Imperial College London
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ProfessorMikeCrawford

Faculty of Medicine, Department of Brain Sciences

Professor of Mental Health Research
 
 
 
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Contact

 

+44 (0)20 3313 4161m.crawford

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Baldwin:2021:10.1016/j.comppsych.2020.152212,
author = {Baldwin, DS and Dang, M and Farquharson, L and Fitzpatrick, N and Lindsay, N and Quirk, A and Rhodes, E and Shah, P and Williams, R and Crawford, MJ},
doi = {10.1016/j.comppsych.2020.152212},
journal = {Comprehensive Psychiatry},
title = {Quality of English inpatient mental health services for people with anxiety or depressive disorders: Findings and recommendations from the core audit of the National Clinical Audit of Anxiety and Depression.},
url = {http://dx.doi.org/10.1016/j.comppsych.2020.152212},
volume = {104},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Clinical audit is a sustained cyclical quality improvement process seeking to improve patient care and outcomes by evaluating services against explicit standards and implementing necessary changes. National audits aim to improve population-level clinical care by identifying unwarranted variations and making recommendations for clinicians, managers and service commissioners. The National Clinical Audit of Anxiety and Depression aimed to improve clinical care for people admitted to English hospitals for treatment of anxiety and depression, to provide comparative data on quality of care, and to support local quality improvement initiatives by identifying and sharing examples of best practice. PROCEDURES: Thirteen standards were developed based on NICE guidelines, literature review and feedback from a steering committee and reference group of service users and carers. All providers of NHS inpatient mental health services in England were asked to submit details of between 20 and 100 eligible service users/patients admitted between April 2017 and September 2018. To ascertain data reliability, participating services re-audited 5 sets of case-notes with a second auditor, and the coordinating team checked 10 randomly-selected sets of case-notes from 3 services, also selected at random. The reference group and steering committee identified key findings and developed a series of recommendations, which were discussed in regional quality improvement workshops and on-line webinars. FINDINGS: Data from 3795 case notes were analysed. A sizeable proportion of records indicated that at least one important aspect of initial assessment was not documented. Many service users/patients who could have benefited from an intervention targeted at optimising physical health did not receive it. Only a minority (39%) were referred for psychological therapy. Use of outcome measures varied considerably but no single outcome measure was being used routinely. Most individuals had a care
AU  - Baldwin,DS
AU  - Dang,M
AU  - Farquharson,L
AU  - Fitzpatrick,N
AU  - Lindsay,N
AU  - Quirk,A
AU  - Rhodes,E
AU  - Shah,P
AU  - Williams,R
AU  - Crawford,MJ
DO  - 10.1016/j.comppsych.2020.152212
PY  - 2021///
SN  - 0010-440X
TI  - Quality of English inpatient mental health services for people with anxiety or depressive disorders: Findings and recommendations from the core audit of the National Clinical Audit of Anxiety and Depression.
T2  - Comprehensive Psychiatry
UR  - http://dx.doi.org/10.1016/j.comppsych.2020.152212
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33160123
UR  - http://hdl.handle.net/10044/1/84104
VL  - 104
ER  -
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