This document summarizes a workforce calculator tool for estimating staffing needs for early intervention psychosis services. It describes how the tool uses local epidemiological data and assumptions from research to calculate the full-time equivalent staff needed for different roles, including care coordinators, family intervention specialists, CBT therapists, medical staff, and support workers. Key inputs include estimates of people aged 16-64 with psychosis locally, and the tool allows adjusting assumptions based on local circumstances. The document provides details on how the tool calculates staffing needs for different treatment components like CBT sessions and family interventions based on clinical guidelines.
8. What is the EIPWorkforce Calculator?
■ The workforce calculator is a tool to support effective, evidence-based discussion and
planning between providers and commissioners. It may require, and is designed to
allow, adjustment of some elements where there is good quality local data to support
local decisions.
9. How does the EIPWorkforce Calculator
Work?
■ The workforce calculator uses specific assumptions but these can be varied according to
local circumstances.These estimations have been developed from the published literature
and informed by the varied experience of the Expert Reference Group. Incidence estimates
for people aged 16-64 years for individual clinical commissioning groups (CCGs) should be
entered using the Public Health England Fingertips tool (these are derived from
http://www.psymaptic.org/ adjusted for CCGs).
■ These estimates can be supplemented in the tool where there are specific issues in the area
not accounted for by the PsyMaptic calculations.There may also be circumstances where
the level of severity is recognised as being exceptionally high (for example, because of
levels of drug misuse or trauma) and a weighting may be agreed and entered for this.These
adjustments can be expected to lead to the best available assessment of need for EIP
services.
11. WholeTime Equivalent of EIP Staff
The different elements of the workforce are based on those typically employed in EIP services. Care coordinator caseloads are
estimated at 15. Specific dedicated time is considered separately for family intervention and CBT for psychosis (by appropriately
skilled and supervised practitioners). One support/peer worker for two care coordinators is included to provide practical support.
There is a requirement for specialist employment/training expertise, which should be estimated in proportion to care coordinator
numbers (for example, one worker per team).
CBT for Psychosis:
Estimates of CBT for psychosis sessions (16-20) are based on NICE guidelines with additional sessions (5-9) over a 3-year period
for complex work and booster sessions.
Over that period, most people with psychosis (80%) are expected to participate.
Family Interventions:
The figure of 10 sessions of family intervention is derived from NICE guidelines but only an estimate of 33% are anticipated to
take this up.
Proportions receiving these interventions are based on estimates from published work and the experiences of the Expert
Reference Group.
Medical Interventions:
Medical time is based on assuming a medical assessment for all referrals with an estimate of the requirement for subsequent
assessments based on the experiences of the Expert Reference Group.