© PROMISE 2016 - All Rights Reserved | Em@il:promise@cpft.nhs.uk


PROactive Management of Integrated

Services & Environments


Improvement Themes

Through MFI (Mapping Frontline Initiatives) we have started to collate the portfolio of initiatives and segregate them into themes. Certain initiatives do overlap across themes and judgement calls about which theme they have been allocated to might seem arbitrary. As the project progresses we would also arrange the Person Centred Care initiatives according to the patient journey, i.e. in community or acute, and if in acute, is it in the welcome , stay or goodbye phase.

Person Centred Care

Patients don't fit into pathways, pathways fit around the patients. Putting the patient first is at the heart of this theme…


Satisfied Staff

Creating an empowered workforce by bringing about a shift in mindset from staff are an expense to staff are our asset.


Healing Environments

A range of bottom up initiatives define this project. From know me boards to creating bistros and contemplative space...


Portfolio of Initiatives

Adult Wards:

Older Adult Wards:

Child and Adolescent Wards:

Learning Disability Wards:

SPACE Programme

PROMISE Innovation Bank

SPACE Programme at the PROMISE Charter Event on 9/10/2015 - Playlist

Space Programme (Download PDF)

The aim of Mapping Frontline Initiatives was to capture the innovation that exists at frontline. Over 200 initiatives were recorded on CPFT inpatient wards in 2014 and are being themed around the concept of space.  

Healing Space: This theme encompasses the many initiatives that aim to improve the ward experience by enhancing the physical environment, ranging from large scale structural changes to smaller scale low cost changes. For example many wards have replaced the traditional staff mug shots with ‘know me profiles’ displaying less formal photos with short personal bios and on Mulberry 2 staff got together to repaint the dining room walls to  provide a bistro like atmosphere.


Dignified Space: Adapting the physical environment can also create a more dignified space by reducing the institutional feel and providing an empowering space for staff and patients, where people feel safer. An example is Mulberry 3 (an acute recovery unit) where the medication room originally had a stable type door through which medication was dispensed to an institutionalised queue of patients. Staff decluttered the medication room, added chairs and did away with the hatch so that now patients can sit and talk in privacy to the nurses.

Creative Space: In this more abstract concept proactive care initiatives provide patients with a space to heal emotionally, develop new skills, explore their spirituality and have fun. Activities under the theme of creative space include use of an art encyclopaedia to explore feelings and create a sense of connectedness, defacing laminated images, colouring in, doodles and mandalas, scrapbooks, sketchbooks and journals.  Creative initiatives such as these empower staff and patients to engage in shared enquiry about how creativity might be part of an individual’s recovery journey, helping patients rediscover their unique and innate creativity – building a sense of hope.

Shared Space: Many proactive care initiatives involve creating shared space which can help to break down barriers between staff and patients and empower patients to have their voice heard. Examples include involving patients in staff recruitment, supporting patients to take an active role in their care planning, working together to make joint decisions about how a ward might be changed, feeding back through community meetings and ‘you said we did’ boards.

Space can also be shared through initiatives that encourage meaningful interactions between staff and patients, such as ‘protected time’ where staff stay outside the office and engage with patients for set periods. For example on Oak 1 (an acute care ward) a chair has been placed chair in the office with a sign that says ‘pull up a pew, let’s chat for a few’ to encourage patient and staff interaction.

Reflective Space: This theme includes initiatives that support and encourage patients and staff to reflect in multiple ways. Examples include the tea and toast reflection group and recovery groups which encourage patients to reflect on where they are in their journey and on their next steps. There are also initiatives that encourage staff to reflect on their practice and the patient experience, such as considering recovery during staff meetings and creating time and tools support reflection and the development of ideas for new proactive care initiatives. The ‘No’ Audit is a tool that was developed in such a way, to encourage staff to reflect on the decision to say no to patients, put the patient first and think creatively about ways they could say yes.  

The Space Programme Toolkit: We hope that the Space Programme toolkit will be a useful resource for frontline staff to celebrate and share their creative ideas and experiences of proactive care. It’s envisaged that the tools will change and update as new initiatives are shared and existing ideas evolve and develop both within CPFT and our local and global partners. We will also be capturing initiatives in the community. We are working on imaginative digital ways to capture and present the space programme. Suggestions are welcome.