South London and Maudsley NHS Foundation Trust

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South London and Maudsley NHS Foundation Trust
Type NHS foundation trust
Established1 April 1999
HeadquartersMonks Orchard Road
Beckenham
BR3 3BX [1]
Hospitals
Staff5,593 (2018/19) [2]
Website slam.nhs.uk OOjs UI icon edit-ltr-progressive.svg

South London and Maudsley NHS Foundation Trust, also known as SLaM, is an NHS foundation trust based in London, England, which specialises in mental health. It comprises four psychiatric hospitals (Bethlem Royal Hospital, Lambeth Hospital and the Maudsley Hospital), the Ladywell Unit based at University Hospital Lewisham, and over 100 community sites and 300 clinical teams. [3] SLaM forms part of the institutions that make up King's Health Partners, an academic health science centre.

Contents

In its most recent inspection of the Trust, the CQC gave SLaM a 'good' rating overall, but a 'requires improvement' rating in area of safety. [4] In 2019, Southwark Coroner's Court ruled that SLaM was guilty of "neglect and serious failures" in relation to the death of a patient in 2018. [5] In 2020, a further investigation into the Trust's conduct was opened following the death of a patient in its care. [6]

Overview

Each year the South London and Maudsley NHS Foundation Trust provides about 5,000 people with hospital treatment and about 40,000 people with community services. [3] In partnership with King's College London, the Trust has major research activities. This academic partnership enables the Trust to develop new treatments and to provide specialist services to people from across the UK such as the National Psychosis Unit at Bethlem Royal Hospital. The Trust forms part of the King's Health Partners academic health science centre and together with the Institute of Psychiatry, Psychology and Neuroscience at King's College London and University College London is host to the UK's only specialist National Institute for Health Research Biomedical Research Centre for mental health. [7] In 2009/10 the Trust had a turnover of £370 million. [7]

The Trust's work on promoting mental health and well-being, developed in partnership with the new economics foundation, has featured in the national media. [8] [9]

It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 4218 full-time equivalent staff and a sickness absence rate of 3.74%. 58% of staff recommend it as a place for treatment and 59% recommended it as a place to work. [10]

As of 2018, the trust employed 5,328 staff. [11]

History

The following are some important historical dates: [12] [13]

Governance

The Chief Executive appointed in 2013 is Matthew Patrick, a psychiatrist with a background in psychoanalysis who was formerly head of the Tavistock and Portman NHS Foundation Trust.

Former Member of Parliament Sir Norman Lamb was appointed chair of the trust in December 2019. [18]

Services

The Trust provides a wide range of mental health and substance misuse services. The Trust provides care and treatment for a local population of 1.3 million people in south London, as well as specialist services for people from across the country. The Trust provides mental health services for people of all ages from over 100 community sites in south London, three psychiatric hospitals (the Bethlem Royal Hospital, Lambeth Hospital and the Maudsley Hospital) and specialist units based at other hospitals.

In March 2016 it established a joint venture with the Macani Medical Centre in Abu Dhabi to provide child and adolescent services with specialisms in autism, Obsessive Compulsive Disorder and eating disorders. [19] Maudsley International also signed an agreement with the Ministry of Public Health in Qatar for expert advice to help advance Qatar's national mental health strategy. [20]

It established a joint venture limited liability partnership with Northumbria Healthcare Facilities Management, run by Northumbria Healthcare NHS Foundation Trust in 2019. This will run its private and international work, develop its capital assets and employ its facilities staff. It will initially employ 192 existing staff. It plans rapid growth in the United Arab Emirates and China. [21]

Performance

255 patients were injured in 2016-17 through use of restraints on psychiatric patients in South London and Maudsley NHS Foundation Trust. This was the third largest number in England, There were more injuries in Southern Health NHS Foundation Trust and Mersey Care NHS Foundation Trust. Critics say restraints are potentially traumatic even life-threatening for patients. [22]

Research

The Trust's research activities take place in close partnership with the Institute of Psychiatry, King's College London and University College London. In the 2008 Research Assessment Exercise the institute was judged to have the highest research power of any UK institution within the areas of psychiatry, neuroscience and clinical psychology. [23]

Biomedical Research Centre

The Trust manages the NIHR Maudsley Biomedical Research Centre, the UK's only Specialist Mental Health Biomedical Research Centre, in partnership with the Institute of Psychiatry at King's College London. [24] The centre, which is based on the Maudsley Hospital campus, is funded by the National Institute for Health and Care Research (NIHR). Its aim is to speed up the pace that latest medical research findings are turned into improved clinical care and services.

