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GLOSSARY OF KEY WORDS AND TERMS 1 Academic Health Science Centre Accountable officer Acute An organisation that provides health care to patients and which undertakes research. An AHSC usually provides teaching and education as well. Usually the Chief Executive who is responsible for maintaining sound internal controls to support the achievement of the Trust’s objectives and to review Trust effectiveness. Services (usually in-patient), which treat patients for a certain condition for a short time. Activity Model Model based on commissioned service provision for e.g. Occupied Bed Days ADHD Attention Deficit Hyperactivity Disorder. Advocacy A dictionary definition of ‘advocacy’ tells us that an advocate is: Citizen Advocacy: means speaking up for someone else. Unpaid volunteers who try to represent the interests and concerns of their partner as if they were their own, but do not make decision for their partner. They must be independent of people providing care or services for their partner. Legal Advocacy: possibly a solicitor or a barrister or an advice worker. They give advice so that people can speak up for themselves. Collective advocacy: a group of people working together to speak out for what they want. Some organisations undertake collective advocacy, e.g., MENCAP, Mind, Cambridgeshire Independent Advocacy Service, trade unions. Peer advocacy: help and support from people with a similar background or experience to your own. Professional advocacy: someone who is paid to provide support and advice, independent of any services used. They will have professional skills and knowledge and a good knowledge of local services. Agenda for Change The new NHS pay system that ensures fairer pay and a clearer pathway for career progression Alzheimer's Disease Alzheimer's disease is the most common form of dementia, which describes the loss of mental abilities, such as memory and reasoning. The depreciation of intangible assets Amortisation Anorexia Anorexia nervosa is an eating disorder and a mental health condition. People who have anorexia have problems with eating. They are very anxious about their weight. They keep it as low as possible, by strictly controlling and limiting what they eat. 2 Anti-psychotic drugs Drugs used to treat psychosis, including schizophrenia and mania. They also have tranquillising effects reducing agitation. Approved Mental Health Professional Someone who has had specific training in the legal aspects of mental health assessment and treatment. AMPHs are approved by their local authority social services department to organise and carry out assessments under the Mental Health Act 1983 (MHA). Approved social workers (ASWs) Social workers specifically approved and appointed under Section 114 Social of the Mental Health Act 1983 by a local social Approved Workers services authority ‘for the purposes of discharging the functions conferred upon them by this Act’. One of the most important is to carry out assessments under the Act and to function as applicant in cases where compulsory admission is deemed necessary. Before being appointed, social workers must undertake postqualifying training approved by the Central Council for Education and Training in Social Work (CCETSW). Members from all local statutory agencies working with children, with an independent chair who must ensure that all children are protected from significant harm, including responsibility for establishing good local policies and practices and ensuring they are adhered to. Now Approved Mental Health Practitioners (under Mental Health Act 2007) Area Child Protection Committee (ACPC) Art therapy Difficult feelings can often be more easily accessed through using imagination and creativity rather than thinking and talking. In art therapy sessions, you are encouraged to freely express your difficult thoughts and feelings using a variety of materials. This can help you to understand difficult feelings, and to change patterns of how you relate them to yourself, and to others. Music therapists, drama therapists and dance and movement therapists work in a similar way using other forms of expression. Assertive outreach /assertive community treatment /intensive case management Ensuring those most in need of specialist mental health care remain in touch with services. Assurance Framework A system for risk management based on mitigation of risk around the Trust’s key strategic objectives. The Assurance Framework provides organisations with a simple but comprehensive method for the effective and focused management of the principal risks to meeting their objectives. It provides a structure for the evidence to support the Statement of Internal Control. Atypical (novel) antipsychotic drugs Audit Commission Audit Committee There are four key elements: • Principle objectives • Principle risks • Key controls • Assurance and coordination Range of newer and more expensive antipsychotic drugs used in the treatment of psychosis, most commonly schizophrenia Appoints and regulates the external auditors of statutory authorities, including the NHS. Role to promote proper stewardship of public finances and helping managers to achieve economy, effectiveness and efficiency. Trust’s own committee monitoring Trust’s performance, probity and accountability. 