Gold: Emma Winthrop, Crofton Clinic, Bracton Centre

Emma is the Therapeutic Working Day Coordinator on Crofton Clinic at the Bracton Centre, our medium secure mental health unit. She was nominated by several colleagues and service users.

Two senior managers wrote: "Over the course of the past 14 months she has set up and coordinated a programme of structured ward based activities aimed at engaging service users in a range of health and wellbeing, social, creative, psycho-educational, vocational and living skills activities. This programme of activities, and her total commitment to delivering them, has enabled Crofton Clinic to embed a solid therapeutic structure on the ward. Over time Emma's tenacity and ability to appropriately assert her role has been seen to significantly benefit the service and a stronger emphasis on ward based structured activities has developed and a greater therapeutic culture emerged."

She arranges a wide range of activities for service users and established a programme of wellbeing Mondays which she actively encourages service users to take part in. These include physical health checks, an educational session on healthy lifestyles and some physical exercise. She also arranged successful events on National Men's Health Day and National No Smoking Day.

An occupational therapy colleague said: "Emma has cemented herself as an invaluable member of the team in a fairly short amount of time and through persistence and a tireless work ethic has created an effective Therapeutic Working Day programme. Central to all of the hard work and commitment Emma demonstrates is the patients and what is best for them."

A Consultant Forensic Psychiatrist said: "Emma is an excellent member of our team who goes above and beyond what is required on a consistent basis and is extremely valued by all of us on Crofton Clinic."

One service user described Emma as: "Friendly, warm, full of energy and hardworking. She organises activities which everyone including myself enjoy."

Silver: Greenwich Time to Talk

Time to Talk provide a range of services for people with mild to moderate depression or anxiety. They were nominated for developing a number of initiatives in partnership with service users and colleagues in other services which have huge potential in terms of clinical improvements and cost savings.

For example they are working in partnership with the Greenwich Long Term Conditions team providing psychological support for people with diabetes, cardiac conditions and chronic obstructive pulmonary disease (COPD).

They have also developed a Pain Clinic in partnership with a GP at Vanbrugh Clinic providing specialist treatment and support for depression with people who experience chronic pain due to physical conditions.

They work with Greenwich Alcohol Service delivering a regular session on understanding anxiety and depression to people using that service.

They also work closely with Greenwich Mind, developing care pathway between the two services, setting up joint ventures and providing training.

They have also set up a Progress Group consisting of service users who work with staff to help make improvements, for instance making suggestions as to how waiting times for therapy could be reduced.

They were also nominated by the manager of the Greenwich Health Trainer programme. He described the training provided to his staff by Time to Talk: "excellently prepared and well received by the health trainers enhancing their skills to work effectively with clients who may have mental health issues."

Bronze: Estates and Facilities

The Estates Team have transformed the environments for service users and staff in the Bevan Unit, Short Breaks Service and Highpoint House. They have engaged so positively with staff and worked so hard that everyone has been overwhelmed by their support. This has had a tremendous effect on staff morale and patient care.

Quote from a staff member at Highpoint House: "We are really impressed with the estates team. We find them professional and competent. Thanks for all your hard work."

Following renovation work, Ofsted carried out an unannounced visit to the Short Breaks Service, which is for children and young people with complex health needs. Their report included the following: "parents and children comment favourably on physical changes to the home. They say it is looking lovely and is more comfortable and child friendly ... the children are enjoying a brighter, better equipped and safer environment ... children say the changes to the garden are fun and allow them more access to the outside in a safe environment."