Issue 3 - March 2016

Friday, 4 March 2016

Welcome to the third 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 karin.rogers@nhs.net.

What you will find in this edition  

- Cognitive Behavioural Psychosis Training

- Family Intervention Training

- CAARMS: Train the Trainer

- Workforce Calculator

- EIP Tripartite Assessment: Update

- Clinical Lead WebExes and Blogs

- Guidance on Referral Criteria

- Patient Tracking Lists

- Regional Clinical Leads

 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.  You can find some instructions here, to log-in and apply to join.  You can sign up to get an alert, so that you will be notified every-time some new content is added.

Five Year Forward View for Mental Health

Formed in March 2015, the independent Mental Health Taskforce has brought together health and care leaders, people using services and experts in the field to create a Five Year Forward View for Mental Health for the NHS in England.  This national strategy, which covers care and support for all ages, was published in February 2016 and signifies the first time there has been a strategic approach to improving mental health outcomes across the health and care system, in partnership with the health arm’s length bodies. 

The report highlights the importance of the new EIP standard and the aim to extend the standard to 60 per cent of people experiencing a first episode of psychosis by 2020/21. 

EIP Technical Guidance Published

The technical guidance to support the new access and quality standards for CYP Eating Disorders and EIP, as well as a FAQ document, have been published both of which can be found here.  The document explains how the indicators for the referral to treatment waiting time elements of the two standards are constructed and confirms the data that will need to be submitted as part of the new Mental Health Services Data Set (MHSDS) to measure progress and inform future development. 

Individual and direct links to the specific documents are below:

Health Education England EIP Training

Cognitive Behavioural Therapy for Psychosis (link)

Following a formal procurement process, the national framework with nine Cognitive Behavioural Therapy training providers is now live. This means that trusts are now able to select their preferred training provider and arrange training in the identified four categories:

  1. Skills workshops for experienced CBTp practitioner therapists
  2. Supervisor training
  3. Modular top-up CBTp training
  4. A two-year PGDip in CBTp training

Guidance on entry requirements for CBT for psychosis training can be found on our EIP forum page. 

All trusts providing EIP services should now, as a matter of priority:

  1. Select your preferred CBTp training provider from the CBTp framework
  2. Contact the training provider of your choice to book staff onto a course
  3. Notify Henrietta.mbeah-bankas@nhs.net of the number of staff and the courses booked on (please notify Henrietta as soon as you book to help review uptake and offer further available places)

Send your trust’s one backfill invoice to Jessica Brook (HEE.adultmh@nhs.net) by 13 April 2016

Family Intervention Training (link)

Following a formal procurement process, the national framework with 10 Family Intervention (FI) training providers is now live. This means trusts are now able to select their preferred training provider and arrange the FI training needed for their EIP teams. 

All trusts providing EIP services should now, as a matter of priority:

  1. Select your preferred FI training provider from the approved framework
  2. Contact the training provider of your choice to book staff onto a course
  3. Notify Henrietta.mbeah-bankas@nhs.net of the number of staff and their role who are accessing the training (please notify us as soon as your numbers are finalised to help us ensure we have procured enough training capacity)

Send your trust’s one backfill invoice to Jessica Brook (HEE.adultmh@nhs.net) by 13 April 2016

Comprehensive Assessment of At Risk Mental State (CAARMS) - Train the Trainer

NHS England North has procured a Train the Trainer Comprehensive Assessment of At Risk Mental State (‘CAARMs’) residential training course  taking place 9th-11th March 2016 at The University of Manchester.  All Mental Health Providers should now be aware of their number of allocated places.  To book contact Kate.Lawrence@gmw.nhs.uk or for queries contact Paul.French@gmw.nhs.uk. 

Workforce Calculators

Thank you for returning your completed workforce calculators.  The information provided will assist NHS England North to understand the north-wide workforce and resource gap towards achieving the EIP standard, and support discussions with Health Education England.  We will share some headline figures with you in due course.  A WebEx recording is available giving advice on completion of the workforce calculator here. 