3 Auditors Autism Spectrum Disorder (ASD) Benchmarking Board Committee Undertake detailed examinations of all aspects of health care performance, including financial performance. Autism spectrum disorder is a behaviourally defined syndrome characterised by communication impairments, social interaction problems and unusual interest patterns and/or stereotyped behaviour. It occurs in about 1% of children and often gives rise to serious lifelong disabilities that cause considerable suffering and distress to individuals and their families. A process to examine how results are achieved in order to bring an organisation’s performance in line with the best. Committee of the Board with a remit for a specific purpose eg., Audit and Assurance Committee Board of Directors Made up of a Chair, Non-Executive and Executive Directors, the body responsible for the strategic direction, leadership and dayto-day management of the Trust. In a Foundation Trust, the Board of Directors would be accountable to the Board of Governors. Caldicott Guardian Each NHS organisation has a nominated ‘Caldicott Guardian’ responsible for ensuring the Trust complies with the Caldicott principles. These aim to ensure the protection of patient’s right to privacy, dignity and confidentiality. Cambridgeshire Children's Trust Cambridgeshire Children's Trust is a partnership that brings together all organisations that work with children, young people and families in a shared commitment to improving children's lives and life chances, through working collaboratively or Local organisation covering Peterborough and Cambridgeshire collectively providing a to fullachieve range ofimprovements. free and independent advocacy services. (See advocacy). Cambridge early intervention service. Cambridgeshire Independent Advocacy Service (CIAS) CAMEO CAMHS Care co-ordinator/key worker Care pathway Care plan Care Programme Approach (CPA) / care management Child and Adolescent Mental Health Services for persons up to 17 years of age The person who is responsible for making sure that your care is properly planned and you get the help you need. They will usually work with a community mental health team and will be the person you see most often. They will usually be a Community Psychiatric Nurse, social worker or occupational therapist. Patient’s journey through primary care, specialist and community services to discharge/continuing care. A plan for your care over the next few weeks or months. It should be written down and you should have a copy. If you think it is wrong, or something is missing, you can ask for it to be changed. The CPA provides a framework for care co-ordination. The main elements are a care co-ordinator, a written care plan, and at higher levels regular reviews by the multi-disciplinary team and integration with the care management system. Involves assessment of need, care planning and the organisation of care packages within available resources. 4 Care Quality Commission The CQC is the independent regulator of health and social care in England. It regulates care provided by the NHS, local authorities, private companies and voluntary organisations. It aima to make sure better care is provided for everyone - in hospitals, care homes and people's own homes. It also seeks to protect the interests of people whose rights are restricted under the Mental Health Act. Contained Air Solutions - safety cabinets used to hold or contain micobiological samples. CAS Caseload A volume or list of patient referrals belonging to a healthcare professional. Cognitive Behaviour Therapy Clinical Commissioning Groups are groups of General Practices that work together to plan and design local health services in England. They do this by 'commissioning' or buying health and care services. CBT CCG C-Diff Chair Chaplain Choose and Book o o o o o o o CIP Clinical Governance Clinical trial o o o o CMHTs o Cognitive Analytic Therapy o (CAT) Clinician Cognitive Behaviour Therapy (CBT) Clostridium Difficile - a type of bacterial infection that can affect the digestive system. A Non-Executive Director who provides leadership to the Board of Directors and, together with the Chief Executive, is the leading representative of the organisation. Within NHS Foundation Trusts the Chair is appointed by the Council of Governors and also chairs the Council of Governors meetings. The Trust chaplaincy service can help you to contact an appropriate representative of your faith. There are chapels at some of our sites that can be used for private prayer or religious services. Enabling patients to book appointments at point of referral with a choice of time and date. Cost Improvement Programme to deliver cash releasing efficiency savings How we make sure we carry out treatments safely and effectively and encourage a culture of excellence in our staff to continuously Edit Profile improve quality of care. Logout A research study to answer specific questions about new therapies or new ways of using known treatments. Clinical trials are used to Click herewhether for more about determine new drugs or treatments are both safe and effective. Glossary A term which is used to describe someone who provides care definitions and treatment to patients, such as a nurse, psychiatrist or jargon psychologist. Listen Community Mental Health Glossary of terms and Teams NHS jargon-buster A 'talking treatment' which helps you to see how early A B Profile C D E