South London and Maudsley NHS Foundation Trust

South London and Maudsley NHS Foundation Trust
TypeNHS foundation trust
Established1 April 1999
HeadquartersMonks Orchard Road
Beckenham
BR3 3BX[1]
Hospitals
  • Bethlem Royal Hospital
  • Lambeth Hospital
  • Maudsley Hospital
Staff6,000 (2020/21)[2]
Websitewww.slam.nhs.uk
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South London and Maudsley NHS Foundation Trust, is an NHS foundation trust based in London, England, which specialises in mental health. It comprises three psychiatric hospitals (Bethlem Royal Hospital, Lambeth Hospital and the Maudsley Hospital), the Ladywell Unit based at University Hospital Lewisham, and serves the boroughs of Lambeth, Lewisham, Croydon and Southwark. The Trust also provides drug and alcohol services and 50 high-quality, national specialist services for people with complex needs.

The Trust employs around 6,300 members of staff (including bank and agency staff) and serves a population of 1.3 million people.[3] The Trust has 268 community, inpatient and outpatient services including 52 inpatient wards.

The Trust launched a new strategy, Aiming High; Changing Lives 2021-2026 built on the feedback of hundreds of staff, service users, carers and partners with the support of many community organisations. The strategy comprises five key ambitions: Deliver outstanding mental health care; Be a partner in prevention; Be a catalyst for change; Build a culture of trust together; Become effective and sustainable.

South London and Maudsley forms part of the institutions that make up King's Health Partners, an academic health science centre.

The Trust collaborates with Oxleas NHS Foundation Trust and South West London and St George's Mental Health Trust to provide more sustainable healthcare to more than 3.6 million people in south London through the South London Mental Health and Community Partnership (SLP).

In its most recent inspection of the Trust, the CQC gave SLaM a 'good' rating overall.[4]


Overview

South London and Maudsley NHS Foundation Trust is part of an academic health sciences centre called King's Health Partners with King’s College London (KCL), and Guy’s and St Thomas’ and King’s College Hospital NHS foundation trusts. The Trust's aim is to be a leader in improving health and wellbeing – locally, nationally and globally.

South London and Maudsley NHS Foundation Trust is the only mental health trust in the UK to have its own biomedical research centre - NIHR Maudsley Biomedical Research Centre – hosted jointly with the Institute of Psychiatry, Psychology and Neuroscience (IoPPN) at King's College London with the aim of translating scientific developments into new ways of screening, detecting, treating and preventing mental illness.

South London and Maudsley NHS Foundation Trust is supported by Maudsley Charity, which invests in and promotes projects and research that make a tangible difference to the treatment and care of people who use mental health services.

Bethlem Museum of the Mind and Bethlem Gallery are based at Bethlem Royal Hospital in Bromley and are open to the public.

The Trust is also home to Maudsley Learning, a not-for-profit organisation which designs and delivers courses to meet the continuing professional development needs of professionals in healthcare.

South London and Maudsley NHS Foundation Trust is a founder member of Lambeth Living Well Network Alliance. It is also working to population scale partnership contracts in Lewisham and Southwark.

South London and Maudsley is one of four national pilot sites across the country working on developing a Patient Carer Race Equality Framework (PCREF). The Patient and Carers Race Equality Framework (PCREF) which is a key part of NHS England's Advancing Mental Health Equalities strategy, will be used to support NHS trusts to improve ethnic minority community experiences of care in mental health services.

In 2020/21 the Trust had a turnover of £540 million.

History

The following are some important historical dates:[5][6]