EIP Tripartite Assessment – Update

Following scrutiny of the assurance outcomes of the EIP preparedness plans at the recent national tripartite meeting (NHS England, NHS TDA, and Monitor) and the first EIP data submission for Dec 2015, a high-risk list was compiled to those at most risk of delivery from April 2016. 

Half of these plans were within the north region and a further assurance update was requested for those high risk plans.  In addition good practice examples were also requested.  This was collated from local responses, signed off by regional tripartite and sent through to the central team to be included with the Secretary of State EIP briefing taking place on Monday 7 March. 

Regionally we have asked for weekly updates to any changes of assurance levels locally in readiness for the introduction of the EIP standard from April 2016.  

Clinical Lead WebExes

We have two dates confirmed now for WebExes, covering At Risk Mental State and Referral Criteria and a provisional date for a session on the Patient Tracker system.  Details are below.  If you would like to register to attend, please can you contact cathystuart@nhs.net

11 April – 1-2pm: At Risk Medical State.  Led by Dr Paul French, Regional EIP Clinical Lead for the North West

14 April – 1:30-2:30pm: Clarifying Referral Criteria.  Led by Dr Iain MacMillan, Regional EIP Clinical Lead for the Psychiatry

Date to be confirmed: Patient Tracker.  Led by Dr Guy Dodgson, Regional EIP Clinical Lead for Cumbria and the North East.  This session will go over a Patient Tracker system developed by Guy and his team, which can be used to help track the patient journey (more details below).

Dr Guy Dodgson has already recorded a session explaining how to use the Workforce Calculator – this can be found here http://bit.ly/1YpBN1l

Dr Paul French has published a series of Blogs, describing the experiences of his team in implementing the new waiting time standards for EIP and his views on the challenges this presents.  You can find copies here http://bit.ly/1QO3aOb

Informatics Contact and Support

A new monthly data collection has now begun via UNIFY.  The technical guidance to support the collection can be found here.    

For questions relating to this collection you can contact the UNIFY team at england.eip-data@nhs.net.

We are collating a contact list of informatics team members across the north to receive up to date information in regard to MHMDS submissions and data quality.  If you would like to be added to this contact list please confirm this to donna.macgill@nhs.net. 

For general help and support please contact england.north-analytics@nhs.net or Donna MacGill, Senior Analytical Manager (North) who is the analytical lead for mental health donna.macgill@nhs.net. 

Guidance, Tools and Support 

Guidance clarifying EIP and ARMS referral criteria - Dr Iain McMillan has developed this guidance for teams across the North.  A WebEx is planned for April (see above).  A discussion board has been established on our EIP forum page on this topic, so that teams can post further questions and to provide a space for further conversations to continue. 

Patient Tracking Lists (PTLs) have been used in the Cancer pathway to track patient’s journeys and ensure that appropriate and timely care is provided.  Developing PTLs for the Access and Waiting Time target for EIP should afford the same benefits. 

Northumberland Tyne and Wear NHS FT have lead on the development of a PTL in the NHS England North Region.  The idea was to create a tool that could be completed automatically from the electronic record, thereby ensuring that any issues of data quality could be corrected prospectively as clinicians monitor performance.  The PTL can also populate a dashboard to highlight live performance and flag patients where there is a danger of breaching.  The initial prototype was discussed with HSCIC to ensure that it would meet their data requirements. 

The PTL was designed by clinicians to ensure that it would help them meet the standard of two weeks from assessment to treatment.  It was also designed as an audit tool to flag where issues are occurring in the pathway that delays timely referrals.  Therefore the PTL has clinical utility as well as capturing performance. 

The PTL has now been built and a period of dual running the PTL manually and electronically is about to begin to ensure that the tool works as desired. 

The PTL is awaiting endorsement by HSCIC and will then be shared by NTW NHS FT via NHS England and include the SQLs that are required to populate the tool to make it easy for other providers to build into their electronic record.  Further sections on Treatment and Outcomes are being developed so the entire pathway of care for an individual can be tracked demonstrating NICE concordant care and a range of outcome measures. 

If you would like more information on the PTL please contact guy.dodgson@ntw.nhs.uk

Regional EIP Clinical Leads can support you to implement the new access and waiting time standard.  Contact details can be found below.