Tailored programmes and evidence-based care

From education and children's services, to hospitals, adult care provision and secure facilities, the Priory Group of Companies offer individually tailored, multidisciplinary programmes for those with complex educational needs or requiring acute, long-term or respite mental healthcare.

The breadth and depth of our range of services means that we are able to provide flexible, evidence-based care, which is personalised to meet the unique needs of the individual. This approach ensures that every person has the opportunity to achieve the best possible outcomes and quality of life, within the familiarity and stability of an integrated Priory service.

Delivering positive outcomes at an individual level

We constantly strive to deliver innovative care programmes and pathways, which demonstrate tangible results for those in our care. We use a range of outcome metrics to measure progress against treatment goals; this motivates and challenges the individual, and ensures that every stage of their treatment is most effective and appropriate to their needs.

The Priory Group also believes that the best outcomes are achieved by using the highest quality facilities, and through the dedication of the most skilled and experienced staff. We are committed to investing back into our services to achieve this objective, and use the feedback of those who use and commission our services to continually develop and improve.

Healthcare and addictions – outcomes

Each of the services within the Priory Group has a Routine Outcome Measurement programme (ROM) which is appropriate to the service. The information provided by this measurement system aims to support clinicians and patients in care planning, whilst helping services assess their own effectiveness and benchmark their performance against other units.

This year the Quality Accounts for our healthcare services set out the evidence of Priory’s commitment to providing high quality services and our ambitions to continue to deliver such care in the future, through ongoing improvement.  Some of our quality achievements in 2013-14 include:

  • 99% of service users in acute mental health services felt they were treated with dignity and respect
  • 100% Commissioning for Quality and Innovation (CQUIN) targets achieved for the year
  • 93% of all outcomes were judged to be met by the Care Quality Commission at their last inspection
  • 97% of service users surveyed in acute mental health services would recommend Priory
  • Across all 58 registered healthcare sites nationally not a single service was placed under any form of embargo throughout the whole year

Secure services – outcomes

In  secure services, patients are generally expected to remain in hospital for a greater length of time than those in our inpatient facilities, with lengths of stay often ranging between one and five years. As a result, the focus and measure of outcomes will be different from shorter term mental health admissions.

Improvements in security needs (HoNOS score)

Psychological symptoms for patients in secure services are measured using the Health of the Nation Outcome Scale (HoNOS), with an additional scale measuring their need for security (HoNOS-Secure). Due to the nature of patients being cared for, HoNOS score are likely to remain stable for long periods of time, even if a patient is making progress in other areas of their life. In addition, the number of patients discharged compared to patients with other mental health problems is likely to be lower.

  • Priory undertakes HoNOS-Secure for every Care Programme Approach (CPA) meeting it has with commissioners. This was achieved 100% of the time in 2011-12 with figures reflecting a positive improvementCreating a good therapeutic atmosphere (EssenCES)

Creating a good therapeutic atmosphere (EssenCES)

A required Commissioning for Quality and Innovation (CQUIN) measure for Priory during 2011-12 was the Essen Climate Evaluation Scale (EssenCES) as a measure of quality in its secure services. EssenCES is a short survey administered to patients and staff on forensic psychiatry wards and is designed to measure the therapeutic environment of the ward in three domains. These are: Experienced safety - the degree to which patients and staff feel safe (versus the threat of violence), Therapeutic hold – the degree to which patients feel the staff care about them and Patient’s cohesion – The degree to which patients feel supported by each other.

  • As part of Priory’s agreed CQUIN targets EssenCES results are monitored on an annual basis and scores used to identify potential areas for improvement. The Priory is please to have achieved 100% success rate in 2011/12 for all of its CQUIN payments.