Fand G Hexperiences IJKLMN O Paffected Q R S how T U you V Wsee XYZ relationships have Edit yourself, Logout other people and how you behave. It usually takes about 16 weekly sessions and Centre focuses on a problem that is Academic Health Science Click herefor for more important you. An organisation thatabout provides health care to patients and A form undertakes of psychological therapyAn based on usually learning provides theory which Glossary research. AHSC principles usededucation mostly in depression teaching and as well. but increasingly shown to definitions be a useful part of the treatment for schizophrenia. jargon Acute Listen Services (usually in-patient) treat patients for a certain Glossary of terms and NHSwhich jargon-buster condition for a short time. A B C D E F G H I J K L M N O P Q R S T U V W X Y5Z ADHD Attention Deficit Hyperactivity Disorder Academic Health Science Centre Commissioning Identifying health needs of local people, planning and purchasing health services which respond to their needs. Primary Care Trusts are responsible for deciding what services their local residents need from the NHS and buy these services with public money from the most appropriate providers. Commissioning for Quality and The CQUIN payment framework enables commissioners to Innovation (CQUIN) reward excellence, by linking a proportion of English healthcare providers' income to the achievement of local quality improvement goals. Community care A network of services provided by the NHS, social services and volunteers designed to keep people independent, and to support elderly people or people with mental health problems or disabilities whooffering might previously have been in hospital. Community mental health team learning Multi-disciplinary team specialist assessment, treatment and care to people in their own homes and the community. Community Psychiatric Nurse (CPN) A nurse who has been trained to help people with mental health problems and who works in the community, instead of in a hospital. Co-morbidity The simultaneous presence of two or more disorders, often refers to combination of severe mental illness, substance misuse, learning disability and personality disorder. The term dual diagnosis or complex needs may also be used. Complementary therapies A wide range of treatments which can add something to conventional treatment - eg, Reiki, Indian head massage, aromatherapy, dance and movement etc. Constitution Describes type of organisation and main purpose. It defines membership and may describe how the Trust will be run – eg, the type of meetings to be held and the powers of Officers and Governors. Consultant Psychiatrist The medical doctor with specialist experience and qualifications in mental illness and emotional disorders that has overall responsibility for your care. This includes your medication and other activities you may take part in whilst in hospital. Contacts Patient contact details or contact times - eg, face-to-face meetings, first assessment. Or details of family or friends who may provide a point of reference in support of patient care. Corporate governance The system by which organisations are directed and controlled. The principles of corporate governance are openness, integrity and accountability. CPA CPD Care Programme Approach for case management of service users Continuing Professional Development Crisis resolution/home treatment service (CRHT) DAAT New models of care for people with severe and enduring mental illness. Multi-agency Drug and Alcohol Action Teams. Dementia Dementia is a syndrome (a group of related symptoms) that is associated with an ongoing decline of the brain and its abilities. 6 Depression DoH DiP Disengagement DNA A negative mood state which involves a feeling of sadness. Severe depression can reach the criteria for an affective disorder and require treatment. Department of Health. Drug Intervention Programme ( Multi-agency) Loss of contact with services by the service user. Did not attend. Used to indicate if a person did not attend a scheduled meeting, activity or engagement. DQ DSD Data quality. Delayed Service Discharge - the circumstance when an inpatient who has been judged clinically ready for discharge but who continues to occupy a bed beyond the discharge date - eg, whilst waiting for community care services or services for carers, etc. Early intervention service Services offering prompt interventions to young people experiencing their first episode of psychiatric illness. Earlier interventions are associated with better outcomes. (Include anorexia and bulimia nervosa.) Tend to have early onset in childhood or adolescence. Anorexia nervosa involves a distortion of body image, people carefully restrict intake of calories, and are markedly underweight. Bulimia nervosa involves episodic binges of over-eating, self-induced vomiting and can lead to severe physical complications. Aims to ensure the workforce is representative of the local community. Senior employees who sit on the Board of Directors. Executive Directors have decision-making powers and a defined set of responsibilities for the day-to-day running of the Trust. The Chief Executive is held accountable for the performance of the Trust. Difficulties in relationships with your family, partners and friends can be bad for your mental health. If this is the case, a family or couple can be