No Force First

No Force First is our initiative that aims to reduce restrictive practice in our care.

All the work we’re doing is part of our long-term goal to achieve Perfect Care. At the heart of that is trying to reach the highest possible standards in everything we do, not just in clinical care but also how we deliver our messages to the outside world.

No Force First is one of the key goals of our strategy and a No Force First Conference was hosted by the trust.

Staff heard presentations and a talk from service users and given an insight into why we believe so strongly in its effectiveness for staff and a better patient experience.

There have been presentations to over 31 external organisations, people with lived experience and carers in the afternoon as a result of Mersey Care being identified by the Department of Health and the CQC as a leading organisation in this field. 

External organisations have taken such an interest in our journey to No Force First, but there are senior figures in other organisations (and still a few in our own) who still believe that suicide is inevitable and No Force First is unachievable.

It’s when we are confronted with attitudes like those that we need to show our courage on a number of levels:

  • Organisational – the Board must have the serious ambition to make change and turn ideas into reality despite opposition or conflicting views from peers
  • Professional – clinicians and GPs must confront their own practices and practices of others, a difficult challenge to change day to day methods and gently change the system without confrontation
  • Experts by experience – they have given so much to help co-produce practice, having the courage to tell their stories and, in some cases, having the courage to stand up and address and influence large groups of people.

Both staff and patients have shown great courage in accepting No Force First and making Mersey Care a better caring environment.

Our belief that people who use our services are at the centre of everything we do and are, to use our own Perfect Care terminology, ‘the people we serve’ helps to strengthen our incredible emotional commitment to positive change - whatever the obstacles we may encounter.

Joe Rafferty, Chief Executive says, “It takes courage to make a stand and say we aim for perfection. Mersey Care has always felt a special place to work and I have always been proud to be its chief executive, but the commitment, dedication and courage shown in its innovation, makes me all the more delighted to be part of it.”

Our Aims:

  • Develop and implement a strategy on rapid tranquilisation and depot administration to reduce prone restraint by 50 percent by March 2019
  • Reduce physical restraint associated with self harm by 20 percent by March 2019
  • Review ligature incidents and to implement strategy to reduce the risks by March 2019
  • Implement a zero segregation action plan to reduce long term segregation by 20 percent by March 2019
  • Compile and publish good practice stories for reducing restrictive practice.

If you require any more information on the No Force First initiative please contact Project Lead for No Force First, on 0151 472 4550.