"Night time confinement concerns"

About: Wathwood Hospital

(as a staff member posting for a patient/service user),

I am writing about the issue of locking patients in their bedrooms at night. I am strongly against this idea, I do not agree with it.

Some of my reasons are:

It's detrimental to people' mental health

Being locked up may cause anxiety problems and may make patients feel trapped

It will feel like a prison rather than a hospital

Some patients come to hospital from prison as they cdannot cope in prison, find it difficult being locked up, to come to a medium secure mental health hospital should be a benefit to them and a help NOT a disadvantage

Locking rooms will reduce the number of staff, this may cause problems for patients if they need extra help, medical emergencies etc.

(transcribed on behalf of the patient)

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Response from Jane Danforth, Involvement Team , Involvement & Experience, Nottinghamshire Healthcare NHS Trust

picture of Jane Danforth

Thank you for your posting on 'Night Time Confinement Concerns’. As you have raised several issues around the effects of this on patients mental health I have spoken to managers at Wathwood and other Forensic services about the issues you have raised.

They are happy to reply in more detail both on the Patient Opinion website and in patient forums where this was first raised and discussed.

Please be reassured that any plans to bring about changes at Wathwood would be evaluated fully with other similar services and patients would be consulted first to make sure that the opinions of patients are listened to and acted upon.

You can expect a further reply on the site with more information and an update.

Thank you for taking the time to feedback as we really appreciate your views on all these important issues

Best Wishes


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Response from Jane Danforth, Involvement Team , Involvement & Experience, Nottinghamshire Healthcare NHS Trust

picture of Jane Danforth

Thank you for your feedback on ‘night time confinement’. At the recent Trust board meeting held at Wathwood Hospital there was discussion looking at the evaluation of night time confinement at Rampton High Secure hospital.

Overall, the evaluation was very positive and demonstrated that most patients at the hospital had found night time confinement helpful.

At the end of the meeting Dr Mike Harris, the Executive Director for the service asked that a paper regarding the possibility of night time confinement at Arnold Lodge medium secure unit be considered at the next board meeting in March subject to the paper being approved by the executive team of the Trust.

It was agreed that the consultation paper on the potential for night time confinement programme at Arnold Lodge would be presented at the next Trust board meeting in March.

The proposal is one of many possibilities being examined to look at efficiencies within Arnold Lodge and would, if agreed have a projected implementation date of 2016. The paper actually suggests a very wide consultation with all stakeholders but most importantly the patients and staff at Arnold Lodge and the various regulating bodies.

If it does go ahead after the consultation it would initially be a pilot on 2 wards and a detailed evaluation on the benefits and difficulties before going any further.

Currently there are no plans to roll this out any further at Wathwood

I hope this offers some reassurance to the concerns that you have raised around and can we thank you again for raising the issue on the Patient Opinion Web Site

Steve Ball General Manager Wathwood Hospital

Hazel Hayward General Manager Arnold Lodge

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