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Psychiatric Bulletin (2007) 31: 345-347. doi: 10.1192/pb.bp.107.014837
© 2007 The Royal College of Psychiatrists
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Benchmarking a liaison psychiatry service: a prospective 6-month study of quality indicators

Nikki O’Keeffe, Senior House Officer, Umesh Sira Ramaiah, Senior House Officer, Erum Nomani, Senior House Officer, Michelle Fitzpatrick, Liaison Psychiatry Nurse and Gopinath Ranjith, Consultant Liaison Psychiatrist

Department of Liaison Psychiatry, Adamson Centre for Mental Health, St Thomas’ Hospital, Lambeth Palace Road, London SE17EH, email: g.ranjith{at}iop.kcl.ac.uk

Declaration of interest

None.

AIMS AND METHOD

There are no national standards to evaluate the quality of delivery of inpatient liaison psychiatry services in general hospitals in the UK. In order to benchmark our service against best international practice, we adapted quality indicators from two peer-reviewed studies from Australia and Switzerland and monitored our performance standards over a period of 6 months.

RESULTS

There were 145 patients assessed over the study period. We set a priori target of 90% achievement on indicators in the areas of timeliness of response to all referrals, timeliness of response to referrals following self-harm and quality of supervision of junior medical staff attaining 93.8, 87.5 and 89.6% respectively.

CLINICAL IMPLICATIONS

We demonstrated that we provided a reasonably responsive consultation–liaison service with high levels of supervision of junior staff. National bodies should develop benchmarks in this area so that services can demonstrate the quality of their service and learn from others’ good practice.




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