eip matrix - harnessing digital to support services to deliver better outcomes for first episode...
TRANSCRIPT
South Region Early Intervention in
Psychosis Preparedness Program
July 2015
The 15/16 Access & Waiting Time Standard for EIP
By April 2016:
• More than 50% of people experiencing a first episode of psychosis will be
treated with a NICE approved care package within two weeks of referral.
How will the standard be measured?
• Both elements of the standard will be measured – the wait
from referral to treatment and whether the treatment
accessed is NICE concordant.
The specific objectives of the South Region EIP Preparedness Programme are to:
1. Raise awareness of the requirements of the A&WT standards.
2. Bring together local experts and establish quality improvement networks, ensuring effective linkage with existing networks of
expertise.
3. Understand levels of demand in constituent CCGs and any inequities in access relative to the levels and patterns of psychosis
incidence in the population.
4. Understand baseline performance against the A&WT standards in partner Trusts through analysis of locally collected data, in advance
of the introduction of the standard.
5. Undertake a gap analysis of current EIP team structures, staffing mix and training and development needs for each partner Trust.
6. Support Trusts and CCGs in developing local preparedness action plans to meet the A&WT standards.
7. Allocate targeted funding to accelerate the implementation of preparedness action plans over 2015/16.
8. Support and facilitate local workforce development programmes, working with Trusts and Health Education England.
South Region Preparedness Programme Chart
NHS England
(South)
NHS England
Preparedness Programme
Board
Preparedness Clinical Group
Provider Trusts and CCGs across NHS South region
Oxford AHSN
6
Demographics
• 12.5 million population
• 50 CCGs
• 16 mental health providers
• 25 Early Intervention in Psychosis (EIP) teams
• 280 EIP staff
• Serving 3982 people with first episode psychosis
South Region Early Intervention in Psychosis Website
8
Who works in EIP teams?
How many EIP staff have the training to deliver NICE
recommended interventions for psychosis?
1. Cognitive Behavioural Therapy (CBT)
2. Family Therapy Interventions
3. Vocation Support
4. Physical Health Monitoring & Low Key Interventions
5. EIP Standard Outcome Measures
EIP Staff Survey Results January 2015
10
24
19
24
30
76
81
76
70
0 25 50 75 100 125
CBT Skills
Family Interventions
Vocational Support Skills
Physical Health Monitoring
Have Training Require Training
EIP Matrix Early Intervention in Psychosis Service
Self Assessment & Action Planning Tool
This EIP Matrix was developed by the South EIP Programme Board and
Clinical Group to support organisations prepare for the EIP Access &
Waiting Time Standards
Choosing what to Measure
• Meaningfulness: What is the significance of the measure to the different groups concerned with health care? Is the measure easily interpreted? Are the results meaningful to target audiences?
• Health importance: What is the prevalence and overall impact of the condition in the population? What are the significant health care aspects that the measure will address?
• Financial importance: What are the financial implications resulting from the actions evaluated by the measure? Does the measure relate to activities that have high financial impact?
• Cost effectiveness: What is the cost benefit of implementing the change in the health care system? Does the measure encourage the use of cost-effective activities or discourage the use of activities that have low cost-effectiveness?
• Strategic importance: What are the policy implications of implementing the measure? Does it encourage activities that use resources efficiently to maximize health?
• Controllability: What impact does the organization have on the condition or disease? What impact does the plan have on the measure?
• Variance among systems: Will there be wide variations across systems?
• Potential for improvement: How much room is available for plans to improve performance?
Scientific Soundness
• Clinical evidence: What is the strength of the evidence supporting the measure? What guidelines have been published
for the condition? What do guidelines say about aspects of the measure? Is there evidence that documents the link
between clinical processes and outcomes that the measure addresses?
• Reproducible: Does the measure produce the same results when repeated in the same population and setting?
• Valid: Does the measure make sense logically and clinically?
• Accurate: Does the measure precisely evaluate what is actually happening?
• Risk adjustment: Is it appropriate to stratify the measure by age or some other variable?
• Comparability of data sources: If different systems use different data sources for a measure, are accuracy,
reproducibility and validity affected?
We can edit future editions of the tool e.g. if new EIP guidance is
published
The programme SRO will be able to view a summary of all the EIP teams i.e. how many
EIP teams across the 16 providers have self-rated as Bronze/Silver/Gold
Next Steps
1.CCG/Trust level preparedness assessments and action plans
2.Proposal detailing funding allocation
3.Targeted training and capacity building
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Thank You
Please do not hesitate to contact us if you have any queries.