seen together. The therapy helps people to see both their strengths and limitations and to try different ways of getting on together. Family therapy can be helpful if the mental illness of a family member affects the rest of the family. First Definitive Treatment - the first clinical intervention intended to manage a service user's disease, condition or injury and avoid further clinical interventions. Specialist health services for offenders with mental health problems. A new kind of public service organisation. Based on mutual traditions, they are established as ‘public benefit corporations’ with new freedoms to innovate and forge partnerships in the public interest and governance arrangements designed to help trusts better reflect the needs of the communities they serve. The Freedom of Information (FOI) Act 2000. The Act supersedes the Code of Practice on Access to Government Information 1997 (the Code of Practice) Freedom of Information Act 2000 Your local doctor - or family doctor - who will usually be the first person you see if you have a physical illness or emotional problem. They can help you directly but can also refer you on for specialist care or assessment. Many GPs have a community psychiatric nurse, psychiatrist or counsellor who works at the GP surgery. Eating disorders Equal opportunity Executive Director(s) Family/ Systematic Therapy FDT Forensic Service Foundation Trust status Freedom of Information General Practitioner 7 Group Therapy Health and Social Care (HASC) Scrutiny Committees Healthcare Associated Infections Healthcare professional Any form of psychotherapy can be done in a group. Some groups are very brief, focused and educational (such as parent training groups), while others are unstructured and may last for several years (such as group analytic therapy). All groups make use of the input from other group members as well as the group leader to help people understand and change their thoughts, feelings and behaviours. Local Authority scrutiny committees made up of councillors and members – responsible for reviewing local services. Specifically health overview and scrutiny committee reviews performance of local health services. These are infections that occur in a health care setting that were not present before the patient entered the care setting. Generic identification of CPFT staff who are qualified to administer mental health or community health care services. Health of the Nation Outcome Score (HoNOS) Healthcare governance A way of measuring how well someone is doing in their treatment and recovery. How we make sure we carry out treatments safely and effectively and encourage a culture of excellence in our staff to continuously improve quality of care. Health promotion Giving people and communities the resources and information they need to make choices about their help and to make their environment safer. Healthcare governance How we make sure we carry out treatments safely and effectively and encourage a culture of excellence in our staff to continuously improve quality of care Home treatment Treatment may be offered in user’s home rather than in a clinic. Frequent home visits by a Community Mental Health Team (CMHT) can avoid some hospital admissions and provide support to informal carers. Should be available at weekends and during evenings. ICT Information, communication and technology. IGT Information Governance Toolkit - an online system that allows NHS organisations and partners to assess themselves against Department of Health information governance policies and standards. The Improving Access to Psychological Therapies (IAPT) Improving Access to programme aims to improve access to talking therapies in the NHS Psychological Therapy by providing more local services and psychological therapists. IAPT services have now been set up across the NHS. Improving Working Lives (IWL) An NHS accolade recognising achievement of a set of national standards focusing on implementation of modern employment practices and providing staff with a flexible work/life balance. INCA Integrated Compliance Assessment tool (InCA) The Integrated Compliance Assessment tool used by internal governance to record compliancy record for the Trust. The Integrated Compliance Assessment tool (InCA) was introduced during the course of the year to support the assessment of our compliance position against the CQC outcomes and support the overall awareness-raising of essential standards across our wards and community teams. The tool encompasses all the requirements of the CQC standards along with the transformation tools and standards that were developed as part of our turnaround programme. 