Performance appraisals are an opportunity for individual employees and those involved with their performance, typically line managers, to engage in a dialogue about their performance and development, as well as agreeing the support required from the manager and the Trust. This will include a review of the past year’s objectives and the employee’s performance against these, setting new objectives for the coming year and reviewing the employee against their competency framework.

Ash (2019) Fact sheet No. 12: Smoking and Mental Health

Link to the factsheet.

Audit Commission

An independent body responsible for ensuring that public money is spent economically, efficiently and effectively, to achieve high quality local and national services for the public.

C Difficile

Clostridium Difficile infection is a type of bacterial infection that can affect the digestive system. It most commonly affects people who have been treated with antibiotics.

CAHMS (Child and Adolescent Mental Health Service) also known as CYPMHS – Children and Young People’s Mental Health Services.

CAMHS/CYPMHS is used as a term for all services that work with children and young people who have difficulties with their emotional or behavioral wellbeing.

Care Act 2014

The Care Act was first published as a Bill in the House of Lords on 9th May 2013, following legislative scrutiny. The legislation, which aims to modernise adult social care law, received Royal Assent on the 14th May 2014, becoming the Care Act (the Act).

Care Hours Per Patient Day (CHPPD)

Is a means of workforce deployment that can be used at ward level and service level or be aggregated to Trust level.

Care plan/wellbeing plan

A written document that describes the treatment and support being provided and should be developed jointly between the healthcare provider and the person receiving care.


Refers to a family member or close friend who provide a variety of emotional and practical support. This caring is generally unpaid and carried out on a voluntary basis. However, some carers will receive statutory benefits such as a carer allowance, direct payment or a personal budget.

Care Programme Approach (CPA)

Describes the framework that was introduced in 1990 to support and co-ordinate effective mental health care for people using secondary mental health services. Although the policy has been revised over time, the CPA has remained the central approach for co-ordinating the care for people in contact with services who have more complex mental health needs and who need the support of a multi-disciplinary team. Whilst the CPA ceased to exist from July 2021 (NHSE, 2021) the Trust have maintained this as a model of care and treatment management whilst formulated a new local framework.

Care Quality Commission (CQC)

This is the independent regulator of health and adult social care in England. Its purpose is to make sure hospitals, care homes, dental and GP surgeries, and other care services in England provide people with safe, effective, compassionate and high-quality care and encourage them to make improvements. Its role is to monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety, and to publish findings, including performance ratings to help people choose care.

Clinical Audit

Is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change.

Community Mental Health Team (CMHT)

There are both adult and older adult CMHTs within the Trust, they support people living in the community who have complex or serious mental health problems. Different mental health professionals work in a CMHT.


An NHS commissioner, known as a 'Clinical Commissioning Group' (CCG), is responsible for planning and purchasing healthcare services for its local population.


Within the NHS, the term 'concern' or 'complaint' refers to any expression of dissatisfaction that requires a response. A person’s right to complain about the care or treatment they have received is embedded in the NHS Constitution and are subject to strict set of processes and procedures.

Community mental health services

Provide care and treatment for people who require care over and above what can be provided in primary care. Services are provided through a wide range of service models, and through a broad range of interventions. People using these services may receive support over a long period of time or for short-term interventions.

Council of Governors (CoG)

All NHS Foundation Trusts are required to have an elected CoG which is the ‘voice’ of local people and helps set the direction for the future of the hospital and community services, based on members’ views.

Commissioning for Quality and Innovation (CQUIN)

The CQUIN payment framework enables commissioners to reward excellence, by linking a proportion of English healthcare providers' income to the achievement of local quality improvement goals.

Data quality

A perception or an assessment of data's fitness to serve its purpose in a given context.


Web-based software that helps organisations manage their risks, incidents, service user experience and CQC Standards compliance.

Data Protection and Security (DPS) Toolkit

An online system which allows NHS organisations and partners to assess themselves against the Department of Health’s Information Governance policies and standards.

Early Intervention in Psychosis

Is a clinical approach to those experiencing symptoms of psychosis for the first time usually provided to people aged between 14 and 25.

Experts by Experience

People who have recent personal experience of using or caring for someone who uses mental health services.

