Discharge support volunteers (West London NHS Trust)

By Sibel Atlas

Stage 1 Review

Project Discharge support volunteers (West London NHS Trust) By Sibel Atlas

  • Title Discharge support volunteers (West London NHS Trust)
  • Setting Hospital
  • Objective To improve patient discharge experience in mental health settings

Beneficiaries

  • Service User

    Improved patient experience of discharge

  • Staff

    Staff feel that volunteers make a difference

  • Volunteers

    Improved personal and professional skills

  • Organisation

    Number of referrals or signposting to VCSE organisations

Audiences

  • Senior Leadership

    To see the impact of the discharge support initiative

Review Design

Project Discharge support volunteers (West London NHS Trust) By Sibel Atlas

Outcome model

Outcome model

Data model

Data model

Data Collection Dashboard

Project Discharge support volunteers (West London NHS Trust) By Sibel Atlas

Before the volunteer service began...

Based on the average improvements of each

87

incidents were reported between January and November 2021

test

45%

of these incidents involved verbal abuse against staff

32%

of these incidents involved physical abuse against staff

Incidents reported

Incidents

We saw a peak of incidents during August 2021. The majority of incidents involved verbal abuse against staff.

Additional findings from incident data

  • 52% of incidents occurred within the Trauma speciality

  • 11 incidents resulted in harm to staff members, resulting in observation or minor treatment

  • 1 incident involved the use of a weapon

  • The majority of incidents occurred on ward 12D (53%)

Latest version of data collection plan

Data collection plan (Updated 16/06/2021)

Evaluation Dashboard

Project Discharge support volunteers (West London NHS Trust) By Sibel Atlas

An evaluation of the Trauma Ward volunteer role was undertaken in September 2022

19%

increase in staff members who felt patient experience was acceptable

90% after the volunteering intervention, compared with 71% prior to the intervention (n=73, 31 pre and 42 post).

88%

of staff members feel volunteers have a positive impact on patient experience

(n=41)

85%

of staff members agree volunteers improve the quality of care/service provided to patients

(n=41)

83%

of staff members agree that volunteers improve the working lives of staff

(n=41)

71%

of staff members agree that volunteer support helps them to feel less stressed

(n=41)

Since the volunteers have been on the wards, a significant decrease was recorded in the overall number of incidents reported. This may indicate the
project has been successful in evidencing the primary objective of this project which was reducing the incidents. However, with the changing landscape of
the NHS in light of the COVID-19 pandemic it is difficult to determine if this is a direct result of volunteers, or if there were other factors at play.

Indeed, staff perceptions of violent or aggressive incidents has not improved throughout the programme and some staff doubted the impact of volunteer
support on number and severity of incidents. However, staff felt there were many benefits of having volunteer support - such as freeing up their time to
focus on clinical tasks - and overall levels of role satisfaction had improved following the programme

The programme has plans to expand it’s offer, with plans for volunteers to undertake manual handling training so that they are able to escort
patients for walks or outside. This may have further positive impacts on likelihood of incidents which could be evaluated at a later date.

Please click here for the full evaluation report