8 Incidence In-patient The number of people who get a particular illness or suffer a particular disability. Someone who stays in hospital to receive care and treatment. Independent sector Intermediate care Voluntary sector, charitable and private care providers. Care provided as an alternative to in-patient carer. Also allows patients to be safely discharged from hospital and complete their recovery at home or other suitable place. Investor in People (IIP) Recognition of commitment to training with objectives and personal development plans for all staff. Key Performance Indicators Members of the Council of Governors of an NHS Foundation Trust who help the working of the Council of Governors and facilitate appropriate discussions with the Chair. The Deputy Lead Governors supports the Lead Governor and takes on responsibilities of the Lead Governor when they are unavailable. If someone has a learning disability, it means that they may find it more difficult to learn, understand and communicate. Learning disabilities are not a "mental illness", but can be caused by many illness or problems before or during birth, or that develop during childhood or for as the result of an illness. Responsible commissioning and providing health and social care services for all adults with a learning disability. The LDP Boards in Peterborough and Cambridgeshire were set up in 2001. They bring together a range of partners, including people with a learning disability and their family carers, with a responsibility for implementing the programme of developments from the White Paper ‘Valuing People’. Introduced in April 2008, a Local Involvement Network for each Local Authority area will gather and represent views of local people A single body bringing together at local level the different parts of the public sector, private, business, community and voluntary sectors to support each other and work together to improve the economic, social and environmental well being of the local population. Looked After Children are provided with somewhere to live by social services for more than 24 hours, as a result of a court order, or after agreement with their parents. Children become 'looked after' when their birth parents are unable to provide ongoing, temporary or permanent, care. KPIs Lead Governor and Deputy Lead Governor Learning Disabilities Learning Disability Partnerships (LDPs) LINKs (Local Involvement Networks) Local Strategic Partnerships Looked After Children (LAC) MAPPA Medium Secure Unit Multi-Agency Public Protection (Panel) Arrangements Medium-Secure Units, also known as MSUs, provide hospital care for people with complex mental health problems who may have become involved in the criminal justice system. Mental disorder Mental Health Act 1983 definition: “mental illness, arrested or incomplete development of mind, psychopathic disorder and any other disorder or disability of mind”. Mental health Mental Health Act 1983 An individual’s ability to manage and cope with the stresses and challengesthe of life. Concerns reception, care and treatment of mentally disordered persons, the management of their property and other related matters. Mental Health Act Committee This body ensures the compliance with the Mental Health Act 1983 throughout the Trust encompassing advice on policies and procedures. 9 Mental health organisations MHMDS Modern Matron Health and social care commissioners and providers of specialist mental health care, including independent sector providers. The Mental Health Minimum Data Set MHMDS contains recordlevel data about the care of adults and older people using secondary health services. The Modernmental Matron role is a new nursing role that was announced in the NHS Plan. A Modern Matron is a skilled, clinically experienced nurse who is empowered to bring about improvements to the patient experience in inpatient settings. The Modern Matron role provides nursing and multi-disciplinary leadership to a ward or a small group of wards and will build on the strengths and good practice within inpatient nursing care. Modern Matrons will be visible, accessible and focused on improving the experience of service users. Morbidity Illness or disability. Monitor An independent body that regulates NHS Foundation Trusts. MRSA Methicillin-resistant Staphylococcus Aureus - a type of bacterial infection that is resistant to a number of widely used antibiotics. A team of health and social care staff. It includes professionals such as nurses, doctors, social workers, psychologists and benefits workers. It can also include service users and nonprofessionals in certain jobs. Multi-disciplinary team Named nurse A team of health and social care staff. It includes professionals such as nurses, doctors, social workers, psychologists and benefits workers. It can also include service users and nonprofessionals in certain jobs. Never event Never events are serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented. NHS Direct 24 hour nurse-led service providing confidential health care advice and information. Works collaboratively with other health organisations. NHS Trusts Provide most NHS services, through annual agreements with Primary Care Trusts. National Institute for Health and NICE is responsible for promoting clinical excellence and costCare Excellence (NICE) effectiveness and producing and issuing clinical guidelines to ensure that every NHS patient gets fair access to quality treatment. National Service Frameworks (NSFs) Bring together the best clinical and cost-effective evidence to determine the best ways of providing particular services. They set national standards and define service models for a specific service or care group, support implementation of the standards and establish timescales for development. NVQ National Vocational Qualifications OCD Obsessive compulsive disorder (OCD) is a chronic mental health condition that is usually associated with both obsessive thoughts and compulsive behaviour. 