South London and Maudsley NHS Foundation Trust
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South London and Maudsley NHS Foundation Trust, also known as SLaM, is an NHS foundation trust based in London, England, which specialises in
mental health Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. It likewise determines how an individual handles Stress (biology), stress, interpersonal relationships, and decision-maki ...
. It comprises four psychiatric hospitals (
Bethlem Royal Hospital Bethlem Royal Hospital, also known as St Mary Bethlehem, Bethlehem Hospital and wikt:bedlam, Bedlam, is a psychiatric hospital in London. Its famous history has inspired several horror books, films and TV series, most notably ''Bedlam (1946 fil ...
,
Lambeth Hospital Lambeth Hospital is a mental health facility in Landor Road, South London. It was previously known as the "Landor Road hospital" and is now operated by the South London and Maudsley NHS Foundation Trust and is affiliated with King's College Lond ...
and the
Maudsley Hospital The Maudsley Hospital is a British psychiatric hospital in south London. The Maudsley is the largest mental health training institution in the UK. It is part of South London and Maudsley NHS Foundation Trust, and works in partnership with the ...
), the Ladywell Unit based at
University Hospital Lewisham University Hospital Lewisham (formerly known as Lewisham Hospital) is a teaching hospital run by Lewisham and Greenwich NHS Trust and serving the London Borough of Lewisham. It is now affiliated with King's College London and forms part of the K ...
, and over 100 community sites and 300 clinical teams. SLaM forms part of the institutions that make up King's Health Partners, an academic health science centre. In its most recent inspection of the Trust, the CQC gave SLaM a 'good' rating overall, but a 'requires improvement' rating in area of safety. In 2019,
Southwark Coroner's Court Southwark Coroner's Court is the Coroner's Court for inner south London. It is located at Tennis Street, London. The court covers cases for the London boroughs of Greenwich, Lambeth, Lewisham and Southwark.

Overview

Each year the South London and Maudsley NHS Foundation Trust provides about 5,000 people with hospital treatment and about 40,000 people with community services. In partnership with
King's College London King's College London (informally King's or KCL) is a public research university located in London, England. King's was established by royal charter in 1829 under the patronage of King George IV and the Duke of Wellington. In 1836, King's ...
, the Trust has major research activities. This academic partnership enables the Trust to develop new treatments and to provide specialist services to people from across the UK such as the
National Psychosis Unit The National Psychosis Unit is a national treatment centre for patients with schizophrenia and other psychotic disorders, in the United Kingdom. The unit is a tertiary referral centre in the National Health Service. It is located at the Bethlem ...
at
Bethlem Royal Hospital Bethlem Royal Hospital, also known as St Mary Bethlehem, Bethlehem Hospital and wikt:bedlam, Bedlam, is a psychiatric hospital in London. Its famous history has inspired several horror books, films and TV series, most notably ''Bedlam (1946 fil ...
. The Trust forms part of the King's Health Partners
academic health science centre An academic medical centre (AMC), variously also known as academic health science centre, academic health science system, or academic health science partnership, is an educational and healthcare institute formed by the grouping of a health profess ...
and together with the Institute of Psychiatry, Psychology and Neuroscience at King's College London and University College London is host to the UK's only specialist National Institute for Health Research Biomedical Research Centre for mental health. In 2009/10 the Trust had a turnover of £370 million. The Trust's work on promoting mental health and well-being, developed in partnership with the new economics foundation, has featured in the national media. It was named by the
Health Service Journal ''Health Service Journal'' (''HSJ'') is a news service that covers policy and management in the National Health Service (NHS) in England. History The '' Poor Law Officers' Journal'' was established in 1892. In 1930, it changed its name after ...
as one of the top hundred NHS trusts to work for in 2015. At that time it had 4218 full-time equivalent staff and a sickness absence rate of 3.74%. 58% of staff recommend it as a place for treatment and 59% recommended it as a place to work. As of 2018, the trust employed 5,328 staff.


History

The following are some important historical dates: * 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 Monks Orchard is a suburb on the edge of the London Borough of Croydon, in the ceremonial county of Greater London, England, priot to 1965 it was located in the historical county of Surrey. It is situated about 10 miles (16.1 km) south sou ...
, 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 ommunity Health and StandardsAct 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. * 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. *2014. South London and Maudsley is fined by the Parliamentary and Health Service Ombudsman for its failure to properly assess mental capacity.


Governance

The Chief Executive appointed in 2013 is Matthew Patrick, a psychiatrist with a background in
psychoanalysis PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might ...
who was formerly head of the Tavistock and Portman NHS Foundation Trust. Former Member of Parliament Sir Norman Lamb was appointed chair of the trust in December 2019.


