Issue 2 - November 2015

Tuesday, 1 December 2015

Welcome to the second newsletter for the northern region, with updates about the Early Intervention in Psychosis (EIP) programme.

We would love to hear from you. If you have any comments, suggestions, feedback or general queries, please contact .

What you will find in this edition

1. NHS Networks EIP page
2. Feedback from recent EIP deep dive meetings
3. Optimising RTT pathways for planned care
4. Health Education England data collection
5. First of a series of Blogs from Paul French – Clinical Lead
6. Communications approach
7. Parity of esteem animation
8. In development
9. Video available – how early intervention can help with psychosis
10. Guidance for commissioners
11. HEE CBTp tender

NHS Networks EIP Page

You can now access information about the regional EIP preparedness programme and supportive guidance and resources online. The EIP Page is now available on NHS Networks. 

Recent EIP Deep Dive meetings

Thank you for your support in arranging and hosting the recent meetings with regional EIP clinical leads during September and October. The meetings were very well attended by both clinical and managerial representatives from provider and commissioner organisations allowing a multidisciplinary approach and common understanding of the challenges.

Collective themes were identified - both positive elements of readiness, and areas requiring further clarity and support. These findings were shared with Chief Executives and Medical Directors of provider organisations and CCG Accountable Officers along with a recent letter from NHS England North’s Regional Medical Director. You can access both documents on our EIP page here and here.

Optimising Referral to Treatment (RTT) pathways for planned care


Two northern events took place on 6th & 20th November in Harrogate and Bolton. The agenda included both physical and mental health elements of RTT along with mental health workshops with a particular focus on EIP presented jointly by NHS England’s Mental Health Intensive Support team, HSCIC and our regional EIP clinical leads. Slides shall be uploaded to our EIP networks page soon.

Health Education England (HEE) Data Collection

On behalf of Health Education England, the NHS Benchmarking Network has been working with all Mental Health Trusts in England to collect data on Early Intervention services. This has been collected at a team level, and over 120 submissions have been received. To date 95% of Trusts nationally have provided data, and the remainder are expected to submit by the middle of November. The collection includes questions on activity levels and workforce skills, and will give teams and Trusts information on their indicative progress against the new Access and Waiting Time Targets. It will also help inform the distribution of training funds by Health Education England, to ensure the EIP workforce nationally has the skills and capacity needed to deliver the target and provide a consistent level of service to patients across England allowing access to appropriate psychological therapies in a timely manner. 

Our regional clinical leads will conduct further validation with EIP teams around the detailed definitions used when completing the survey for both Cognitive Behavioural Therapy for Psychosis (CBTp) and Family Intervention training and skills within the workforce.

EIP Waiting Standards – an Opportunity to Demonstrate Real Parity of Esteem

Paul French, who is one of the clinical leads for the EIP programme has written the first in a series of Blogs. You can find it here.

Communications Approach

A network has been established for communications leads within mental health providers and commissioning organisations. The aims of the network are:

• To try and ensure that any updates and information about national communications plans are shared
• Provide an opportunity for teams to share challenges, issues and solutions, in particular where service changes are required
• Promote positive case-studies to ensure maximum reach through social media and local media

Details of the membership of the network can be found here. If you have any issues that you would like the network to look at, please contact your organisation’s communications lead.

If you have any good examples of innovative care, which you think could be used in media releases, please can you contact . Ideally we are looking for staff and patients who would be willing to be interviewed about their experiences.

Parity of Esteem Animation

Watch and share the new Parity of Esteem animation from the North West Psychological Professions Network (PPN North West). In it they explain why psychology & psychological approaches have a vital role to play in improving physical health care and how the PPN North West can help.

In Development

• Dr Iain Macmillan, North Regional Lead for Psychiatry, is focussing his attention on two particular areas of work in EIP, which we hope to able to share more information with you soon:

- An updated summary of EIP and At Risk Mental State (ARMS) referral criteria; and
- Training in Psychopharmacology of First Episode Psychosis

• Royal College of Psychiatrists' Centre for Quality Improvement (CCQI) EIP Audit. The Early Intervention in Psychosis audit is a quality improvement programme commissioned by Healthcare Quality Improvement Partnership (HQIP) on behalf of NHS England, and awarded to the Royal College of Psychiatrists' CCQI. The EIP audit will help to establish the extent to which these services comply with a framework of NICE standards of care, NICE quality standard for psychosis and schizophrenia in adults (QS80), which put particular emphasis on early access, physical health, family intervention and supported employment programmes. The audit will use a minimum data set based as far as possible on routinely collected data sources which will include:

- Organisational data
- Clinical case note audit data

Data collection will take place in November-December 2015. Our North region EIP clinical leads are involved in the national developments of the CCQI audit and will input into the development of the EIP Accreditation standards.

• Local EIP Provider Networks – If you are not a member of a local EIP provider network, please contact the EIP clinical lead for your area – set out below – who can send you details. A reminder of their contact information is below:

North West -
Cumbria & North East -
Yorkshire & Humber -
Lead for Psychiatry (North-wide) -

Psychosis and how early intervention can help

There is an incredibly powerful film available to watch on YouTube that shows the effect that psychotic episodes can have on young people and why the need for Early Intervention Services is so vital. You can find it at https://www.youtube.com/watch?v=O-FYNNq4uMI

Guidance for commissioners of mental health services

A coalition of experts has produced a guide for commissioners, local health authorities and providers on building sustainable, resilient communities that have the potential to reduce mental ill health here.

HEE CBTp Tender

The HEE CBTp tender was published on 1 December 2015. It can be accessed through the details and instructions below.  Link - www.noecpc.co.uk  The Reference is CPC 01003.

Interested bidders need to register on the site (this is free of charge) and then log in (tenders won’t be accessible unless you are logged in).  Once logged in, you will be able to find the opportunity and “Express an Interest” – this will allow you to view the tender documents in its entirety and begin working on them.  

Any questions or communications need to be routed to Michelle Walker (michelle.walker@noecpc.nhs.uk) HEE procurement specialist, or raised via the online messaging function on the procurement portal. This is to ensure that the procurement is managed in accordance with the requirements of the Public Contract Regulations 2015.