Leaflet Details
| Title | Enhanced Therapeutic Observational Care (ETOC) |
| Department | ETOC / Harms Free Care |
| Author(s) | Jenni Chapple, ETOC Lead |
| Review Date | March 2026 |
| Next Review | March 2028 |
| Download | A4 Tri-fold PDF |
| Accessibility Options | Click on the Recite Me button to show our accessibility resources |
Patient Information
Why am I getting this leaflet?
You are being given extra support in hospital called enhanced therapeutic observational care (ETOC). This leaflet explains what this means for you.
What are enhanced observations?
Enhanced observations mean:
- A staff member will stay close to you
- Staff will check on you more often than usual.
There are different types and levels of engagement and observation depending on any concerns about your safety. Ward staff will explain the reasons for the observations and how the enhanced observation staff member will support you. This is to help keep you safe.
Why do I need enhanced observations?
You may be:
- Feeling confused
- Finding it hard to make safe decisions
- At risk of falling or hurting yourself
- At risk of leaving the ward when it is not safe
The staff think you may not have capacity right now, which means you might not fully understand the risks. This can happen when you are unwell.
Enhanced observations help protect you whilst you are receiving care and treatment in the hospital.
What will staff do?
Staff will:
- Stay close to you for safety
- Talk to you and explain what they are doing
- Help you walk, move, eat, drink or rest (if required)
- Keep you involved as much as possible
- Be kind and respectful
You can ask them questions at any time.
Your privacy and dignity
We know privacy is important. Staff will:
- Close curtains or doors when helping you wash or use the toilet
- Give you space when it is safe
- Explain things before they do them
Please tell us if something makes you uncomfortable.
How long will this last?
Enhanced observations are temporary and reviewed at a minimum of every 24 hours
Your healthcare team will check your progress often.
As soon as it is safe, the extra support will be reduced or stopped.
Can I say no?
If you do not have capacity right now, you may not be able to refuse enhanced observations.
- Staff will always explain what is happening
- Your feelings and wishes matter
- Decisions are made to keep you safe and in your best interests
If you have worries or questions
Please speak to:
- The nurse in charge of your care
- PALS (Patient Advice and Liaison Service) if you wish to make a complaint
We want you to feel safe, respected, and cared for.
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