Quality statement 1: Compassion, respect and dignity

Quality statement

People who have self‑harmed are cared for with compassion and the same respect and dignity as any service user.

Rationale

Everyone who uses healthcare services should be treated with compassion, respect and dignity. For people who have self‑harmed, however, staff attitudes are often reported as contributing to poor experiences of care. Punitive or judgemental staff attitudes can be distressing for people who have self‑harmed and may lead to further self‑harm or avoidance of medical attention.

Quality measure

Structure: Evidence of local arrangements to provide staff training on treating people with compassion, respect and dignity that includes specific reference to people who self‑harm.

Process: Proportion of staff in contact with people who have self‑harmed who have received training on treating people with compassion, respect and dignity that includes specific reference to people who self‑harm.

Numerator – the number of staff in the denominator who have received training on treating people with compassion, respect and dignity that includes specific reference to people who self‑harm.

Denominator – the number of staff in contact with people who have self‑harmed.

Outcome: Evidence from feedback that people who have self‑harmed feel treated with compassion and the same respect and dignity as any service user.

What the quality statement means for each audience

Service providers ensure that training is provided on treating people with compassion, respect and dignity that includes specific reference to people who self‑harm.

All staff ensure that they treat people who have self‑harmed with compassion and the same respect and dignity as any service user.

Commissioners ensure that they commission services in which all staff who come into contact with people who have self‑harmed are trained in treating people with compassion, respect and dignity that includes specific reference to people who self‑harm.

People who have self‑harmed are cared for with compassion and the same respect and dignity as any service user.

Source guidance

NICE clinical guideline 16 recommendations 1.1.1.1 (key priority for implementation) and 1.1.2.1 (key priority for implementation).

NICE clinical guideline 133 recommendations 1.1.1 (key priority for implementation), 1.1.9 and 1.1.10.

Data source

Structure: Local data collection.

Process: Local data collection.

Outcome: Local data collection. NHS Surveys ask questions about dignity when using services; however, data on diagnosis are not collected.

Definitions

People who have self‑harmed

Children or young people (aged 8 years and older) and adults who have carried out an act of self‑poisoning or self‑injury, irrespective of motivation.

Staff

Everyone employed by or working in a service that provides care and support for people who have self‑harmed. It is not restricted to qualified healthcare professionals, and could include reception staff, administrative staff and others. It applies to primary care, ambulance services, emergency departments, community services and inpatient settings.