This guide for setting up a clinical service in the National Health
Service is based on the author's experience of leading a nationally
funded project to develop two new specialist services in different
parts of the country and involving three separate NHS Trusts. The
project successfully delivered two services for personality
disordered patients based on the template of Henderson Hospital, a
democratic therapeutic community (TC). Kingsley Norton takes the
reader, step-by-step, through the entire process of setting up
these new services. Unpacking Henderson Hospital's complex
interpersonal environment into its ideological, 'cultural' and
structural constituents, a development team that included
ex-service users from Henderson used these ingredients to imprint
the TC model in the newly recruited staff teams. The two replicated
products were further supported and evaluated by the development
team during their first 18 months of operation. The author reveals
the complexity of the developmental task and shows that the process
was never a case of 'just adding water'. Dr Norton's wealth of
hands-on experience and practical advice makes this book essential
reading for anyone interested in management and the NHS or public
services and attempting to innovate. It is also useful for those
wanting to understand more about TCs and how they operate as
institutions.
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