Newham Wave 2 QI Training Learning & Implementation Dr Erasmo - - PowerPoint PPT Presentation

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Newham Wave 2 QI Training Learning & Implementation Dr Erasmo - - PowerPoint PPT Presentation

Psychological Services Newham Wave 2 QI Training Learning & Implementation Dr Erasmo Tacconelli Consultant Clinical Psychologist Background We still need to talk: A report on access to WHITE PAPER No Health Without Mental talking


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Psychological Services Newham

Wave 2 QI Training Learning & Implementation

Dr Erasmo Tacconelli Consultant Clinical Psychologist

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Background

WHITE PAPER No Health Without Mental Health: A Cross-Government Mental Health

  • Outcomes. Strategy For People Of All Ages

(2011). RATES OF MENTAL ILL HEALTH

  • 1 in 4 people will experience a mental health

difficulty

  • 1 in100 people has a severe mental health problem
  • 1/2 people with lifetime difficulty will experience first

symptoms by the age of 14 years

HUMAN COST

  • People with severe mental illness die on average 20

years earlier than the general population

  • Complex mental health impact upon: employment,

income, housing, social depravation and poor physical health

We still need to talk: A report on access to talking therapies (2013). Coalition of

  • rganisations. Rethink Mental Illness.

(Surveyed 1600 people). WAITING TIMES

  • 1 in 10 people have been waiting over a year to

receive treatment

  • Over half have been waiting over three months to

receive treatment

CHOICE & EQUITY OF ACCESS

  • 58% weren’t offered choice in the type of

therapies they had

  • Half felt that their sessions weren’t enough
  • 40 % had to request psychological therapy rather

than it be offered

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Psychotherapy Waiting List Target 25% Reduction by April 2015 9 to 9.75 Weeks

Average Wait

21 to 25.5 Weeks

Longest Wait REFERRALS Enhance appropriate referring SCREENING Streamline referral decision processes ASSESSMENT Develop assessment practices

Referral Form Consultation and Liaison New referrals Pending referrals Review administration booking assessment procedures Review staff assessing practices

Aim Primary Drivers Secondary Drivers

Driver Diagram

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Learning

  • Need for reliably obtainable measures
  • Clear and focussed driver diagrams
  • Maintained shared team vision and motivation
  • Even simple interventions are effective
  • Projects as templates for Trust learning
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Sectorised Psychological Services

COMMUNITY INPATIENT

Acute Psychology Service Arts Therapies Service CMHT Psychology Service Psychosocial Intervention Practitioner Service

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Commissioning Quality Services

Three ‘Quality Principles’ underpin all NHS services provided to meet the physical health and mental health needs of the population and are key to the commissioning

  • f local services.

Patient Safety Patient Experience Clinical Effectiveness

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Priority Areas

Priority areas for quality improvement work as

  • utlined by the East London Foundation Trust

Quality Improvement Strategy (2014) are:

  • That every patient receives the right care at

the right time

  • The reduction of harm by 30% every year.
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SLIDE 8
  • Referral Care Pathways
  • Waiting List Management
  • Access
  • Choice of Evidenced-Based Intervention
  • Service User/Carer/Referrer Experience
  • DNA Analysis
  • Measurement Outcomes/Systems
  • Staff Governance Systems

QI Project Themes

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What Next? Current and Future QI Projects

Access and Care Pathway

  • Acute Psychology Referrals QI
  • Arts Therapies Referrals QI

Patient Experience

  • Crystal Ward PICU QI
  • CMHT Recovery Model QI
  • Sapphire Inpatient Ward Round QI
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What Next? Strategic Roles: QI Spread

  • ELFT Clinical Psychology Service-Related

Research Project Coordinated Strategy

  • Newham Adult Mental Health Directorate

QI Coach Role