Condition category
Mental and Behavioural Disorders
Date applied
Date assigned
Last edited
Retrospectively registered
Overall trial status
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information



Primary contact

Ms Anna Maratos


Contact details

CNWL Trust Head of Arts Therapies
Community Mental Health Services
7a Woodfield Road
W9 2NW
United Kingdom

Additional identifiers

EudraCT number number

Protocol/serial number


Study information

Scientific title

A pilot randomised controlled trial of enhanced support, openness and supervision for staff working on adult mental health wards



Study hypothesis

Primary hypothesis:
One year after randomisation, staff working on mental health wards that receive interventions aimed at enhancing support, openness and supervision for staff will experience lower levels of burnout than those working on wards that do not.

Secondary hypothesis:
One year after randomisation, levels of staff turnover, staff sickness and use of agency staff will be lower on mental health wards that receive interventions aimed at enhancing support, openness and supervision for staff than on wards that do not.

Tertiary hypothesis:
One year after randomisation, the number of untoward incidents as recorded by incident report forms, will be lower on wards where staff receive enhanced support and supervision compared to wards that do not.

Ethics approval

West London Research Ethics Committee 2, 20/09/2010, ref:10/H0711/62

Study design

Pilot randomised controlled trial

Primary study design


Secondary study design

Randomised controlled trial

Trial setting


Trial type

Quality of life

Patient information sheet

Not available in web format, please contact to request a patient information sheet


Mental health


A modified cognitive analytic therapy approach to clinical supervision for ward staff in groups. Entitled 'Sharing, Openness and Supervision', this aims to change ward culture so that morale is improved with a positive effect on patient care.

The treatment arm will comprise one group per week of 1.5 hours clinical supervision for the ward team including staff members from all disciplines and from the ward leadership including at least one of ward manager, consultant and modern matron. Registered will be taken to record attendance and fidelity to this model. The clinical supervision groups will be run according to a Cognitive Analytic Therapy approach, adapted to this context.

Please note that there is only one treatment arm; the control arm is not active. The duration of the intervention will be one year and data on job satisfaction will be collected from ward staff at the beginning and end of the year. There will be no follow up after the end of the intervention, but routine ward data on incidents, recruitment and retention and sickness is routinely collected and may be analysed at a future point if appropriate.

Intervention type



Not Applicable

Drug names

Primary outcome measures

Staff-level data:
We will approach all staff who make up the ward establishment, from a list supplied by the ward manager. For these staff we will complete data collection on baseline measures prior to randomisation, using:
1. Maslach Burnout Inventory: a 15-item measure to assess emotional exhaustion, depersonalisation and personal accomplishment
2. Job Content Questionnaire: a 34-item measure to assess job-related stress
3. Basic demographic data: including age, gender and number of hours worked. We will collect this using a proforma specifically designed for the study.

Secondary outcome measures

Ward-level data:
We will also collect the following data from the ward and Trust databases:
1. Untoward incidents:
1.1. Total number of untoward clinical incidents on the ward including medication errors and near-misses in the 6 months prior to randomisation (March - August 2010)
2. Level of severity of clinical untoward incidents rated according to the IR1 form 5-point severity rating scale in the 6 months prior to randomisation
2. Staff costs (6 months prior to randomisation):
2.1. Agency and locum usage
2.2. Turnover of staff
2.3. Sickness rates among ward staff
2.4. Suspensions, disciplinaries

Overall trial start date


Overall trial end date


Reason abandoned


Participant inclusion criteria

Staff working on acute open mental health wards in the London Borough of Kensington and Chelsea. These wards are based at two inpatient units: St Charles Hospital and the South Kensington and Chelsea Centre for Mental Health.

Data will not be collected from patients at any point during the course of the study.

Participant type


Age group




Target number of participants

100 participants across 6 wards

Participant exclusion criteria

Does not meet inclusion criteria

Recruitment start date


Recruitment end date



Countries of recruitment

United Kingdom

Trial participating centre

CNWL Trust Head of Arts Therapies
W9 2NW
United Kingdom

Sponsor information


Central and North West London NHS Foundation Trust (UK)

Sponsor details

2nd Floor
Greater London House
Hampstead Road
Mornington Crescent
United Kingdom

Sponsor type




Funder type


Funder name

Central and North West London NHS Foundation Trust (UK) - Innovation Fund

Alternative name(s)

Funding Body Type

Funding Body Subtype


Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes