Yorkshire and the Humber Mental Health Network Senior PWP Network 26 September 2017 • Andy Wright, IAPT Advisor, Heather Stonebank, Senior PWP Advisor and Sarah Boul, Quality Improvement Lead • andywright1@nhs.net, heather.stonebank@shsc.nhs.uk and sarah.boul@nhs.net • Twitter: @YHSCN_MHDN #yhmentalhealth • September 2017 www.england.nhs.uk
Housekeeping: @YHSCN_MHDN #yhmentalhealth www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Welcome, Introductions and Apologies Andy Wright, IAPT Advisor, Yorkshire and the Humber Clinical Network www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Reflections and Purpose of Senior PWP Network Andy Wright, IAPT Advisor, Yorkshire and the Humber Clinical Network www.england.nhs.uk
Purpose of the Senior PWP Network • To provide a network for Senior PWPs in Yorkshire and Humber to share good practice and innovation • Create a network to address local, regional and national topics for the Step 2 role • To come together to reflect and support each other in the Senior PWP role • An opportunity to develop the Senior PWP role, contribute to improving IAPT services, Step 2 interventions and improving quality of patient care www.england.nhs.uk
Aims of the Senior PWP Network • To understand and address local and regional level topics that link to national IAPT initiatives relating to the role of the Senior PWP. • Contribute to research at Step 2. • Consider regionally identified training needs and areas of development for the Senior PWP role. • To link with other regional and national IAPT Networks, including the Senior PWP Network in the North West and the IAPT Providers Network, to share good practice, exchange ideas and support local and national training events. • Linking to the national IAPT KPIs the Network will share ideas, good practice and innovative ways of working to influence improvements in the service and patient care. • Acquire knowledge and skills in relation to leadership and develop best practice guidance on leadership in the Senior PWP role. • Develop enhanced communication within the Senior PWP Network – including an online forum, webinars, WebEx etc. • Reports Network activities up into the Yorkshire and the Humber IAPT Providers Network. www.england.nhs.uk
www.england.nhs.uk
Update • Wellbeing • Service presentation • Improving access - table top discussion • Self-help materials • cCBT training proposal • Psychoeducational training update • Accreditation update www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Wellbeing Activity Heather Stonebank, Lead PWP, Sheffield Health and Social Care NHS Foundation Trust and Lead PWP Advisor, Yorkshire and the Humber Clinical Network www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network National Update and Overview of the Intensive Support Team Caroline Coxon, IST Manager, NHS England www.england.nhs.uk
Mental Health Intensive Support Team IAPT Update Yorkshire and Humber Clinical Network Provider Meeting 26 th September 2017 Caroline Coxon Intensive Support Manager
Mental Health Intensive Support Team Collaboration between NHS England and NHS Improvement A free resource to NHS providers and other NHS-commissioned organisations Emphasis on system-wide improvement work with local health communities that are facing particular challenges in delivery of new mental health access and waits standards Starting with Primary Care Psychological Therapies (IAPT) Access, Recovery and Waiting Times KPIs and other IAPT quality standards in 2014 In line with the MH Taskforce Report and 5YFV priorities 12
Priorities for 2017-18 In scope: IAPT Long Term Conditions (LTC) Adult Mental Health Early Intervention Psychosis (EIP) Out of Area Placements (OAP’s) Children and Young People (CYP) including Eating Disorder Mental Health Dataset across all policy areas 13
Mental Health IST Approach Diagnostic Reviews at the invitation of commissioners and Providers Focus on delivering patient outcomes, value for money and productivity Cascading subject matter and delivery expertise to regional/DCO teams, clinical networks and external organisations Improving accuracy and completeness of data reporting Supporting good practice in waiting list management, capacity and demand modelling Focused on the needs of patients at all times Ongoing support to Regions, commissioners and MH providers as required 14
IST and Yorkshire and Humber (23 CCG’s) Diagnostics Reviews x 4 CCG’s completed Desktops x 6 CCG’s completed Previous and regular contact / ongoing support with further 8 CCG’s relating to: Outcomes Data Access Waits Workshops: Data (Provider, CCG’s, Region) Demand and Capacity Recovery 15
Top Tips Clinical • Standardised assessment templates • Confidence to make decisions to treat based on the assessment • Accuracy and Completeness of Problem Descriptors at treatment eg: do they reflect what treatment is needed? • Confidence in Clustering • Knowledge of service and individual l evel recovery rates for PWP’s • Supervision – caseload and management 16
NHS-Digital Data – May 2017. % Mixed Anxiety & Depression at first recorded treatment Mixed Anxiety & Depression Problem Descriptor Completeness 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 17
Top Tips Leadership • Direct and regular involvement in the Clinical / Operational Leadership of your service? • To be heard and to be able to influence change 19
Top Tips Continuous Professional Development (CPD) • Induction programmes for new starters • Reminders re: recovery cut offs • Opportunities to specialise or access further training eg: LTC / Older People • Innovation - room and space to do so 20
Top Tips Data • Routinely looking at and using local and national data to inform service changes • Using the data for audits: – To identify and understand unrecovered patients – High attrition rates 21
Caroline Coxon Intensive Support Manager Mental Health Team Operations and Information NHS England carolinecoxon@nhs.net Tele: 07917 597153 @MH_ISTNetwork
Yorkshire and the Humber Senior PWP Network Time for a break? 15 minutes only please! www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Provider Presentation: Emotional Wellbeing Service Sheryl Horton and Jennifer Wilde, Humber NHS Foundation Trust www.england.nhs.uk
Humber NHS Foundation Trust Emotional Wellbeing Service EAST RIDING
Aims and objectives • To give an overview of our service • To give an overview of how we have tried to implement wellbeing in the work place. • Our role as a Senior PWP • To understand the differences of the A&B services • What is any qualified provider? • How does this fit with our service • To have an understanding of the barriers we have come across in implementing wellbeing.
Current service at a glance Moved from Block Contract to Any Qualified Provider Tariff on the 1 st April 2014 Population size of just over 333,000 Geographical patch just under 1000 2 miles - mainly rural The service consist of: Service Manager 3 team leaders 21 CBT therapist 4 counsellors 2 Senior PWP 9 PWP’s 4 Trainee PWP’s Going out to advert for 4 Employment advisors
Assessment and Brokerage Service Assessment: • Block contracted for the commissioned area which is the East Riding of Yorkshire. • Includes assessing patients that have self-referred via the online portal/telephone/GP and other referrals. • Referrals are triaged by band 5`s and 6`s. Currently triage can be immediately followed with an assessment. • Assessments mainly provided by PWP’s. We have face to face assessments by CBT therapist for complex referrals. • Satellite bases. • After the assessment if the patient is suitable for IAPT interventions then the patient is offered choice of Any Qualified Provider (AQP).
Brokerage Brokerage is to the following services 1 service spec for all providers/capacity sheet • Emotional Wellbeing Service ; Ccbt, guided self-help, CBT, EMDR, IPT and CFD. • Insight Health Care- CBT, EMDR and CFD • Relate- CFD, relationship counselling • IESO – online CBT • MIND- groups • City Health Care Partnership – CFD, groups/stress control
Service Delivery • NICE Stepped Care Model - fully compliant with IAPT model • Currently 60/40 split between 3 rd Party and Self Referrals but Self Referrals increasing monthly • Satellite venues across East Riding + Group Venues- Therapy Centre (main hub) • Mode of Delivery - Face to Face/Telephone/Online- No home visits
Recommend
More recommend
