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

Posts tagged ‘co-production’

Co-production of crisis plans – can you help?

We are setting up the group to improve crisis plans so that service users will be able to say “I am supported to develop a plan for how I wish to be treated if I experience a crisis in the future and there is an agreed strategy for how this will be carried out.”

We talked about this at the York Service User Network on the 25th June and agreed that we needed another meeting so that people could give their views.

I would like to invite you to a meeting on the morning of Thursday 16th July 2015 in York, if you would like to come along, then please contact j.whiley@nhs.net for further details.

If you can’t come to the meeting or prefer to offer your views by email, then please see below; you can leave your responses as comments on the blog or email j.whiley@nhs.net or donna.kemp@nhs.net 

Co-production of Crisis Plans Group

Questions for service users

Please help us understand how to involve you to improve the way that we work with people to co-produce crisis plans.

This work should be Coproduced and Accessible. Please can you help us by answering the questions below?

coproduced accessible

  1. How can we improve or change how we describe what Co-production means?
  1. Who should attend the group?
  1. How should decisions be made in the group?
  1. What else can we do to make the work of the group a Coproduction?
  1. How can we improve or change how we describe what “accessible” means?
  1. How can we make sure the group is accessible?
  1. Are there any rules or standards we should agree to make the group accessible?
  1. Do you have any other comments?

 

Co-production of crisis plans – involvment opportunity

Leeds and York Partnership Foundation Trust (LYPFT) Involvement Opportunity:

 Co-production of Crisis Plans

We are looking for people to be part of a group focusing on improving the quality of crisis plans.

crisis plans

Click for full flyer

The aim of the group is:

  1. To agree what ‘co-production’ means
  2. To agree what ‘accessible’ means
  3. Understand what the current crisis plans are like
  4. To agree what ‘good’ looks like
  5. Develop a plan for improvement

Expressions of interest to be part of the group are invited from:

  • People who are currently accessing LYPFT mental health or learning disability services and carers
  • People who have accessed LYPFT mental health or learning disability services in the last 2 years and carers

The group will be jointly led by service users and will meet monthly to start with.  The group will decide its terms of reference.

If you are interested and want to find out more, please come along to:

York Service User Network Event

Thursday 25th June 2015

The Library, Friends Meeting House, Friargate, York YO1 9RL

If you want to be involved but can’t make it to the meeting, contact:

Jeff Whiley, Locality Manager  j.whiley@nhs.net 07852538247 or 01904294687

or Donna Kemp CPA Development Manager donna.kemp@nhs.net 07985 259082

My Wellbeing and Recovery Plan

My Wellbeing and Recovery Plan

This is the new name for the CPA Care Plan as chosen by you (you can read more about Care Programme Approach here). It is due for launch on the 8th of June 2015 but what does this mean for people accessing services and for people working in mental health? Changing the name on the tin doesn’t mean the contents will taste any better, so here is an outline of what the new care plan is intended to bring (Ellie Apple is fictitious):

  • wellbeing report front pgA renewed focus on people’s wellbeing and recovery –  This is a shift away from focusing on ‘clinical recovery’; this is  about seeing people as individuals within their own life context. Supporting people to build satisfying, fulfilling and enjoyable lives  with  positive states of mind and body, feeling safe and able to cope, with a sense of connection with people, communities and the wider environment.
  •  Co-production – Service users, carer’s, supporters and care coordinators working together to develop the care plan. In days past, the care plan was a document that was written by the health care professional, filed in the persons notes and read by staff – the actual person it concerned often had no idea what was in it! The Wellbeing and Recovery Plan is intended to be developed with the person – even better if the person writes their own care plan.
  • wellbeing report pg2Working towards the persons goals – This sets a direction of travel with the destination defined by the person it concerns, not the service.  Getting to know a person is a good way to find out what the persons goals are; talking about goals and getting a clear understanding of them is a recovery tool in itself. The Wellbeing and Recovery Plan is a place to record the goals and the plan to work towards achieving them. People’s goals don’t stop when their time with mental health services ends, indeed, people will likely only be with mental health services when their needs are greatest. Linking in with local community based support networks –  family, supporters, voluntary organisations, volunteering, working, hobbies, interests etc can be vital to the person in reaching their goals and enjoying wellbeing and recovery.
  • People having a copy of their care plan – Having worked together to develop the goals, the care plan and the crisis plan, the person should receive a copy of their care plan. This seems straightforward but people have said that they don’t have a copy of their care plan, so what gets in the way of this? I have a few thoughts about this here but feel free to add your own views/comments…….. Care coordinators will now be required to record the date that they shared the care plan with the person – this may be face to face (ideal!) but might be posted out and I look forward to when care plans can be shared digitally……….

The changes are supported by the use of ‘plain English’; people are encouraged to write their own care plans; to say what’s important to them and to have open discussions about their care, support and treatment. Want to make a start at your own care plan? – you can find the template for it here.

As ever, your comments/views/opinions are welcomed……..

 

CPA – are we there yet?

I was asked by @@WeMHnurses to get involved in hosting a Twitter Chat about CPA. I agreed (with a fair bit of persuasion as I am quite new to Twitter).  You can read the blurb here or read on for a bit of background to inform the Twitter Chat; please do join in, it’s on Monday 10th March at 8pm.

Care Programme Approach (CPA) has been around since 1990 and is an umbrella term to describe the way that a person’s care, support and treatment are arranged in secondary/specialist mental health services through: 

  1. Assessment
  2. Coordination
  3. Care planning
  4. Review

Who should be ‘on CPA’?

Refocusing the Care Programme Approach – policy and positive practice guidance (DH 2008) sought to provide clearer guidance on the characteristics of those needing the support of the CPA framework (see p.13).

In addition, individuals within the following groups should be supported by CPA unless their assessment shows otherwise:

•  Individuals who have parenting responsibilities

•  Individuals who have significant caring responsibilities

•  Individuals with a dual diagnosis (substance use)

•  Individuals with a history of violence or self harm

•  Individuals who are in unsettled accommodation

Some people don’t need CPA but they should still have a care plan (can be a letter), a named lead professional and a review.

To summarise, the CPA framework in place; it considers those that do and those that don’t need CPA; it’s not new; it aligns with the way that different professions work (eg. nursing process); the value base is linked to the Ten Essential Shared Capabilities (2005).

So why, over 20 years later, do I wonder “are we there yet?”

The constantly changing mental health landscape necessitates us to reflect upon what we are doing and to ‘check’ that everything still fits. For example, the introduction of integrated care pathways (ICP’s) –  does this fit with a person centred, co-produced care plan? So the ‘are we there yet?’ question continues to arise but the reality is that the destination is not within our grasp, we get ‘rerouted’ when we think our destination is near. But this is ok; in our professional lives the constant is change. Here are some of the ‘reroutes’ to ponder in relation to planning care: 

•  CPA is linked in with performance reporting with Monitor and Mental Health Minimum Data Set informatics requirement and is included in the National Service User Survey ; results/reports from these tell us that there is a disconnect between the information that organisations hold and what people that access the services tell us about their experiences. How can these differences be explained? Do people who use services and carers/supporters know about CPA? Does it make any difference?

•  Personalisation and Recovery/Wellbeing are approaches that are prominent in mental health. How do these approaches work alongside CPA? Are we finding any conflicts and if so, how are we working through these?

•  How do we ensure that the person is at the centre of their care, support and treatment and that care plans are co-produced?

•  And of course, the question of austerity – how have the NHS cost savings impacted on how we provide CPA? How are mental health professionals maintaining quality?

Share your views/experience

There is a digital conversation guest hosted by @donnajkemp planned for Monday 10th March at 8pm on Twitter to discuss these points; do join us at #WeMHNs;  alternatively post your comments on here.

Click here for more info about the ‘Twitter Chat’ and for links on how to use Twitter

@WeMHnurses is part of the @WeNurses community and is curated by @mrsgracepoole and @NatalieMHN

Meeting

You are invited to attend a meeting on the 20th November to hear more about the Planning Care Network.

There are 2 venues:

Sycamore Suite at Bootham Park Hospital, York 10.00 – 12.00

Becklin Centre Training Room 3, Leeds 14.00 – 16.00

It would be great to see you there, but if you can’t attend that’s ok; just check back here to see whats going on.

Donna

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