The ‘No’ Audit

PROMISE (PROactive Management of Integrated Services and Environments) began at the Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) with aim of reducing the use of restraint. The project, which is co-led by a psychiatrist and an Expert by Experience, has expanded considerably since its inception in 2013 but our vision to eliminate the use of force in mental health services remains the same.


We realise that on inpatient wards staff frequently say ‘No’ to service users and this can cause unnecessary distress and lead to a situation escalating. This is turn may result in the use of force which is why we are keen to understand the most common reasons that staff say ‘No’ to requests. If you have ever spent time on an acute ward, we would be very grateful if you could complete this 5 minute survey so we know which requests are most commonly denied.


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