The team at the centre are working towards 'personalised medicine' – developing treatments based on individual need. The aim is to diagnose illness more effectively and much earlier, assess which treatments will work best for an individual and then tailor the care they receive accordingly.

The BRC's development of an advanced computer programme to accurately detect the early signs of Alzheimer's disease from a routine clinical brain scan was reported in the media in 2011. The 'Automated MRI' software automatically compares or benchmarks someone's brain scan image against 1200 others, each showing varying stages of Alzheimer's disease. [25] Another study has concerned the reduced life expectancies of people diagnosed with different mental illnesses. [26]

In 2011 the Department of Health announced that the Trust and the Institute of Psychiatry, King's College London would receive a further £48.8m to continue running the Biomedical Research Centre for Mental Health for a further five years from 1 April 2012. An additional £4.5m was awarded to the Trust to launch for a new NIHR Biomedical Research Unit for Dementia. [27] [28] [29]

King's Health Partners

The Trust is a member of the King's Health Partners academic health sciences centre, together with King's College London, Guy's and St Thomas' NHS Foundation Trust and King's College Hospital NHS Foundation Trust.

In December 2013 it was announced that a proposed merger with Guy's and St Thomas' and King's College Hospitals had been suspended because of doubts about the reaction of the Competition Commission. [30]

National Addiction Centre

In partnership with the Institute of Psychiatry, Psychology and Neuroscience, King's College London, the Trust runs the National Addiction Centre (NAC), which aims to develop new treatment services for alcohol, smoking and drug problems. This work ranges from trials of new therapies and preventative treatments, to studies seeking to understand the genetic and biological basis of addictive behaviour. An example of research conducted is the Randomised Injecting Opioid Treatment Trial (RIOTT). [31]

Media

The services provided by the Trust feature in a four-part observational television documentary to be broadcast on Channel Four in Autumn 2013. Produced by the makers of 24 Hours in A&E, Bedlam focuses on the work of the Anxiety Disorders Residential Unit at Bethlem Royal Hospital, the Triage ward at Lambeth Hospital, adult community mental health services in Lewisham and services for people over the age of 65. [32]

See also

Related Research Articles

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King's College Hospital is a major teaching hospital and major trauma centre in Denmark Hill, Camberwell in the London Borough of Lambeth, referred to locally and by staff simply as "King's" or abbreviated internally to "KCH". It is managed by King's College Hospital NHS Foundation Trust. It serves an inner city population of 700,000 in the London boroughs of Southwark and Lambeth, but also serves as a tertiary referral centre in certain specialties to millions of people in southern England. It is a large teaching hospital and is, with Guy's Hospital and St. Thomas' Hospital, the location of King's College London School of Medicine and one of the institutions that comprise the King's Health Partners, an academic health science centre. The chief executive is Dr Clive Kay. It is also the birthplace of Queen Camilla.

<span class="mw-page-title-main">Raj Persaud</span>

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<span class="mw-page-title-main">Institute of Psychiatry, Psychology and Neuroscience</span> Research institution in London, England

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<span class="mw-page-title-main">Maudsley Hospital</span> Psychiatric hospital in London, England

The Maudsley Hospital is a British psychiatric hospital in south London. The Maudsley is the largest mental health training institution in the UK. It is part of South London and Maudsley NHS Foundation Trust, and works in partnership with the Institute of Psychiatry, King's College London. The hospital was one of the originating institutions in producing the Maudsley Prescribing Guidelines. It is part of the King's Health Partners academic health science centre and the National Institute for Health and Care Research (NIHR) Biomedical Research Centre for Mental Health.

