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PROactive Management of Integrated

Services & Environments



Andrew Cashmore

Lead Nurse, Quality and Safety Directorate, HPFT  

Andrew Cashmore: A registered General and Mental Health Nurse; Currently Practice Development and Patient Safety Lead at HPFT – Leading the Making Our Services Safer Strategy, that supports alternatives to reducing behaviour that has the potent to challenge services.   

Making our Services Safer

A range of national and international drivers: influenced by the voices of those with the ‘lived experience’ - by events - changes in policy and emerging evidence. Directs us to rationalise how we manage behaviour that challenges – whilst highlighting the possible consequences in terms of meaningful recovery. This has called for a justification of how we undertake restrictive approaches; emphasising and embodying the principles of co-production. The first brief presentation sets the scene and aims to describe how HPFT are responding to this via the Making Our Services Safer (MOSS) strategy