  • 1247. The Priory of St Mary of Bethlehem, Bishopsgate, was founded on land given by Alderman Simon Fitzmary. It later became a place of refuge for the sick and infirm. The names ‘Bethlem’ and ‘Bedlam’, by which it came to be known, are early variants of ‘Bethlehem’. It is first referred to as a hospital for ‘insane’ patients in 1403, after which it has a continuous history of caring for people with mental distress.
  • 1867. In 1867, the Southern Districts Hospital (or Stockwell Fever Hospital as it became known) opened on the site which is today known as Lambeth Hospital.
  • 1908. Henry Maudsley wrote to the London County Council offering to contribute £30k towards the costs of establishing a "fitly equipped hospital for mental diseases." The Maudsley initially opened as a military hospital in 1915 to treat cases of shell shock and became a psychiatric hospital for the people of London in 1923.
  • 1930. Bethlem Royal Hospital moved to a new site at Monks Orchard, where it has been situated to this day.
  • 1948. With the introduction of the National Health Service in 1948, the Bethlem Royal Hospital and Maudsley Hospital were merged to form a postgraduate psychiatric teaching hospital. The Maudsley’s medical school became the Institute of Psychiatry.
  • 1954. Sister Lena Peat and Reginald Bowen became the first community psychiatric nurses, following up patients at home who had been discharged from Warlingham Park Hospital in Croydon.
  • 1997. The Ladywell Unit, located at University Hospital Lewisham, was refurbished for use by adult inpatient mental health services. The development brought together inpatient services which had previously been spread across other hospital sites (Hither Green, Guy’s and Bexley).
  • 1999. South London and Maudsley NHS Trust was formed – providing mental health and substance misuse services across Croydon, Lambeth, Lewisham and Southwark; substance misuse services in Bexley Greenwich and Bromley; and national specialist services for people from across the UK.
  • 2006. South London and Maudsley became the 50th NHS Foundation Trust in the UK under the Health and Social Care [Community Health and Standards] Act 2003.
  • 2007 The Maudsley Hospital closed its 24-hour emergency mental health clinic, amidst protest from patient groups and politicians who continued campaigning for several years for a promised replacement at nearby KCL Hospital.[7]
  • 2009. South London and Maudsley is part of one of the five Academic Health Sciences Centres (AHSCs) in the UK to be accredited by the Department of Health. King's Health Partners AHSC consists of SLaM, King's College London, and Guy's and St Thomas' and King's College Hospital NHS Foundation Trusts.[8][9]
  • 2014. South London and Maudsley is fined by the Parliamentary and Health Service Ombudsman for its failure to properly assess mental capacity.[10]
  • 2020. South London and Maudsley NHS Foundation Trust, together with partners Oxleas NHS Foundation Trust and South West London and St George's NHS Trust hold Urgent Covid-19 Mental Ill-Health Prevention Summit
  • 2020. South London Listens, a partnership between the NHS, local authorities, and community organisations to urgently respond to the impacts of the pandemic on the mental health and wellbeing of communities, launches.
  • 2021. South London and Maudsley launches its strategy Aiming High; Changing Lives, 2021-2026


Governance

The Chief Executive is David Bradley, who joined South London and Maudsley NHS Foundation Trust as Chief Executive in July 2019. He has extensive NHS operational experience in mental health, acute and community services. David began his career in the NHS in 1980 and has over 20 years’ experience at board level across different NHS trusts in London, Oxford and Surrey including nine years as a Chief Executive Officer. He is a board member of King's Health Partners, a Trustee on Maudsley Charity (the largest mental health charity in the UK) and on the advisory board of Mindful Healthcare. David Bradley is Chair of the Cavendish Square Group, which provides a collective voice for the providers of NHS mental health services in London, and for the broader mental health community including clinicians and patients.

Former Member of Parliament Sir Norman Lamb was appointed chair of the trust in December 2019.[11]

Services

The Trust provides a wide range of mental health and substance misuse services. The Trust provides care and treatment for a local population of 1.3 million people in south London, as well as specialist services for people from across the country. The Trust provides mental health services for people of all ages from over 100 community sites in south London, three psychiatric hospitals (the Bethlem Royal Hospital, Lambeth Hospital and the Maudsley Hospital) and specialist units based at other hospitals.

In March 2016 it established a joint venture with the Macani Medical Centre in Abu Dhabi to provide child and adolescent services with specialisms in autism, Obsessive Compulsive Disorder and eating disorders.[12] Maudsley International also signed an agreement with the Ministry of Public Health in Qatar for expert advice to help advance Qatar's national mental health strategy.[13]

Performance

South London and Maudsley NHS Foundation Trust was rated Good by the CQC in 2021. The report was published on the Care Quality Commission's website on August 20, 2021.

Research

The Trust's research activities take place in close partnership with the Institute of Psychiatry, King's College London and University College London. In the 2008 Research Assessment Exercise the Institute was judged to have the highest research power of any UK institution within the areas of psychiatry, neuroscience and clinical psychology.[14]

Biomedical Research Centre

The Trust manages the NIHR Maudsley Biomedical Research Centre, the UK's only Specialist Mental Health Biomedical Research Centre, in partnership with the Institute of Psychiatry at King's College London.[15] The Centre, which is based on the Maudsley Hospital campus, is funded by the National Institute for Health Research (NIHR). Its aim is to speed up the pace that latest medical research findings are turned into improved clinical care and services.

The team at the Centre are working towards 'personalised medicine' – developing treatments based on individual need. The aim is to diagnose illness more effectively and much earlier, assess which treatments will work best for an individual and then tailor the care they receive accordingly.

The BRC's development of an advanced computer programme to accurately detect the early signs of Alzheimer's disease from a routine clinical brain scan was reported in the media in 2011. The 'Automated MRI' software automatically compares or benchmarks someone's brain scan image against 1200 others, each showing varying stages of Alzheimer's disease.[16] Another study has concerned the reduced life expectancies of people diagnosed with different mental illnesses.[17]

In 2011 the Department of Health announced that the Trust and the Institute of Psychiatry, King's College London would receive a further £48.8m to continue running the Biomedical Research Centre for Mental Health for a further five years from 1 April 2012. An additional £4.5m was awarded to the Trust to launch for a new NIHR Biomedical Research Unit for Dementia.[18][19][20]

King's Health Partners

The Trust is a member of the King's Health Partners academic health sciences centre, together with King's College London, Guy's and St Thomas' NHS Foundation Trust and King's College Hospital NHS Foundation Trust.

