A Different Pathway

Typically psychiatric patients have had to constantly move in order to receive the care, treatment and support they have required at that moment in time.  They not only move from hospital to hospital, but in some cases area to area.

Gray Healthcare now delivers an opportunity for patients who are set to remain in hospital, to experience real-world rehabilitation in a truly socially inclusive setting – the community.  

Gray Healthcare simplifies patient pathways removing the need for constant environment change or the need to use “step down” facilities.  Our expertise allows us to step patients directly from their current environment (acute, low or medium) to their own chosen final destination tenancy.  Our unique approach allows the service user to receive exactly the package they require in order to safely make the transition as smoothly as possible to the community and to re-learn the skills in order to remain.  The rehabilitation we provide is truly socially inclusive and for many breaks the cycle of revolving through different facilities.

Not only is this pathway now shorter and more direct, but it can also move patients from hospital earlier in their pathway.  Our ability to make pathways shorter, more direct and less impactful is down to the fact that we provide an all-encompassing team that provides exactly what a previously hospitalised individual would require to be successful.

Review Mechanisms

Gray Healthcare uses clinically effective and NHS renowned tools to establish a baseline for the service user when they enter our service.  Recovery and improvement is then able to be plotted against this in order to demonstrate clear results.  These tools also allow for our model of care to be underpinned by responsible risk taking and allow us to accept those that would usually remain in hospital for a longer period.

Risk assessment and management plan Completed upon admission + ongoing
BPRS Monthly
START Monthly
Recovery Star Completed by week 8 and updated every 6 months
MOHOST Completed by week 8 and updated every 6 months
KGV After 3 months then every 6 months
Lunsers Completed when necessary
CSQ-8 Completed by service user every 6 months

Each service user’s care plan and treatment programme is implemented in conjunction with the service user and subject to a strict review process by each discipline of our MDT.  Internal monthly clinical MDT meetings are used to review the individual overall and to schedule further reductions in support.

Internal Review Mechanisms Include:

  • Person Centred Recovery Plan
  • Daily Risk Assessment + Medication Monitoring
  • Weekly Planner
  • Weekly Progress Review by a Named Nurse
  • Monthly MDT Clinical Review (BPRS, START, incidents, recovery plan, ADLs etc.)
  • Regular Progress Report by Occupational Therapist
  • Regular Report by Psychological Team
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