Fifteen Steps

Quality visit to frontline teams using CQC key lines of enquiry.

Francis report

Following an extensive inquiry into failings at Mid-Staffordshire NHS Foundation Trust, Robert Francis QC published his final report on 6th February 2013. The 1,782-page report had 290 recommendations with major implications for all levels of the health service across England, and called for a whole service, patient centred focus.

Friends and Family Test (FFT)

This is a national feedback tool that asks people if they would recommend the services they have used and offers a range of responses.

Fundamental standards of quality and safety

The fundamental standards were introduced as part of the government’s response to the Francis Inquiry’s recommendations and define the basic standards of safety and quality that should always be met and introduce criminal penalties for failing to meet some of them. The standards are used as part of the Care Quality Commission’s (CQC’s) regulation and inspection of care providers and are enshrined in the Health and Social Care Act 2012 (amended 2014).

GP (General Practitioner)

A medical doctor who treats acute and/or chronic illnesses and provides preventive care, and health education to patients.

Integrated Care Board (ICB)

Integrated care boards (ICBs) replaced clinical commissioning groups (CCGs) in the NHS in England from 1 July 2022. The role of the ICB is to allocate the NHS budget and commission services for the population, taking over the functions previously held by clinical commissioning groups (CCGs) and some of the direct commissioning functions of NHS England.

Information governance

Ensures necessary safeguards for the appropriate use of patient and personal information.


Outcome based approach to support personal recovery.

Learning disability

This is a reduced intellectual ability and difficulty with everyday activities, for example household tasks, socialising or managing money, which affects someone for their whole life.

Learning from Patient Safety Events (LFPSE)

LFPSE is replacing the current National Reporting and Learning System (NRLS) and Strategic Executive Information System (StEIS), to offer better support for staff from all health and care sectors.

Learning Disabilities Mortality Review Programme (LeDeR)

Aims to make improvements to the lives of people with learning disabilities. It clarifies any potentially modifiable factors associated with a person's death and works to ensure that these are not repeated elsewhere.


Any item which can be used to self-strangulate and cause asphyxiation.

Ligature point

Any fixed point a ligature may be attached to.

Long term plan

NHS document that makes a renewed commitment to improve and widen access to care for children and adults needing mental health support.

Managed Care Network

An alliance of groups and organisations that provide a range of activities and services to give people support, structure and choice in their lives. The network is funded by the Mental Health Promotion Fund. This fund has been established by Lincolnshire County Council and is managed by the Trust.

Mandatory training

Training identified by the Trust as an essential requirement for the safe conduct of the Trust's activities.

Multi-Disciplinary Team (MDT)

Is a group of health care workers and/or social care professionals who are experts in different areas with different professional backgrounds, united as a team for the purpose of planning and implementing treatment programs for people accessing services.

Mental health

A person’s condition regarding their psychological and emotional wellbeing.

Mental Health Act (MHA)

Is an Act of the Parliament of the United Kingdom which applies to people in England and Wales. It covers the reception, care, and treatment of people with mental health difficulties, the management of their property and other related matters.

Mental Health Five Year Forward View

The Five Year Forward View for Mental Health is an independent and far-reaching overview of what modern mental health services should be.

Mental Health Optimal Staffing Tool (MHOST)

Helps measure patient acuity and dependency to inform evidence-based decision making on staffing and workforce.

Mental Health Service Data Set (MHSDS)

Is a patient level, output based, secondary uses data set which delivers robust, comprehensive, nationally consistent, and comparable person-based information for children, young people and adults who are in contact with Mental Health Services.

MRSA Bacteraemia

A blood stream infection caused by the presence of methicillin resistant staphylococcus aureus.

National community mental health survey

This is a mandatory annual survey run by the Care Quality Commission (CQC). Service users aged 18 and over are eligible for the survey if they were receiving specialist care or treatment for a mental health condition.

National Clinical Audit and Patient Outcomes Programme (NCAPOP)

NCAPOP audits are commissioned and managed on behalf of NHS England by the Healthcare Quality Improvement Partnership (HQIP). The programme comprises more than 30 national audits related to some of the most commonly occurring conditions.