10 Occupational Therapist (OT) The person who will work with you to develop your skills and confidence in everyday life - including work, social and leisure activities and personal care. OPMHS Older People’s Mental Health Service Overview and Scrutiny Committees Patient Advice and Liaison Service (PALS) See Health and Social Care Scrutiny Committees. Patient Environment Action Teams (PEAT) Payment by Results (PbR) Complementary to existing services, the Patient Advice and Liaison Service (PALS) provides service users, their carers and families with help, information and support to resolve concerns quickly and efficiently. Every NHS organisation will have a PALS to support atients and the public. These teams are part of a national programme to assess and improve cleanliness, safety, privacy and dignity of inpatient care areas within NHS services. All Trusts are assessed and scored by these teams as part of an annual programme. These scores form part of the performance framework for Trusts. Services that pass at a certain level can move on to environmental selfassessment. Payment by Results (PbR) provides a transparent, rules-based system for paying trusts. It will reward efficiency, support patient choice and diversity and encourage activity for sustainable waiting time reductions. Payment will be linked to activity and adjusted for casemix. Personality disorder Covers a variety of clinically significant conditions and behaviour patterns, which tend to be persistent from childhood or adolescence. May co-exist with other mental disorders. Pharmacist Someone who has expert knowledge of the use of medicines. They work closely with doctors and nurses and advise them on the safe and effective use of drugs. They are responsible for supplying medication and making sure it is available in the right form. Phobia A phobia is an extreme or irrational fear, for example a fear of heights or animals. Phobias are estimated to affect 1 in 40 adults a year. PI Performance indicator. PICU Psychiatric Intensive Care Unit 11 Post-Traumatic Stress Disorder If you have experienced a traumatic event, you may develop posttraumatic stress disorder (PTSD) in the days, weeks or months after the incident. Although such events can be very difficult to come to terms with, confronting your feelings and seeking professional help is often the only way of effectively treating PTSD. Post-natal depression Primary care Primary Care Trusts (PCTs) Private Finance Initiative (PFI) Providers and providing Psychiatrist The birth of a baby is an emotional experience and, for many new mothers, feeling tearful and depressed is also common. However, sometimes longer periods of depression, known as postnatal depression (PND), can occur during the first few weeks and months of the baby's life. PND can have a variety of physical and emotional symptoms, but it can be treated. Care provided through Primary Care Trusts. Groups of local doctors and community services with resources for commissioning health care for their practices’ populations. A government-led programme to enable the private sector to become involved in the provision of facilities which will then be run by the NHS. Hospital trusts, GPs, voluntary organisations and sometimes private institutions that provide the health according to contract with the Strategic Health Authority or Primary Care Trust. A medical doctor with specialist experience and qualifications in mental illness and emotional disorders. He or she has overall responsibility for your care. This includes any medication you may take, and any activities you may be involved in whilst in hospital, or in the community. Psychologist Someone who has done a psychology degree, then further training in helping people with emotional or psychological problems. Psychologists can offer you therapy which involves talking about your difficulties and working together to overcome them. They are different from psychiatrists in that they are not medically trained and do not prescribe medication. Psychological therapies Talking therapies, including psychotherapy, counselling, family therapy and cognitive-behaviour therapy. A period of illness when people suffer from thought disorder, hallucinations or delusions. Someone who has trained to carry out one or more of the psychotherapies. They can be from any professional background - or none. They should be registered with a professional psychotherapy organisation in the UK. Psychosis Psychotherapist Psychotropic drugs R&D Recovery oriented care Recovery Principles Referral Regional Secure Units (RSUs) Medication used in the treatment of mental disorder. Research and Development. A system of care that focuses on people and outcomes and combating the stigma associated with mental health The concept of recovery was developed by service users. One service user describes recovery as “rediscovering meaning and purpose after a series of catastrophic events, which mental illness is, it doesn’t necessarily mean being symptom free”. Patient referrals provided to CPFT from an external source - eg, doctors' surgery, another Trust or hospital, police, army or other medical service agency. Medium-secure units for people who are thought to pose special risks, particularly violence to others. 