<span class="mw-page-title-main">Robin Murray</span> British psychiatrist and professor

Sir Robin MacGregor Murray FRS is a Scottish psychiatrist, Professor of Psychiatric Research at the Institute of Psychiatry, King's College London. He has treated patients with schizophrenia and bipolar illness referred to the National Psychosis Unit of the South London and Maudsley NHS Trust because they fail to respond to treatment, or cannot get appropriate treatment, locally; he sees patients privately if they are unable to obtain an NHS referral.

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The Michael Rutter Centre for Children and Adolescents is based at the Maudsley Hospital, a psychiatric hospital run by the National Health Service NHS. Named after Sir Michael Rutter, it caters for children suffering from mental health issues such as anorexia. In 1994 it was estimated that at least 10% of children suffering from mental health problems required specialist facilities, but only 1-1.5% of children were being referred.. Parry-Jones described Child Mental Health Services as the 'Cinderella Service'.

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<span class="mw-page-title-main">National Psychosis Unit</span> Hospital in England

The National Psychosis Unit is a national treatment centre for patients with schizophrenia and other psychotic disorders, in the United Kingdom. The unit is a tertiary referral centre in the National Health Service. It is located at the Bethlem Royal Hospital, part of the South London and Maudsley NHS Foundation Trust. It is closely affiliated to the Institute of Psychiatry, King's College London, and forms part of the Psychosis Clinical Academic Group of King's Health Partners.

King's Health Partners is an academic health science centre located in London, United Kingdom. It comprises King's College London, Guy's and St Thomas' NHS Foundation Trust, King's College Hospital NHS Foundation Trust and South London and Maudsley NHS Foundation Trust.

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<span class="mw-page-title-main">Ulrike Schmidt</span> Psychiatrist

Ulrike Schmidt is a British psychiatrist at the Institute of Psychiatry, Psychology and Neuroscience, King's College London in London, where she is Professor of Eating Disorders as well as the Head of the Section of Eating Disorders. Schmidt is a consultant at the Eating Disorders Service within the South London and Maudsley NHS Foundation Trust. Schmidt is known for her ground breaking work helping people with eating disorders and their clinicians.

Anne Farmer is emeritus professor of psychiatric nosology at the Institute of Psychiatry and was formerly lead consultant in the Affective Disorders Unit at the South London and Maudsley NHS Foundation Trust and the trust's director of medical education. Farmer's focus is on genetic research in affective disorders. Farmer was previously professor of psychiatry at the University of Wales College of Medicine.

<span class="mw-page-title-main">Louise Howard (psychiatrist)</span> British psychiatrist

Louise Michele Howard is Professor of Women's Mental Health, King's College London. Howard's research includes medication in pregnancy, violence and health and the effectiveness and cost-effectiveness of perinatal mental health services. She is an Honorary Consultant Perinatal Psychiatrist with South London and Maudsley NHS Foundation Trust.

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Carmine Maria Pariante FRCPsych is professor of biological psychiatry at the Institute of Psychiatry at King's College, London, and consultant perinatal psychiatrist at the South London and Maudsley NHS Trust. He also works as the lead for the Affective Disorders and Interface with Medicine theme at the National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre (BRC).

Shubulade Smith is a British academic and consultant psychiatrist at the South London and Maudsley NHS Foundation Trust (SLaM). She is a senior lecturer at King's College, London and Clinical Director at the NCCMH and forensic services at SLaM, and is currently serving as the first black President of the Royal College of Psychiatrists.

<span class="mw-page-title-main">Kate Tchanturia</span> English psychologist and eating disorders researcher

Kate Tchanturia is a British psychologist who is a professor of psychology in eating disorders at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. She is also Consultant Psychologist at the South London and Maudsley NHS Foundation Trust for the National Eating Disorder Service. Her main research interests include cultural differences in illness presentations, cognitive profiles in eating disorders, and experimental work in emotion processing and translational research from experimental findings to real clinical practice. Tchanturia has a particular interest in women’s mental health and has pioneered the PEACE pathway for autism and eating disorder comorbidity.