In December 2013 it was announced that a proposed merger with Guy's and St Thomas' and King's College Hospitals had been suspended because of doubts about the reaction of the Competition Commission.[21]

National Addiction Centre

In partnership with the Institute of Psychiatry, Psychology and Neuroscience, King's College London, the Trust runs the National Addiction Centre (NAC), which aims to develop new treatment services for alcohol, smoking and drug problems. This work ranges from trials of new therapies and preventative treatments, to studies seeking to understand the genetic and biological basis of addictive behaviour. An example of research conducted is the Randomised Injecting Opioid Treatment Trial (RIOTT).[22]

Media

Specialist Mother and Baby Services at the Trust featured in documentary Louis Theroux: Mothers on the Edge, which was filmed at Bethlem Royal Hospital. The documentary was shortlisted for a Mind Media Award 2019. Filmmaker Louis Theroux spent time on the Mother and Baby Unit at Bethlem Royal Hospital, filming a documentary about post-partum mental illness for BBC Two. The documentary follows four mothers and their families in hospital and recovering back home. Louis Theroux explores what lies behind their recent crisis and discovers the immense challenge in caring for vulnerable people.

The services provided by the Trust feature in a four-part observational television documentary to be broadcast on Channel Four in Autumn 2013. Produced by the makers of 24 Hours in A&E, Bedlam focuses on the work of the Anxiety Disorders Residential Unit at Bethlem Royal Hospital, the Triage ward at Lambeth Hospital, adult community mental health services in Lewisham and services for people over the age of 65.[23]

See also

References

  1. ↑ "Contact us". South London and Maudsley NHS Foundation Trust. Retrieved 4 January 2020.
  2. ↑ "Annual Report and Accounts 2020/2021" (PDF). South London and Maudsley NHS Foundation Trust. Retrieved 9 February 2022.
  3. ↑ https://www.slam.nhs.uk/media/20884/slam-nhs-ft-strategy-2021-2026-v53.pdf
  4. ↑ "South London and Maudsley NHS Foundation Trust". www.cqc.org.uk. Retrieved 18 March 2021.
  5. ↑ Russell, David (1996). Scenes from Bedlam: History of the Bethlem Royal and Maudsley Hospitals. Baillière Tindall. ISBN 1-873853-39-4,
  6. ↑ Allderidge, Patricia (1997). Bethlem Hospital 1247 – 1997. A Pictorial Record. Phillimore. ISBN 1-86077-054-1
  7. ↑ "Harriet Harman QC MP: Annual Report 2009" (PDF). Archived from the original (PDF) on 3 January 2013.
  8. ↑ wired gov Government and Public sector news alert service
  9. ↑ "UK Web Archive". www.london.nhs.uk.
  10. ↑ "Two trusts failed to properly assess the mental capacity of an older man with mental health problems | Parliamentary and Health Service Ombudsman (PHSO)". www.ombudsman.org.uk. Retrieved 18 March 2021.
  11. ↑ "Former minister to chair major London trust". Health Service Journal. 17 December 2019. Retrieved 23 February 2020.
  12. ↑ "Mental health trust expands into Abu Dhabi". Health Service Journal. 5 May 2016. Retrieved 28 July 2016.
  13. ↑ "Qatar tries new strategy to tackle mental health stigma". Doha News. 27 June 2016. Retrieved 28 July 2016.
  14. ↑ "RAE 2008 : Quality profiles". www.rae.ac.uk.
  15. ↑ "About the NIHR Maudsley Biomedical Research Centre". NIHR Maudsley Biomedical Research Centre. Retrieved 21 December 2021.{{cite web}}: CS1 maint: url-status (link)
  16. ↑ BBC News / health news on-line
  17. ↑ Chang C, Hayes R, Perera G, Broadbent M, Fernandes A, Lee W, Hotopf M, Stewart R (2011) Life Expectancy at Birth for People with Serious Mental Illness and Other Major Disorders from a Secondary Mental Health Care Case Register in London, PLoS ONE Archived 29 May 2011 at the Wayback Machine
  18. ↑ Department of Health / research funding announcement
  19. ↑ Biomedical Research Centre for Mental Health / new funding
  20. ↑ The Guardian / medical research funding
  21. ↑ "Trust super-merger shelved". Health Service Journal. 5 December 2013. Retrieved 5 December 2013.
  22. ↑ Strang; et al. (2010). "Supervised injectable heroin or injectable methadone versus optimised oral methadone as treatment for chronic heroin addicts in England after persistent failure in orthodox treatment (RIOTT): a randomised trial". The Lancet. Archived from the original on 10 August 2011. Retrieved 17 June 2011.
  23. ↑ "Channel 4 commissions documentary series The Maudsley". New Releases. UK: Channel 4. 22 August 2013. Retrieved 28 June 2014.
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