South EIP Programme & NHS Quality Improvement
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A summary update of the progress of the South Region Early Intervention in Psychosis Programme.
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South EIP Programme & NHS Quality Improvement
- 2. 2 Programme Overview 3 Content Referral to Treatment 1 Brief Background 4 NICE Concordance 5 Next Steps
- 3. • Commissioned by NHS England in 2015-16 to support the region to achieve the EIP access and waiting time standards by 1st April 2016; • Tasked with raising awareness, benchmarking EIP services, supporting commissioners and providers to develop effective plans that address: 1. Investment; 2. Workforce Capacity & Competencies; 3. Performance and Outcomes Data Brief Background
- 4. • 15.4 million population • 50 CCGs • 16 mental health providers • 32 Early Intervention in Psychosis (EIP) teams • 476 EIP clinical and administrative staff • Serving 4,204 people with ARMS and first episode psychosis at end of Quarter 3 About the South EIP Programme a.k.a Time4Recovery Hosted by
- 5. EIP Preparedness Programme Board Chaired by Fiona Edwards EIP Preparedness Programme Clinical & Technical Group Chaired by Prof Belinda Lennox NHS England (South) Mental Health Priority Programme Board Chaired by Julia Davison Oxford AHSN Best Care Programme Board Chaired by Chandi Ratnatunga South East EIP Clinical & Technical Group Chair Dr Stuart Clark South West EIP Clinical & Technical Group Chair Dr Frank Burbach Denotes line of accountability Reports provided for Information South Central EIP Clinical & Technical Group Chair Dr Helena Laughton Governance Meets 1st Week of Month Meets Every 3 Months Meets Every 2 Months Meets Monthly Providers + Commissioners + Strategic Clinical Networks + Health Education England+ Academic Health Science Networks Wessex EIP Clinical & Technical Group Chair Paul Tabraham
- 9. South EIP Annual Report 2015-16: https://time4recovery.com/wp-content/uploads/2015/06/2015-16-South-Region-EIP-Programme-Report-Final.pdf Baseline Report 2015
- 16. Purpose • Work in partnership with providers and commissioners to support achievement of both elements of the access and waiting time standards Objectives • Support and maintain Quality Improvement Networks that provide a platform for sharing good practice, • Support Trusts and commissioners to evidence delivery of NICE interventions against the regional and national baseline established in 2015; • Allocate £250,000 Health Education England (HEE) funding to develop the workforce’s capabilities to deliver NICE interventions for psychosis; • Support NHS England local teams to drive and monitor implementation of the standards, ensuring that both elements of the standards are being met. South EIP Programme 2016-17 Deliverables • EIP Quality Improvement Networks • Quarterly reports on EIP workforce & NICE concordance • EIP service development & assurance templates • Peer Exchange Visits - Good practice examples and case studies
- 18. Early Intervention in Psychosis Waiting Times Period: October 2016 Source: Unify2 data collection - First Episode Psychosis Basis: Commissioner Published: 8th December 2016 Contact: England.eip-data@nhs.net Regional Level Data The number of patients started treatment by week since referral Region Code Region Name >0-2 weeks >2-6 weeks >6-12 weeks 12 plus Total number of completed pathways (all) % within 2 weeks Y54 NORTH OF ENGLAND COMMISSIONING REGION 311 76 13 6 406 76.6% Y55 MIDLANDS AND EAST OF ENGLAND COMMISSIONING REGION 233 68 16 15 332 70.2% Y56 LONDON COMMISSIONING REGION 189 38 13 2 242 78.1% Y57 SOUTH OF ENGLAND COMMISSIONING REGION 230 39 6 2 277 83.0% - NHS ENGLAND
- 19. New data: 8th DecemberLatest data: September -16 % Seen within 2 Weeks of Referral
- 21. EIP Matrix V2.0
- 23. EIP Matrix Sample Report NICE Standard for Early Intervention in Psychosis Value* %* Requires Substantial Improvement Requires Improvement Good Outstanding 1. Referral to Treatment - Percentage of service users referred with suspected first episode psychosis that were allocated to, and engaged with, an EIP care coordinator within 2 weeks of receipt of referral in August 2016 100% <25% ≥25% ≥50% ≥60% 2. CBT for Psychosis - Percentage of service users with First Episode Psychosis that took up Cognitive Behavioural Therapy for psychosis (CBTp)* 1 12% <12% ≥12% ≥24% ≥36% 3. Family Interventions – Percentage of service users with First Episode Psychosis and their families that took up Family Interventions 20 13% <10% ≥10% ≥20% ≥30% 4. Clozapine - Clozapine is prescribed to patients for whom this treatment is indicated (or valid reason is given for not prescribing clozapine) 5 100% 5. Employment & Education - Percentage of service users with First Episode Psychosis that took up supported employment and education programmes 112 85% <10% ≥10% ≥20% ≥30% 6. Physical Health - Percentage of service users with First Episode Psychosis that have had all of the below physical health checks in the past year: • Body Mass Index (BMI) • Blood pressure • Glucose regulation (HbA1c or fasting glucose or random glucose as appropriate) • Blood lipids 70 70% <70% ≥70% ≥80% ≥90% 7. Smoking Cessation - Percentage of those who smoke who were offered smoking cessation 45 100% <25% ≥25% ≥50% ≥75% 8. Carer Education Programmes - Percentage of carers offered carer-focussed education and support programmes 21 50% <25% ≥25% ≥50% ≥75% EPIC EIP Team First Episode Psychosis Caseload 100 Investment Per Patient At Risk Mental State (ARMS) Caseload 20 £3,478.90Total Caseload 120 * Please note that all values and percentages used in the above table are fictitious and used for illustration purposes only*
- 24. Next Steps
- 28. Table MHS101 • Referrals starting after 31/12/2015 • Primary reason for Referral = ‘01’ Table MHS102 • Referrals from MHS101 cohort • Service or Team type referred to = ‘A14’ Table MHS201 • Referrals from MHS102 cohort • ConsMediumUsed in (‘01’,’02’,’03’,’04’) • AttendOrDNAcode in (‘5’,’6') • Min CareConDate >= ReferralRequestRecieveDate Table MHS006 • Persons from MHS102 cohort • CareProfServOrTeamTypeAssoc = ‘A14’ • Min StartDateAssCareCoord >= ReferralRequestRecieveDate CareContDate >= StartDateAssCareCoord then CareContDate else StartDateAssCareCoord end as max_contact_date Early Intervention for Psychosis (EIP) Suspected First Episode Psychosis (FEP) Mental Health Services Data Set (MHSDS) From 01/01/2016 © HSCIC 2016 EIP Pathway from Referral to Entering Treatment (Clock Stop) Clock Start Clock Stop MHSDS Monthly Report Table 2 Referrals on FEP pathway entering treatment EIP05 Total Referrals EIP06 Treated In 2 weeks EIP07 Treated Over 2 weeks First Contact with Patient Assigned to MH Professional or Team Primary reason for Referral is (Suspected) First Episode Psychosis Service or Team type referred to is Early Intervention Team for Psychosis Contact Date must be on or after Assigned to Care Co-ordinator (use latter of the two to ensure both have taken place) Contact must be with Patient, and Attended, and on or after Referral Date Assigned Date to Early Intervention Team for Psychosis must be on or after Referral Date Contact Date must be between Reporting Start and End Dates Waiting Time is from Referral Date to Assigned Contact Date Supporting NHS England & NHSi Managers