Deborah McSparron is a mum, manager and author. Deborah is currently employed as the Reform & Modernisation Quality Improvement Manager, for Adult Mental Health & Disability Directorate in the Western Health & Social Care Trust. She earned her MSc in Business Improvement in 2023 and has been employed in the Trust for 28 years. She has recently published a paper in the Journal of Psychiatric & Mental Health Nursing titled ‘Reducing the Length of Time Psychiatric Patients Who Are Assessed as Requiring an Adult Mental Health Inpatient Bed Spend in the Emergency Department; a Systemic Quality Improvement Journey.
There are significant pressures on Adult Mental Health (AMH) Crisis and Inpatient Services which is a complex and fragile system. This has led to psychiatric patients spending protracted waits in emergency departments (ED) for access to a mental health inpatient bed. A large-scale improvement project adopting a systemic approach to understanding the problem took place testing change ideas generated by staff to bring about improvement.