National NHS Staff Survey

This is recognised as an important way of ensuring that the views of staff working in the NHS inform local improvements and input into local and national assessments of quality, safety, and delivery of the NHS Constitution.

NHS (National Health Service)

This is a publicly funded healthcare system, primarily funded through central taxation, in the United Kingdom. It provides a comprehensive range of health services, the vast majority of which are free at the point of use for people legally resident in the United Kingdom.

NHS England Improvement (NHSEI)

NHS England and NHS Improvement leads the National Health Service (NHS) in England. From 1st April 2019, NHS England and NHS Improvement are working together as a new single organisation to better support the NHS to deliver improved care for patients. The single operating model has been designed to support delivery of the NHS Long Term Plan.

National Institute for Health and Care Excellence (NICE)

NICE provides national guidance and advice to improve health and social care.

National Institute for Health Research (NIHR)

Aims to improve the health and wealth of the nation through research.

National Reporting and Learning System (NRLS)

A comprehensive database of patient safety information used nationally.

Patients Advice and Liaison Service (PALS)

A service that offers confidential advice, support and information on health-related matters. They provide a point of contact for patients, their families and carers.

Patient Safety Incident Response Framework (PSIRF)

A new approach to responding to patient safety incidents and is a major step towards establishing a safety management system across the NHS.

Patient Safety Partners

Is the role that patients, carers and other lay people can play in supporting and contributing to a healthcare organisation’s governance and management processes for patient safety.

The NHS Patient Safety Strategy (2019)

This strategy describes how the NHS will continuously improve patient safety, building on the foundations of a safer culture and safer systems.

Payment by Results (PbR)

This is the payment system in England under which commissioners pay healthcare providers for each patient seen or treated, considering the complexity of the patient’s healthcare needs.

Power BI App

Power BI is an interactive data visualization software product developed by Microsoft with primary focus on business intelligence. It is part of the Microsoft Power Platform.

Prevention and Management of Violence and Aggression (PMVA)

Is the approach the Trust employs to support patient and employee safety in these types of incidents.

Prescribing Observatory for Mental Health (POMH)

The national POMH aims to help specialist mental health trusts/healthcare organisations improve their prescribing practice. It identifies specific topics within mental health prescribing and develops audit-based Quality Improvement Programmes (QIPs).

Primary Care Network

Primary Care Networks (PCNs) are part of the NHS Long Term Plan, with general practices covering 30,000-50,000 patients being a part of a network. This provides a structure for services to be developed locally in response to the needs of their patients.

Patient Safety and Experience Committee (PSEC)

A standing committee of the Trust Board. Its over-arching responsibility is to provide the Board with assurance that high standards of care are provided by the foundation trust and, that adequate and appropriate governance structures, processes and controls are in place throughout the Trust.

Quality report/Account

A report about the quality of services provided by an NHS healthcare provider. The reports are published annually by providers and are available to the public.


This is about being able to live a meaningful and satisfying life, as defined by each person, in the presence or absence of symptoms. It is about having control over and input into your own life. Each individual’s recovery, like his or her experience of the mental health problems or illness, is a unique and deeply personal process.


Is an electronic patient records (EPR) system for community, mental and child health providers.

Safeguarding adults

Aims to support adults at risk to retain independence, wellbeing and choice, and to be able to live a life that is free from abuse and neglect.

Safeguarding children

The process of protecting children from abuse or neglect, preventing impairment of their health and development, and ensuring they are growing up in circumstances consistent with the provision of safe and effective care that enables children to have optimum life chances and enter adulthood successfully.


Severe acute respiratory syndrome coronavirus 2 is the strain of coronavirus that causes coronavirus disease 2019 (COVID-19).

Serious Incident (SI)

The definition of a serious incident (SI) extends beyond those incidents which impact directly on patients and includes incidents which may indirectly impact on patient safety or an organisation’s ability to deliver on-going healthcare services in line with acceptable standards. The Trust adopts the definition of SI as set out by the Serious Incident Framework (2015).

Social care

The provision of social work, personal care, protection or social support services to children or adults in need or at risk or adults with needs arising from illness, disability, old age or poverty.