Healthcare on Demand is made up of a group of independent healthcare practitioners who work collaboratively to provide excellent multidisciplinary health services, with a focus on mental health and wellbeing, in the private outpatients setting.
As such, each practitioner carries responsibility for their own patients/clients, including risk evaluation, clinical assessment, treatment plans and their implementation, case notes and outcome measures.
Oversight of Governance procedures at Healthcare on Demand is provided by the Healthcare on Demand (HoD) Clinical Group.
This is made up of a representative of core practitioner groups, including medical practitioner(s) plus senior management.
The group members will remain in post for one year, during which time there will be two formal meetings, plus additional consultative meetings/sessions as are required to carry out the objectives of the clinical group.
At the end of each year, the clinical participants will stand down, and practitioners from an equally representative group with take up the role for next year.
This will continue on a rolling basis.
The Objectives of Healthcare on Demand’s Clinical Group are:
- To ensure that patients have the best outcome possible from their interaction with HoD, both administratively and clinically
- To ensure that HOD is supporting the work of the clinicians in line with current and emerging clinical practice and governance standards
- To provide expert help and advice to HoD in areas of clinical governance and clinical multidisciplinary working
- To give guidance on the recruitment of suitably qualified clinicians.
- To provide an expert group to respond to and deal with patient and clinician complaints
HoD’s position on Capacity and Consent
Patients/clients have a fundamental legal and ethical right to determine what happens to them in any healthcare setting.
Valid consent to assessment and treatment is therefore absolutely central in all forms of healthcare.
Seeking consent is also a matter of common courtesy between health professionals and patients.
Therefore all practitioners will establish capacity and consent in their first interactions with patients/ clients, in line with the current law and guidelines of their relevant professional bodies. This will be documented by each clinician in their clinical notes and may take the form of confirmation that verbal consent has been given.
Patient /client consent may be withdrawn at any time.
HoD’s position on Risk Assessment
Risk assessment should be a core component of any mental health, physical health and learning disability assessment, in any setting. The Department of Health Guidance, Best Practice in Managing Risk (DOH 2007) provides a framework based on the principle that modern risk assessment should be focused on positive risk taking, structured, evidence-based and as consistent as possible across settings and across service providers.
The level of risk that is safely manageable in a private outpatient setting, such as Healthcare On Demand, is significantly lower than that in some other healthcare facilities, including inpatient units.
The Healthcare On Demand clinic does not provide crisis care and is not a 24 hour service.
Therefore Risk Management is performed:
- At the entry point to the service, at the clinical coordinator/ triage level, using standard questionnaires devised by HoD clinicians, under Consultant Psychiatrist oversight.
- Individuals who exceed safe boundaries, as defined by individual practitioners will be redirected to more appropriate environments, where their safety can be appropriately protected
- After entry to the HoD service, individual practitioners will carry out discipline-specific risk assessment procedures, as defined by the relevant professional bodies at intervals which are clinically appropriate.
- Non-medical practitioners are able to seek a medical opinion from one of the HoD Child/ Adult Consultant Psychiatrists, as appropriate.