References

  1. "Contact us". South London and Maudsley NHS Foundation Trust. Retrieved 4 January 2020.
  2. "Annual Report and Accounts 2018/2019" (PDF). South London and Maudlsey NHS Foundation Trust. Retrieved 4 January 2020.
  3. 1 2 "About us". South London and Maudsley NHS Foundation Trust. Retrieved 14 January 2011.
  4. "South London and Maudsley NHS Foundation Trust". www.cqc.org.uk. Retrieved 18 March 2021.
  5. "Neglect & serious failures by South London and Maudsley NHS Foundation Trust contributed to death of Kenan Canalp". Inquest. Retrieved 18 March 2021.
  6. "Investigation opened after South London and Maudsley patient dies at Tottenham Court Road station". Southwark News. Retrieved 18 March 2021.
  7. 1 2 "Annual Report and Summary Accounts 2009/2010" (PDF). South London and Maudsley NHS Foundation Trust. Retrieved 14 January 2011.
  8. "The Daily Telegraph". Archived from the original on 19 May 2011.
  9. McMillan, Ian A. (5 April 2011). "Wellbeing: The pursuit of happiness". the Guardian.
  10. "HSJ reveals the best places to work in 2015". Health Service Journal. 7 July 2015. Retrieved 23 September 2015.
  11. "Annual Report and Accounts 2017/2018" (PDF). South London and Maudsley NHS Foundation Trust. Retrieved 15 February 2019.
  12. Russell, David (1996). Scenes from Bedlam: History of the Bethlem Royal and Maudsley Hospitals. Baillière Tindall. ISBN   1-873853-39-4,
  13. Allderidge, Patricia (1997). Bethlem Hospital 1247 – 1997. A Pictorial Record. Phillimore. ISBN   1-86077-054-1
  14. "Harriet Harman QC MP: Annual Report 2009" (PDF). Archived from the original (PDF) on 3 January 2013.
  15. wired gov [ permanent dead link ] Government and Public sector news alert service
  16. "UK Web Archive". www.london.nhs.uk.
  17. "Two trusts failed to properly assess the mental capacity of an older man with mental health problems | Parliamentary and Health Service Ombudsman (PHSO)". www.ombudsman.org.uk. Retrieved 18 March 2021.
  18. "Former minister to chair major London trust". Health Service Journal. 17 December 2019. Retrieved 23 February 2020.
  19. "Mental health trust expands into Abu Dhabi". Health Service Journal. 5 May 2016. Retrieved 28 July 2016.
  20. "Qatar tries new strategy to tackle mental health stigma". Doha News. 27 June 2016. Retrieved 28 July 2016.
  21. "Trust approves 'rapid growth' plan for overseas work". Health Service Journal. 26 September 2019. Retrieved 19 November 2019.
  22. Figures reveal ‘alarming’ rise in injuries at mental health units The Observer
  23. "RAE 2008 : Quality profiles". www.rae.ac.uk.
  24. "About the NIHR Maudsley Biomedical Research Centre". NIHR Maudsley Biomedical Research Centre. Retrieved 21 December 2021.
  25. BBC News / health news on-line
  26. Chang C, Hayes R, Perera G, Broadbent M, Fernandes A, Lee W, Hotopf M, Stewart R (2011) Life Expectancy at Birth for People with Serious Mental Illness and Other Major Disorders from a Secondary Mental Health Care Case Register in London, PLoS ONE Archived 29 May 2011 at the Wayback Machine
  27. Department of Health / research funding announcement
  28. Biomedical Research Centre for Mental Health / new funding
  29. The Guardian / medical research funding
  30. "Trust super-merger shelved". Health Service Journal. 5 December 2013. Retrieved 5 December 2013.
  31. Strang; et al. (2010). "Supervised injectable heroin or injectable methadone versus optimised oral methadone as treatment for chronic heroin addicts in England after persistent failure in orthodox treatment (RIOTT): a randomised trial". The Lancet . Archived from the original on 10 August 2011. Retrieved 17 June 2011.
  32. "Channel 4 commissions documentary series The Maudsley". New Releases. UK: Channel 4. 22 August 2013. Retrieved 28 June 2014.