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Recognising and assessing medical problems in psychiatric settings

Since 2012 we have been supporting an innovative multi-disciplinary simulation course, RAMPPS - Recognising and Assessing Medical Problems in Psychiatric Settings, across Yorkshire and the Humber.

The course is explicitly multidisciplinary focusing on clinical staff including medical, nursing and support staff as well as other professional groups. The scenarios use a high-fidelity approach through different hybrid simulation modalities such as full body manikins, part task trainers and simulated patients. This course is being delivered in a number of quality assured clinical skills and simulation centres across our region and beyond.

RAMPPS is an important course as it helps to address the mental health workforce agenda and the inter-relatedness of physical and mental health. Patients suffering from serious mental health problems have more physical health problems and a greater morbidity and mortality rate than the general population: A threefold excess mortality and a life expectancy of around twenty years less. Simulation provides a safe environment for multi-disciplinary staff to learn and train together enabling them to improve patient safety and experience.


The course handbook

All resources are contained in the 2016 RAMPPS handbook, available to download below.

eLearning Module

The RAMPPS course is supported by our interactive RAMPPS e-learning module, which takes about 15 minutes to complete.

The e-learning module is suitable for all staff in mental health settings to help improve skills in recognising the deteriorating patient using an ABCDE approach, AVPU and the SBARD communication tool. All staff can complete the module as “stand alone” without the need to access the RAMPPS simulation course.

For NHS employed staff the course can be accessed (locally and nationally) via ESR. Search and enrol for 000 RAMPPS.


The RAMPPS work has been presented at various local, national and international conferences and summarised in an article in the Health Informatics Journal explaining how RAMPPS meets the Technology Enhanced Learning agenda, copies of the published work can be found below.
RAMPPS has been chosen as a case study in the Improving the physical health of people with serious mental illness: a practical toolkit and in MINDSet.

RAMPPS has a standardised approach to training faculty to provide consistency for all RAMPPS courses. There is a minimum slide set for training and a "gold standard" facilitator pathway, available to download below.

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