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Seacole Ward is a 14 bedded National OCD/BDD Adult Specialist inpatient ward. It is a unique unit providing clinical treatment for adults with severe and profound OCD (Obsessive Compulsive Disorder) and BDD (Body Dysmorphic Disorder). It is the only unit in the UK to offer 24/7 inpatient care for patients with OCD and BDD. The unit is part of the NHS England OCD/BDD consortium and works closely with other OCD/BDD teams across the U.K. The ward has a strong therapeutic ethos and follows NICE clinical guidelines for the gold standard treatment of these disorders. Cognitive Behavioural Therapy (CBT) is the major therapeutic model utilised by our service and we have an impressive track record of enabling our severely unwell patients go on to lead fulfilling lives.
- Service Type: Specialist Services
- Service Contact: adminocdbdd@swlstg.nhs.uk
- Disabled access: yes-lift access and accessible bathrooms
- Address: Springfield Hospital Morrison, Building 9, Entrance 3 Springfield Hospital Jupiter Way, London, SW17 0LL
- Reception hours: 24 hours
- Reception phone number: 0203 513 6961
About our care
We strive to offer high quality CBT aimed at reducing symptoms of OCD and BDD and improve functioning and quality of life. Admission to an inpatientunit gives us the ability to deliver CBT in a more intensive format, to have medical staff available to review and monitor any medication changes and tohave intensive specialised nursing input in supporting patients to do their CBT programme outside of therapy sessions. We also integrate occupationaltherapy and activities into the therapy. All activities are aimed at fighting the OCD.
All our intervention are evidence based and follow NICE guidelines. We offer intensive inpatients CBT therapy (1:1 and group), medication reviews and management, Occupational Therapy, we have several ward Activities and access to the hospital gym and to a dietitian.
Who is this service for?
To be assessed and treated under NHS England funding, patients need to have a Yale Brown Obsessive Compulsive Rating Scale of 30 or more. They need to have tried at least two SRIs at optimal British National Formulary doses for OCD for an adequate time. One of the two trials needs to have been augmented by a low dose of antipsychotic medication for sufficient time, as per NICE guidelines. Referred patients needs to have had at least 2 trials of CBT with Exposure and Response Prevention, each consisting of at least 10 hours and some sessions need to have taken place in the clients’ home environment or where the symptoms at their worst. We can still offer assessment and treatment to patients who do not meet these criteria, provided this is clinically appropriate. However, funding will need to be obtained by the local Integrated Care Board (ICB).
To be considered for inpatient admission, the patient must be at high risk of self-neglect, (i.e. have difficulties eating or drinking because of their OCD), need support with their Activities of Daily Living (i.e. needing support in washing and looking after themselves), or being at risk to self.
We do not take patients who are under a Section of the Mental Health Act or who have a BMI lower than 17.5.
Referrals and access
We only accept referrals from Community Mental Health Teams (CMHTs) and for patients who have an allocated care coordinator. All referrals will require completion in full of our National Service referral form 2024 [docx] 55KB . I n view of the high number of referrals we receive, our triaging process requires that this document is fully filled in (rather than being) directed to a clinic letter).
Patients who fully meet our National OCD BDD Service Referral criteria.docx[docx] 21KB are likely to be eligible for funding by NHS England. However, we can still assess and treat patients who need intensive inpatient or outpatient treatment but do not meet criteria for funding under the auspices of NHS England. In this case, the referring clinicians will have to ask for Integrated Care board (ICB) Funding by completing NPSA funding form [docx] 51KB
Patient information
OCD Action: https://ocdaction.org.uk/
OCD UK: https://www.ocduk.org/
BDD foundation: https://bddfoundation.org/
