The Care Programme Approach (CPA) Implementation Self Assessment Tool (ISAT) is an online self assessment tool for NHS Trusts, Foundation Trusts and Local Authorities to support implementation of refocusing of CPA.
The ISAT will be of most interest to secondary care mental health and social care organisations providing treatment, care and support services to patients with mental health needs. However, it also provides a useful framework for health and social care commissioners and others with an interest in implementation of CPA.
This tool has been prepared by the National Institute for Mental Health in England (NIMHE) with support from a wide range of stakeholder organisations and individuals.
This sample screen shot shows a typical view and indicates one of the key features of this technology - ease of use.
The introduction of Supervised Community Treatment (SCT) was one of the main modernising amendments of the Mental Health Act 2007. It is intended to address situations where previously detained patients leave hospital but do not continue with their treatment, leading to re-admission.
The model features urban, suburban and rural scenarios based on KP90 data reports. The population data focuses on those with severe mental illness and divides them into 'not in specialist service', 'on community caseload', 'informal in-patients', 'compulsory in-patients' and 'supervised in the community'.
Teams will be able to see how the scenarios work in their locality by altering parameters to reflect the situation of the local service, for example:
- length of stay of inpatients
- flows of patients who move from inpatients to community
- recall rate of SCT patients
The model runs for up to 10 years showing the patient flows before and after implementation of the legislation.
This helped local health economies model the likely impact of SCT in terms of patient flows within their system.
This tool was developed to assist clinicians map the Health of the Nation Outcome Scales (HoNOS) to the new 21 Care Clusters being introduced into Mental Heath Services as part of the early stages of Payment by Results (PbR).
It enabled the recording and collection of data to assess how effectively HoNOS PbR can allocate users and patients to the Care Clusters. The tool uses responses to a series of assessment criteria and pattern matches the responses to find a best fit cluster allocation.
This planning tool was developed to help mental health services meet their duties under the ‘Age Appropriate Environment’.
The Mental Health Act 2007 placed a duty on Hospital Trusts to ensure that under-18 year olds who required admission were given an environment that was suitable for their age. The aim was to eliminate inappropriate admission to adult mental health wards.
The tool provides a means of testing alternative strategies for reducing and eliminating such inappropriate admissions. It is aimed at commissioners, providers, planners and analysts and enables the impact of change to be assessed in a range of scenarios:
- What might happen if we introduce emergency beds?
- What might happen if we introduce community based outreach teams?
- What might happen if we increase our core bed base?
- How can we develop and maintain the care pathway to obtain better outcomes for children, young people and their families?
Ultimately, it enabled local providers and commissioners to devise and test new service configurations that would ensure the needs of under-18s with severe mental health problems were met; and the impact of change across the whole system was tracked.
This tool, known as eRAS, was developed in conjunction with the Department of Health and a charitable orgnaisation, the In Control partnership.
It enabled users of social services to register and self assess their needs in order to calculate an indicative personal budget allocation.
In Control suggets that "For self-directed support to work effectively, individuals and the local authority must feel that the amount of money is fair and reasonable". Part of delivering a fair system, is to ensure better engagement with users and their ownership of the process. As an online facility, this tool provided a readily accessible way of connecting to the social care system.
Example screen shot from the online eRAS System: