy assessment and deliver evidenced based interventions. They use outcome measures to demonstrate the value of Occupational Therapy.

Occupational Therapy in cognition & mental health in ageing

Occupational Therapy in this service helps older people with dementia, depression, and other serious mental health conditions to overcome the barriers they are experiencing in doing the things they need or want to be able to do. We also work with carers supporting them to develop coping strategies.

Occupational therapists have an important role in helping older people with mental health needs cope with the impact of their illness/disability and to equip them with the skills and confidence to prepare for safe discharge. We carry out functional assessments and advise on the need for community support, aids/adaptations or possible placement. We also provide interventions designed to improve quality of life and social inclusion.

Occupational Therapists are based in a range of in-patient and community services

We work on the in-patient units at:
  • Tolworth Hospital (Jasmines Ward)
  • Springfield (Crocus Ward)
  • St Helier Hospital (Liaison Psychiatry team)

Occupational Therapists also work in older peoples’ community services including:
  • Memory Services - providing assessment and short term input around the diagnosis and treatment of mild to moderate dementia.
  • Recovery & Support Teams – providing longer term support to older people with severe and enduring mental health conditions.
  • Care Home Liaison Services - providing support to care homes to meet the psychological and physical needs of residents with dementia or mental health difficulties, using the Newcastle Model

Occupational Therapy in Forensic, Specialist and National Services

The Forensic, national and specialist (FNS) services are a unique group of services providing highly specialist mental health care to adults.

There are opportunities for Occupational therapy staff in the following areas:
  • Medium secure inpatient forensic male and female wards
  • Low secure male inpatient unit
  • Forensic step down/ rehab unit.
  • National inpatient OCD/ BDD unit.
  • Deaf Adult Inpatient unit
  • Deaf Adult Community Team
  • Inpatient adult eating disorders
  • Adult eating disorders day hospital
  • Adult eating disorders outpatient team

The FNS Occupational Therapists have been involved in many innovative projects and partnerships including the development of a forensic recovery college Links are being built with SLAM and Oxleas NHS Trusts as part of the South London Partnership providing exciting opportunities for learning and service development across South London.

The Forensic OT team were recognised as team of the year in the annual Trust quality awards and Occupational Therapy is a highly valued and respected part of the service line.

Occupational Therapy in CAMHS

The CAMHS Occupational Therapy team provide input to the Adolescent mental health inpatient service, the adolescent eating disorders unit and to the National Deaf CAMHS inpatient unit.

Occupational therapists also work in the National Deaf CAMHS community teams based in London and Kent.

The CAMHS OTs have close ties with the national and London and SE east OT CAMHS interest group and regularly attend study days to build links and share learning.

Careers and Recruitment at the Trust

South West London & St George’s Mental Health Trust is the leading provider of mental health services across south west London and a beacon of excellence for many of our national services.

We serve 1.1 million people across the London Boroughs of Kingston, Merton, Richmond, Sutton and Wandsworth and provide care and treatment to over 20,000 people at any one time.

With over 100 clinical teams, you will have the opportunity to work with a range of mental health services as part of a skilled multidisciplinary team.

Occupational therapists use the Model of Human Occupation and the recovery framework to underpin their practice. The Trust has an active research and development strategy and there will be opportunities to engage in a number of practice development initiatives. We offer:
  • Preceptorship for newly qualified OTs
  • Dynamic OT research and innovation programme.
  • Preceptorship plus to support OTs moving from Band 5 to Band 6 roles.
  • Innovative new roles such as Home Treatment teams.
  • Professional supervision.
  • Return to practice.
  • Opportunities for observed practice to promote peer reflection.
  • Profession-specific as well as mental health CPD opportunities.
  • A well-established network of speciality-based OT development forums to share & support best practice facilitated by a practice development lead.
  • Opportunities to supervise students from four universities supported by a practice placement coordinator.
  • Model of Human Occupation e-learning packages and tools within the electronic record.
  • As well as a range of other staff benefits.
Find out more about staff benefits at the Trust

Occupational Therapy Pioneering Practice

The Occupational Therapy service at SWLSTG has been at the cutting edge of Mental Health Occupational Therapy practice for over a decade. Here are just a few of the practice initiatives that have been embedded locally and shared nationally.

Promoting Professional Growth
  • Preceptorship programme and handbook developed in SWLSTG and adopted by RCOT.
  • ‘Working Smarter, not Harder’ framework and CPD portfolio to support HCPC CPD requirements.
  • Observed practice programme to advance reflective practice for OT and allied health professionals.
  • Preceptorship Plus: innovative new programme to support Band 5s to transition into Band 6 roles.
Delivering Practice Development
  • All OTs use Model of Human Occupation (MOHO) to promote occupationally focused practice.
  • MOHO tools and OT care plan library in the electronic record highlight OT contribution to patient care and facilitate audit of occupationally focused practice.
  • Prioritisation protocols to meet occupational need introduced into local OT care pathways and shared across UK.
  • Training and resources for OTs taking on the role as disability champions to promote equality
  • Piloting of an OT hub with agreed OT pathway and manualised interventions in CMHTs in two boroughs in the locality.
Leading on Research and Innovation
  • England wide project to develop OT indicative care packages for use within Mental Health Payment by Results.
  • Multisite research study of occupational need across forensic settings with University of Illinois, Chicago.
  • Development and piloting a manualised OT intervention ‘Increasing Participation in Everyday Life’ (Birken, Parkinson and Morley)
  • Research studies funded by Health Foundation and by UKOTRF to evaluate a manualised OT intervention, ‘Graduating Life Skills Outside the Ward’ with people with mood disorder and personality disorders. (Birken and Morley)
  • Opportunities to be involved in OT research and evaluation, to collaborate on publications and presentations.

Career Development

We believe that all staff should have access to continuing professional development (CPD) activities and career development opportunities. We demonstrate this commitment through:
  • Regular professional supervision and appraisal
  • An annual CPD conference
  • Encouragement to share best practice through publications and conference presentations
  • Practice forums
  • Preceptorship
  • Preceptorship Plus
  • Clinical and management secondments at all levels
The future development of:
  • Apprenticeships across all levels
  • New roles e.g. advanced clinician, perinatal & psychiatric liaison roles
  • A recognised career pathway

Current roles in the Trust

Occupational Therapist Band 5: In-patient Role

The Band 5 Occupational Therapist is part of a multi-disciplinary team providing care and recovery focused assessment and interventions to individuals facing a broad range of mental health conditions who require the short term intensive support of an in-patient unit. The role is responsible for:
  • Identifying and prioritising individuals requiring occupational therapy assessment following the OT pathway.
  • Designing and delivering profession specific individual or group interventions to those identified as meeting the prioritisation criteria to ensure discharge is safe and timely.
  • Planning and co-ordinating the group programme, working alongside activity coordinators and other staff to ensure this meets the needs of the individuals on the unit and is of the highest standard.
  • Engaging in regular professional supervision (individual and peer based) and development opportunities to increase your skills. The senior occupational therapy team will train and support you through the band 5 Preceptorship programme if appropriate.
Occupational Therapist Band 6: In-patient Role

Band 6 Occupational Therapist roles can be found on in-patient units within the local boroughs and in regional/ national services for a particular specialism. The services cover all age groups and include acute admissions, forensic and rehabilitation. The role is responsible for:
  • Working as a core member of the multidisciplinary team and contributing to service development and profession specific service innovation.
  • The delivery of care and treatment to service users with various complex mental health conditions.
  • Providing a seamless, recovery focused occupational therapy pathway via professional assessment of need and where identified delivering a range of evidence based interventions.
  • Overseeing the group programme.
  • Providing leadership to junior staff supervising and developing band 5 OTs, activity workers and volunteers.
Occupational Therapist Band 6 Community Roles

Recovery Support Team: There are a range of band 6 OT roles across the boroughs working in multidisciplinary Recovery Support Teams. These teams undertake a range of assessment and treatment interventions in line with the Care Programme Approach and Social Inclusion strategy. The roles include:
  • The responsibilities of a care coordinator, holding a caseload for a defined number of service users and their carers. The emphasis is on enabling individuals to receive the highest level of co-ordinated health and social care plans to meet their individual needs.
  • Developing clinical skills such as psychosocial interventions and family work agenda.
  • Delivering evidence based occupational therapy assessments and time limited treatment interventions and recording clinical outcomes to show effectiveness.

Home Treatment Team: These innovative band 6 Occupational Therapy roles have been established across most of the boroughs. The Crisis and Home treatment Team practitioner has a focus on providing safe and effective treatment to service users in their own home and providing an alternative to in-patient admission and/or facilitating early discharge for hospital. The role involves:
  • Working generically as part of the team to undertake initial assessments and be involved in the gate keeping process, linking in with bed management services. You will build on advanced assessment and liaison skill to work in a recovery focused way to support individuals in crisis and self-management.
  • Working as an occupational therapist within protected time to complete occupational therapy assessments and evidenced based OT interventions, signposting to key services.
  • Enhancing skills such as psychosocial interventions and risk assessments.
Occupational Therapist Band 7: Lead Role: Band 7 Lead roles are found in inpatient and community settings across the 5 boroughs and specialist services posts. Most have a split role component between professional managerial responsibilities and a clinical specialism dependent on the area of work. The roles are responsible for:
  • Professional leadership and governance to the occupational therapy staff under their remit.
  • The development of the occupational therapy team via individual supervision
  • Contributing to the development of the profession within the Trust by shaping new services and / or improving systems and services with innovative thinking.
  • Actively taking part in the senior leadership team and representing the occupational therapist team at internal and external forums.
Occupational Therapist Band 7: Team Manager Role: There are opportunities across the trust for occupational therapists to work as team managers. The role involves managing and leading a multidisciplinary community team to ensure that holistic care is provided. The roles are responsible for:
  • Ensuring that performance and quality standards of the team are met and the team provide safe & effective services.
  • Coordinating the team and working with them to put into action the values of the Trust’s Recovery and Social Inclusion Strategy.
  • Overall clinical and managerial responsibility for the team caseload.
  • The leadership and development of the team.

Occupational Therapy Students

You can find out more about student placements here.

 

Our Vision, Values and Priorities

Trust Board meetings

The Trust Board meets in public on the second Thursday of every other month. This meeting is open to members of the public and all staff and we always have time for questions.  Come along and be a part of the meeting.

If you have a disability and need help to come to meetings or have any questions, contact us in advance on 020 3513 6385 or trustsecretariat@swlstg.nhs.uk.

The venue is usually Conference Room G, Building 32 (the new modular building near the Burntwood Lane entrance) Springfield Hospital, London SW17 7DJ.

The agenda, board papers and minutes of these meetings are posted on the Trust website as they become available.

Important information regarding Board meetings in public during the COVID-19 pandemic

TRUST BOARD MEETINGS

From January 2021 the Trust Board meetings will operate on a virtual basis using Microsoft Teams. They will be held bi-monthly.  If you wish to join the virtual meeting please email us and you will be sent the link.  Although you will be able to hear the meeting you will be given the opportunity to ask questions at the end of the meeting, as is usual.  To ensure good sound quality you will be required to mute your microphone.  When logging on you will be able to select to have your camera on/off, the meeting will be recorded for minuting accuracy and will be deleted when the notes have been drafted.

The current schedule is set out below. The arrangements will remain under review and if any change takes place we will publicise this.

2021- 2022 dates

Board date                  Papers published by       
11th March 2021 5 March
13th May 2021 7 May
8th July 2021 2 July
9th September 2021               3 September
11th November 2021 5 November
13th January 2022 7 January
10th March 2022 4 March

 

 

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