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Recognising and Assessing Medical Problems in Psychiatric Settings (RAMMPS)

Recognising and Assessing Medical Problems in Psychiatric Settings (RAMPPS) is an innovative multi professional course using clinical simulation. Aimed at teams working and training together it focuses on recognising the deteriorating patient and understanding the human factors important to delivering good care in these circumstances. It uses structured frameworks in safely managing patient outcomes.

The inter-relatedness of physical and mental health has received much attention in recent years with good reason. 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. Since 2012 Health Education Yorkshire and the Humber has been supporting our innovative multi-disciplinary course RAMPPS. The course is explicitly multidisciplinary focusing on 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

The Course Handbook

All resources are contained in the 2016 RAMPPS handbook 

eLearning Module

The RAMPPS course is supported by our interactive RAMPSS 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.

The module can be accessed via the eLearning for Health site

Alternatively 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 attached here and a "gold standard" facilitator pathway, please download from the related articles section at the bottom of the webpage.

This Page was last updated on: 26 April 2016

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