Go to main content
You are currently viewing the new site, if you wish to visit the classic site click here

The perfect storm in Mental Health: Surfing the waves

20 November 2017 9:00 am - 4:00 pm
This event is for DCP Faculty of Psychosis and Complex Mental Health members. Registration is required. Please see the Pricing tab for more information.
Image alt text

PCMH Annual Conference & AGM

Within the current context of austerity this conference will look at some of the social, political and economic factors that affect current organisational culture and clinical performance. Models of understanding organisations will be offered that make use of the felt experience of being within mental health services from the perspective of staff, service users and carers. What to do with one’s felt experience in your role as a clinical psychologist and mental health professional will be offered and explored.

Please see the Programme Tab for more information

BPS London Office,
30 Tabernacle Street,

Event Location: 


09:00  Registration & refreshments
09:30 Introduction to the day 

Adam Roberts, Head of Economics at the Health Foundation

10:15 The marathon of mental health equity: strategy, skills and staying power for leadership 
Dr Geraldine Strathdee, OBE Former National Clinical Director for Mental Health, NHS England, & Consultant Psychiatrist
11:00 Break
11:30 “Infamy, Infamy, they’ve all got it infamy”[1] . Exits from organisationally informed CAT supervision.
Sue Walsh, Consultant Clinical Psychologist & Director of Clinical Practice at Sheffield University Clinical Psychology Unit
12:00 Sheena Foster & Simon Mudie Carer,
Service User Representatives for PCMH Faculty
12:30 Lunch
13:30 Annual General Meeting (AGM) – including feedback from Faculty members
14:00 Choice of workshops:

Using the model from Cognitive Analytic Therapy to aid relational thinking within staff teams and organisations – an example from a Forensic Setting
Kate Freshwater & Simon Reid-Milligan 

The workshop describes and uses CAT informed clinical/organisational supervision. It aims to outline the dynamics currently present in NHS systems and explore possible exits to dysfunctional dynamics. 
Sue Walsh
15:00 Break
15:15 Plenary session with speakers
16:00 Close

[1] Kenneth Williams in ‘Carry on Cleo’ 1960


Adam Roberts is the Head of Economics at the Health Foundation. He joined the Foundation in July 2014 as Senior Economics Fellow, exploring past, present and future trends for health care funding in the UK. Before joining the Health Foundation, Adam was a Senior Research Analyst at the Nuffield Trust where he worked on projects including the project funding gap facing the NHS in England and Wales, allocation of national resources to GP practices, lifetime cost for social care, travel distances for emergency care, and trends community prescribing. Prior to his time at the Nuffield Trust, Adam was responsible for the production of risk estimates of NHS organisations for the Care Quality Commission (and the former Healthcare Commission) to support the programme of targeted inspections. These estimates were generated by applying cutting edge methods to all relevant and available data sources, both quantitative and qualitative, to identify areas of possible concern for the commission to follow-up. Adam graduated from Keele University in 2004 where he achieved a First Class Dual Honours Degree in Statistics and Economics.

Dr. Geraldine Strathdee C.B.E. O.B.E. Hon. FRCPsych is currently involved in a range of global leadership, population information and  Intelligence, digital innovation and Quality improvement programmes, including as a National Professional adviser to CQC.Previous roles have included: National clinical lead for the development of  the mental health intelligence network, delivering the PHE ‘fngertips’ mental health profiles and Joint Strategic Needs assessment guide for every Local Authority and CCG in England; national clinical director for mental health in England from 2013-2016, and London region medical director for mental health and dementia ( 2009-2012). In each of these roles her aim has been to help individuals & communities build their mental health & resilience and prevent illness and increase access to equitable, high quality, effective services with routine co produced outcome measurement. She is passionate about empowering patients and staff to develop their potential, and equipping them with the skills and support to lead for health equality and collaborative partnerships.

Sue Walsh is Joint Director of Clinical Practice on the Sheffield clinical psychology training programme and Consultant Clinical Psychologist in CAT.  She did her PhD at the Institute of Work Psychology and has maintained a consistent interest in the relationship between clinical and organizational  factors.  Sue has led and co-led a number of supervision training courses for staff working in psychologically difficult settings and has supervised clinical and senior management working in the UK and abroad. The current workshop will be exploring the provision of supervision as a means of maintaining an ‘asylum of the mind’ for staff who work in fragmented, constantly changing  and often frightening work contexts. Mental health systems are undergoing significant and ongoing change and fragmentation. When work systems become unstable and fluid staff can become uncontained and anxious and find it increasingly difficult to work with service users who are vulnerable and at risk. It is argued that the provision of organisationally-informed cognitive analytic therapy (CAT) supervision that works to make sense of staff and patient distress in context needs to be reprioritised. CAT allows an accessible and meaningful way of making sense of what is happening to staff when organisational systems change.  It allows a way of identifying potentially destructive patterns of responding or of thinking about self that staff can end up being drawn into, and can identify possible ways out. Supervision should be more than case management and/or the policing of technical skills.  Rather, maintaining a coherent relational supervision space for staff is invaluable.  In particular, providing the means for staff to have an understanding of the impact of the organisational system upon self and their clinical practice even in the context of organisational upset is key. This integration of the experience of self in context enables an organisational analysis and is a way of holding onto ‘story book’ narratives to hold staff steady as they care and think about the most vulnerable service users. The presentation and workshop describes and uses CAT informed clinical/organisational supervision. It aims to outline the dynamics currently present in NHS systems and explore possible exits to dysfunctional dynamics. It aims to explore the rationale for establishing ‘asylums of the mind’ – that is the process of maintaining the mind of staff in contexts of turbulent and ongoing change.

Kate Freshwater is a Consultant Clinical Psychologist and is the Lead for Cognitive Analytic Therapy (CAT) in TEWV NHS Foundation Trust (mental health and learning disabilities) in the north east of England. TEWV has a network of 49 CAT Practitioners and trainee Practitioners. Cognitive Analytic Therapy is increasingly being used as a model to aid relational thinking within staff teams and organisations. In particular, this way of “using” the CAT model (rather than “doing” CAT as a therapy) can be helpful when supporting staff who are working in mental health settings with service users who have challenging and complex problems, where often the key area of difficulty can be around eliciting and receiving care. Services can often repeat problematic relational patterns, which can unintentionally consolidate a problematic sense of self for the service user and lead to iatrogenic harm, as well as an unhealthy and unhappy staff team with conflict, splits, burn-out, and low morale. This workshop will outline some of the ways in which CAT can be used to notice and understand these problematic relational patterns and to help guide more helpful interventions and treatment plans. We will share the experience of using CAT as an over-arching relational model within the Forensic mental health service of TEWV NHS Foundation Trust. There will also be opportunities to experience some CAT tools and consider applications to your own work setting.

Who can attend?

This is a free event for members of Division of Clinical Psychology, Faculty of Psychosis and Complex Mental Health (DCP PCMH) only.

Registration information

Clicking on the register button will take you to the BPS online Shop - please sign in using your usual BPS membership number and password.

Once you have signed in, click on this event to register and you should be able to complete the form and add to basket.

If you have any queries regarding this event please contact Member Network Services, quoting 'DCPPCMH-Waves-Nov17', at:

Alternatively telephone during office hours on +44 (0) 116 252 9515 stating the name and date of the event.


Top of page