A digital place for people who access services, carers, staff and partner agencies, to share ideas around care co-ordination & care planning in mental health

I was asked by @WeMHnurses to get involved in hosting a Twitter Chat about Care Programme Approach (CPA). I agreed (with a fair bit of persuasion as I am quite new to Twitter) and the chat took place on March 10th.  You can read the Tweets here ; and view the background information here.


One of the great things about getting involved in discussions on Twitter is the broad range of perspectives that are brought together from across the country in one place, in real-time.  It’s great for provoking thought and an appreciation of views that might be contrary or complementary to your own.  Though a social media platform, Twitter is far more than social, it is a place to ‘meet’ other professionals and experts by experience; often those that you would not usually encounter in your day-to-day working life. Mark Brown talks about ‘Public Professionals’ a unique perspective of how health care professionals connect with the wider community, definitely worth a read (here)  if you ever wondered about the value of participating in social media.

Back to the national perspective contributed at the Twitter Chat; here are some of the key points that came up (and some of my thoughts in italics):


  • CPA is an odd name, not very descriptive of what it is. Some folk refer to it as ‘the CPA’ but not clear on what this is referring to – the assessment, the care plan or the review? Perhaps this reflects a lack of understanding or perhaps a culture within the clinical area – does this matter or is it a pedantic point of a CPA geek (me)?
  • Documentation – completion of it seems to be a task ‘ paperwork to be filled in’ rather than a collaboration;  can be a useful tool when used properly.  Need to consider the individual’s experience of how we approach CPA – if we see it as form filling, then that is how it is likely to be perceived. What support do staff need in ‘reframing’ their view of CPA?
  • Variable take up across UK; an effective approach but only when it is implemented properly, difficult with the current fall in resources and increase in demand – all folk receiving ongoing care support or treatment should be either on CPA or ‘Standard Care Plan’
  • People need the right information about CPA; this information is not always available – I am assuming that some organisations are not providing written information for people accessing services, Department of Health did produce some literature, but it is quite a while ago. Is what we have in LYPFT ok?
  • CPA should be aligned closely to recovery/wellbeing/personalisation and not seen as separate; and owned by the person; carers and family should be included.  Fully agree, some very good examples of this in practice, if folk use recovery ‘principles’ in the way they work, then CPA is approached in the same way.

How does this fit with your experience of CPA across Leeds and York? It would be great to hear how CPA is being used in different teams.


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Dr. Sally Pezaro

Personal Academic Blog: This is the research blog of Dr. Sally Pezaro. Sally is an academic midwife working to secure excellence in maternity services. Specialist interests include psychological wellbeing in midwifery populations, the use of social media in research, teaching and professional regulation.



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