Enhanced Therapeutic Observation and Care
See more than the incident
Melo helps clinical teams capture what is happening around behaviour, see patterns over time and bring clearer evidence into ETOC reviews.
Start free trialAlready being used at scale
At University Hospitals of Liverpool Group, Melo has grown from a two-ward trial into a wider programme across acute hospital settings.
University Hospitals of Liverpool Group
80,000+
behavioural assessments recorded
1,589
patients supported
1,039
users
14
wards currently live
Figures reported September 2026. The next rollout phase is planned to extend Melo to 30 wards.
Behavioural information that’s easier to use
ETOC decisions depend on a clear picture of what is happening for the patient.
But behaviour charts can be difficult to interpret when descriptions vary between staff, recording focuses mainly on incidents of concern, or important context gets lost between shifts.
Melo gives teams a structured way to record behavioural observations at the point of care and review them together over time.
That means looking beyond the incident itself.
What happened?
Capture what staff actually observed rather than relying on broad labels.
What was happening around it?
Record triggers, context and possible unmet needs.
What helped?
See the approaches and interactions associated with calmer or more settled periods.
What else was happening?
Bring positive interactions, sleep and settled periods into the picture alongside distress.
Bring clearer behavioural evidence into ETOC reviews
Melo brings recorded behavioural assessments together so teams can review what has been happening over time.
That information can support discussions around:
- changes in a patient’s presentation
- observation and support requirements
- care planning
- multidisciplinary review
- discharge and onward care
Clinical teams remain responsible for interpreting the information and making decisions about care.
See how structured behavioural information works in Melo
Try Melo using a safe trial environment and see how behavioural observations become easier to review.
Better recording starts with better questions
Learning from the implementation at UHLG contributed to the Trust’s Behaviour Support Bundle, which provides practical guidance for staff using both Melo and paper behaviour charts.
Four questions underpin the approach
- 1Why are we using a behaviour chart?
- 2What happened?
- 3What helped?
- 4Do we still need it?
Simple questions, but useful ones. They encourage teams to record information with a purpose and review whether it is still helping them understand the patient.
A fuller picture of the person
Distress matters. So do the periods when someone is settled.
Understanding both can give teams a more balanced picture of:
Triggers and unmet needs
What may be contributing to distress.
What helps
The interactions or approaches associated with calmer periods.
Change over time
Whether a patient’s presentation is becoming more or less settled.
Support needs
Information that can contribute to ETOC reviews, care planning and discharge discussions.
What happens next at UHLG
The next rollout phase is planned to extend Melo to 30 wards.
Alongside that rollout, the work is focused on:
- Embedding consistent behavioural documentation
- Connecting behavioural information with ETOC and wider clinical workflows
- Evaluating its impact on patient care and operational practice
See Melo in practice
Explore how structured behavioural observation can give your team clearer information to review and discuss.
Start free trial