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 Bethlem Royal Hospital, also known as St Mary Bethlehem, Bethlehem Hospital and wikt:bedlam, Bedlam, is a psychiatric hospital in London. Its famous history has inspired several horror books, films and TV series, most notably ''Bedlam (1946 fil ...
,
Lambeth Hospital Lambeth Hospital is a mental health facility in Landor Road, South London. It was previously known as the "Landor Road hospital" and is now operated by the South London and Maudsley NHS Foundation Trust and is affiliated with King's College Lond ...
and the
Maudsley Hospital The Maudsley Hospital is a British psychiatric hospital in south London. The Maudsley is the largest mental health training institution in the UK. It is part of South London and Maudsley NHS Foundation Trust, and works in partnership with the ...
) and specialist units based at other hospitals. In March 2016 it established a joint venture with the Macani Medical Centre in
Abu Dhabi Abu Dhabi (, ; ar, أَبُو ظَبْيٍ ' ) is the Capital city, capital and List of cities in the United Arab Emirates, second-most populous city (after Dubai) of the United Arab Emirates. It is also the capital of the Emirate of Abu Dha ...
to provide child and adolescent services with specialisms in autism, Obsessive Compulsive Disorder and eating disorders. 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. It established a joint venture limited liability partnership with Northumbria Healthcare Facilities Management, run by Northumbria Healthcare NHS Foundation Trust in 2019. This will run its private and international work, develop its capital assets and employ its facilities staff. It will initially employ 192 existing staff. It plans rapid growth in the United Arab Emirates and China.


Performance

255 patients were injured in 2016-17 through use of restraints on psychiatric patients in South London and Maudsley NHS Foundation Trust. This was the third largest number in England, There were more injuries in Southern Health NHS Foundation Trust and Mersey Care NHS Foundation Trust. Critics say restraints are potentially traumatic even life threatening for patients.


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.


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. The Centre, which is based on the Maudsley Hospital campus, is funded by the National Institute for Health and Care 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. Another study has concerned the reduced life expectancies of people diagnosed with different mental illnesses. 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.


King's Health Partners

The Trust is a member of the King's Health Partners
academic health sciences centre An academic medical centre (AMC), variously also known as academic health science centre, academic health science system, or academic health science partnership, is an educational and healthcare institute formed by the grouping of a health profess ...
, together with
King's College London King's College London (informally King's or KCL) is a public research university located in London, England. King's was established by royal charter in 1829 under the patronage of King George IV and the Duke of Wellington. In 1836, King's ...
, 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 Hospital King's College Hospital is a major teaching hospital and major trauma centre in Denmark Hill, Camberwell in the London Borough of Lambeth, referred to locally and by staff simply as "King's" or abbreviated internally to "KCH". It is managed b ...
s had been suspended because of doubts about the reaction of the
Competition Commission The Competition Commission was a non-departmental public body responsible for investigating mergers, markets and other enquiries related to regulated industries under competition law in the United Kingdom. It was a competition regulator under t ...
.


National Addiction Centre

In partnership with the
Institute of Psychiatry, Psychology and Neuroscience The Institute of Psychiatry, Psychology and Neuroscience (IoPPN) is a research institution dedicated to discovering what causes mental illness and diseases of the brain. In addition, its aim is to help identify new treatments for them and way ...
,
King's College London King's College London (informally King's or KCL) is a public research university located in London, England. King's was established by royal charter in 1829 under the patronage of King George IV and the Duke of Wellington. In 1836, King's ...
, 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).


Media

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 Bedlam, a word for an environment of insanity, is a term that may refer to: Places * Bedlam, North Yorkshire, a village in England * Bedlam, Shropshire, a small hamlet in England * Bethlem Royal Hospital, a London psychiatric institution and the ...
'' 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.


See also

* Bethlem Gallery * Healthcare in London * King's Health Partners *
King's College Hospital King's College Hospital is a major teaching hospital and major trauma centre in Denmark Hill, Camberwell in the London Borough of Lambeth, referred to locally and by staff simply as "King's" or abbreviated internally to "KCH". It is managed b ...
*
Guy's Hospital Guy's Hospital is an NHS hospital in the borough of Southwark in central London. It is part of Guy's and St Thomas' NHS Foundation Trust and one of the institutions that comprise the King's Health Partners, an academic health science centre. ...
*
St Thomas' Hospital St Thomas' Hospital is a large NHS teaching hospital in Central London, England. It is one of the institutions that compose the King's Health Partners, an academic health science centre. Administratively part of the Guy's and St Thomas' NHS ...
*
List of NHS trusts This list of NHS trusts in England provides details of current and former English NHS trusts, NHS foundation trusts, acute hospital trusts, ambulance trusts, mental health trusts, and the unique Isle of Wight NHS Trust. , 217 extant trusts ...


References


External links

*
South London and Maudlsey NHS Foundation Trust on the NHS website

Care Quality Commission inspection reports
{{Authority control 1999 establishments in England Organizations established in 1999 King's College London NHS foundation trusts Health in London