2 Greater Glasgow Primary Care Trust is currently working towards introducing and testing a new person-centred model of nursing care in 3 adult admission wards across the city.

The three wards are:

1.   Struan Ward in McKinnon House at Stobhill Hospital.

2.   Rutherford House at Gartnavel Royal Hospital.

3.   Ward 4 at Leverndale Hospital.

This model of person- centred care is called the Tidal Model.

In the areas where the model is introduced, users of our service may experience some changes to the way in which their nursing care is planned and delivered. This leaflet explains some of the changes which may be evident.

3 It is hoped that through the use of the ‘Tidal Model’, you will have more opportunities to express your views about your needs and how you feel. It is also hoped, that you will be more involved in the planning and delivery of the care provided by others and be clearer about your own role in aiding your recovery.  

What might be noticed about this different way of working? 

§     Staff will work with you more to assess and understand your needs and plan your care. (With your permission this may also include your family/carer). 

§     You will be encouraged to describe your feelings, situation, experiences and needs using your own words. This personal story will be central to the care-planning process. 

§     The knowledge and expertise that you have in relation to your own situation, will be valued and respected. 

§     Care-plans will emphasise your unique needs and what you feel is important.

Your assessment.

The process of assessment will aim to establish:

§     Your ‘problems’ or ‘needs’.

§     The scale of these problems / needs. How big are they?

§     The things or people that are presently part of your life, which might help you to overcome your difficulties?

§     What needs to happen to bring about change in your life?

Your care and support.

You will be offered a combination of one-to-one sessions and group-work sessions

One-to-One care.

These sessions should feel like an ‘ordinary conversation’ and will aim to help you look at:

§     The things you would like to change.

§     What things might be like if your situation did change

§     How things used to be in the past.

§     How to recognise small but steady changes and progress.

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Your assessment.

The process of assessment will aim to establish:

§     Your ‘problems’ or ‘needs’.

§     The scale of these problems / needs. How big are they?

§     The things or people that are presently part of your life, which might help you to overcome your difficulties?

§     What needs to happen to bring about change in your life?

Your care and support.

You will be offered a combination of one-to-one sessions and group-work sessions

One-to-One care.

These sessions should feel like an ‘ordinary conversation’ and will aim to help you look at:

§     The things you would like to change.

§     What things might be like if your situation did change

§     How things used to be in the past.

§     How to recognise small but steady changes and progress.

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The Information Group.

The words and terms used in psychiatry can be extremely difficult to understand. Especially where such ‘jargon’ and ‘medical-speak’ disguises simple everyday things.

As a consequence of this, service users and their families need information about the nature of their care, treatment. and support.

Much of this need for information will be met via one-to-one contact with staff. However, since many information needs are common to whole groups of people it can be helpful to discuss them in a group situation.

Typical subjects for these sessions will include:

§     Medication – its effects and side effects

§     Benefits – what is available / who qualifies

§     Community support – where to find it

§     Specialist support groups

§     Housing and accommodation issues

The Solutions Group.

This group is designed to help you learn more about yourself and your problems. It aims to provide hope for recovery, by making you more aware of your progress and how talking about things helps the way that you feel.

There is a separate information leaflet relating to this group staff can provide you with a copy.