12 Rethink Risk management Root cause analysis (RCA) RTT Schizophrenia Schedule 5 Seasonal Affective Disorder (SAD) Secondary care Self harm Senior Independent Director Serious incident (SI) Service user/s A mental health membership charity working to help everyone affected by severe mental illness recover a better quality of life. Risk management places special emphasis on identifying circumstances which put users, carers and staff at risk of harm and then acting to prevent or control those risks. This helps us to improve the quality of care we provide. Systematic process to analyse the causes of incidents, learn from them and where possible reduce the risk of recurrence. Referral to treatment. Time taken for a patient to be refered to an appropriate CPFT service. Schizophrenia is a mental health condition that causes a range of different psychological symptoms including hallucinations (hearing or seeing things that do exist) and delusions Coroners and Justice Actnot 2009 - coroner powers.(believing in things that are untrue). Seasonal Affective Disorder (SAD) is a type of depression that has a seasonal pattern. It is characterised by recurrent episodes of depression at the same time each year. Health care provided in hospital setting. Self harm is when somebody damages or injures their body on purpose. The National Institute for Clinical Excellence (NICE) describes it as 'self-poisoning, or injury, irrespective of the apparent purpose of the act'. The Code of Governance issued by Monitor requires all FTs to appoint a Senior Independent Director from their Non-Executive Directors. The SID is the main point of contact for the Board of Governors if they have concerns about the performance the Board of Directors, compliance with the Terms of Authorisation or welfare of the Trust which contact through the normal channels of Chairman or Chief Executive has failed to resolve A serious incident is defined by the National Patient Safety Agency (NPSA) as an incident that occurred in relation to NHS-funded services and care resulting in one of the following: unexpected or avoidable death of one or more patients, staff, visitors or members of the public; serious harm to one or more patients, staff, visitors or members of the public; a scenario that prevents or threatens to prevent the Trust's ability to continue to deliver healthcare services; allegations of abuse; adverse media coverage or public concern about the Trust or the wider NHS. People who need health and social care for their mental health problems. They may live in their own home, stay in care, or be cared for in hospital. Seven-day follow up Follow up (by phone or face-to-face contact) within seven days of discharge from psychiatric inpatient care to help reduce subsequent risk and social exclusion. SITREP Situation Report compiled to describe the detail surrounding a situation, event, or incident. Social Anxiety Disorder Social Anxiety Disorder (also know as Social Phobia). If you have a social phobia, the thought of being seen in public or appearing at social events can make you feel very anxious and frightened. Social care Personal care for vulnerable people, including people with special needs which stem from their age, physical or mental disability and children who need care and protection. 13 Social Care Package A combination of services put together to meet a person's needs as part of a care plan arising from an assessment or review. Social worker A professional who can help you with practical aspects of life, and who will often also have had training in psychological help. They work closely together with other organisations that are also able to provide you with help. Spend agency Agency ascribed to the role to monitor and/or control spending. Stakeholder All parties within and interest in the organisation, services, etc. Strategic Health Authority/ies (SHA) Responsible for developing a strategic framework for the health systems within their area and for performance managing Primary Care Trusts and NHS Trusts. Supervised discharge Under the 1995 Mental Health (Patients in the Community) Act consultant psychiatrists may apply for powers of supervision of service users following discharge from hospital. A ‘supervisor’ (care co-ordinator) has the power to ‘take and convey’ the service user to a place of treatment, but not to treat them. Support Time Recovery (STR) workers Staff within community teams who have dedicated time to support service users to access resources in the community and thus promote their independence. Talking therapy / treatment A general term for treatments which involve talking in individual or group sessions with a trained mental health professional. Teaching Trust Strengthens the Trust’s links with higher education institutions. Trust receives extra funding to support the teaching of psychological medicine to doctors from the Cambridge University School. The Teaching ethos influences all staff groups and education programmes. Tertiary care Specialist care, usually for less common illnesses. Transfer Internal referral - transfer of a patient from one CPFT service to another CPFT service. ‘Two ticks’ An award recognising employers’ innovative work on disability and implementing the Disability Discrimination Act 1995. Ward manager The senior nurse in charge of running a hospital ward. Wait Waiting times endured by a patient for a service to be provided or allocated. White Paper Government document which outlines the way policy and services will operate in the future. WTE Whole-time equivalent - measure of NHS staff resourcing or allocation 14 15 16 17 18 19 20 21 22