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Below are the recipients of the APT-DICES® Award for Excellence in Risk Assessment and Management 2017. These annual awards were established to keep people 'enthused' and thinking about how they can apply training in risk assessment and management in their practice.
Matt Wilding and Sheryl Parke at Norfolk & Suffolk NHS Foundation Trust.
Judge’s comments: This entry describes the setting up of a dices risk assessment and management clinic, where colleagues can get together and discuss difficult cases and reach a consensus. What we like about this is the clinic concept which means that the onus of worrying decisions is shared, and the range of factors in the DICES list is more likely to be discussed. Our only concern is the possibility of "the risky shift" whereby riskier decisions are agreed because the responsibility is shared, but we felt this was easily outweighed by the benefit of clinicians being encouraged to prepare and present their thinking on risks posed by specific patients.
Katie Jennings, Dr Deepu Thomas, Hayley Woods, Joyce Hill and Lisa Taylor at Kemple View Hospital, Priory Healthcare.
Judge’s comments: This is a fascinating case study of a patient in a low-secure unit being treated for self-harm and sexual offending. Initial risk assessments were problematic and the structured clinical judgement approach worked better but a new problem behaviour emerged, namely successive complaining about staff. This case study clearly blurs the lines between risk assessment/management, and treatment, but this is life in so many situations. A major strength of the case study is the clarity of writing and the openness of the discussion of some very difficult issues such as a patient's "human right" to make complaints, whether justified or not, and how the complaints process inherently reinforces the complaining behaviour. The judges were sure that lovers of RAID-type green questions will have a perspective on this case but strongly felt that this absorbing case study well-deserves an award.
These annual awards were established to keep people 'enthused' and thinking about how they can apply training in risk assessment and management in their practice. Application is simple: just 1,000 words and the preparedness to discuss what you have written. The application may be on your own behalf or on behalf of your service and each successful submission will be published on our website.