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 ‘NHS’

Accessing services from Aire Court in South Leeds? tell us about it……..

SSE convo poster

 

Can’t make it to the event?

You are welcome to share your comments here or by email to donna.kemp@nhs.net

Information for people accessing services and carers about CPA


cpa-logo

Care Programme Approach (CPA) is the term used to describe the way that a person’s care, support and treatment is arranged when they have a range of needs.  This is done through assessment, coordination, care planning and review.  Some people will have straightforward needs; their care, support and treatment are described as ‘Standard Care Plan’.  You can read our policy: The Trust Wide Care Programme Approach Policy (including arrangements for Standard Care Plan) here.

Information for people accessing services and carers about CPA

1735_DSC_0245_scrabble_recoveryThe single most important thing about CPA is that you should be at the centre; it’s about you; it’s about what you want to do with your life; about what you want to achieve and how you want to achieve it. This may involve support, care and treatment from others – people that support you, carers, your friends, family, it may also include mental health services, health services, social care, and other organisations near where you live. Some people also get support from others going through similar difficulties – this is often called ‘Peer Support’. You can access peer support in a number of ways, for example, Mind, local groups or online support.

 

There are four stages to CPA:-

1. Assessment
You will be asked questions about aspects of your life and past, for example: personal; health; social;  about your safety (this is sometimes called risk); about what you enjoy doing; about what you do to help manage; about anyone else all ready involved in your care and support, including any carer. Carers can have their own assessment.

 2. Care Coordination

A care coordinator will be named to work closely with you and your carer to arrange care and support and to work with you to agree goals.
3. Care Plan
This describes your health and social care goals.  The care plan says which services will help with recovery and wellbeing; and what you do to help too.

The care plan is about you. It is developed with you and includes your goals; what support is being offered; who is giving the support and when the support will be reviewed.  The carer will be included too if you want this.

You may write the care plan yourself, or write it with your co-ordinator, either way, you should have a copy of your care plan.

4. Review
These are sometimes called CPA meetings; they happen at least every 12 months but can be more often. This is where the care plan is reviewed.  This is done by discussing with you, your carer (with agreement) and any others involved in your care plan about what is working well and what may need to be changed to support your recovery and wellbeing. The review is usually held in a way that you prefer – for example, some people prefer more of a relaxed discussion with their co-ordinator, others prefer a full meeting with everyone involved present.

Have you recently had a review? If so, let us know how this was for you by completing a brief survey (12 questions) – click here for more information and the survey. Results tell us what we are doing well and where we need to improve.


Standard Care Plan

If you have straightforward needs and are seen by one mental health worker then your care, support and treatment is described as ‘Standard Care Plan’.

You can expect:

  • A lead professional identified – this will be the person that you see
  • A letter – this is the care plan
  • Review – this is a chance to talk about how things are going and any further care plan agreed.

More written information

Click here for an information leaflet about CPA

Click here to read an information booklet on CPA – for people in Leeds

Click here to read an information booklet on CPA – for people in York and North York

These booklets are also available in Urdu, Farsi, Czech and Polish – contact donna.kemp@nhs.net for these.

Want to get involved and keep up to date about what’s going on?

blog title jpegThe LYPFT Planning Care Network is a digital space for people who access services, carers/supporters, staff and partner agencies to share their ideas and experiences around care coordination and care planning.  Click here to visit the network; you are most welcome to post comments and to share your views and experience. If you want to write your own blog post, then contact donna.kemp@nhs.net to discuss.

SUN logoYou can also join the Service User Network – they meet monthly in a range of venues across Leeds; click here for more information.

 

If you require any further information regarding CPA or Standard Care Plan then please contact donna.kemp@nhs.net

LYPFT Trust Wide Care Programme Approach Policy

The Trust Wide Care Programme Approach Policy (including arrangements for Standard Care Plan) has now been published at Leeds and York Partnership NHS Foundation Trust following a review of the outgoing CPA Policy; it identifies best practice as outlined by the Department of Health, Nice Guidance and the various frameworks supporting practice. There was consultation across Leeds and York – clinical groups, service user and carer groups, social care and partner agencies.

Of note, the following are included within the policy:

  • The term ‘Standard Care Plan’ will be used to describe the arrangements for people not on CPA (this replaces the term ‘care plan’)
  • Involving people in developing their Care Plan and writing the care plan in a way to reflect this
  • The person (and their carer if agreed) should be provided with a copy of their Care Plan
  • Agreeing with the individual the best way to arrange their ‘Review’ – CPA or Standard Care Plan
  • Guidelines for Section 117 Aftercare including template for discharge or transfer – these have been agreed across the local authorities in Leeds, York and North Yorkshire

You can find a copy of The Trust Wide Care Programme Approach Policy (including arrangements for Standard Care Plan)  here.

The policy will be reviewed again in 2016, work on that will start in the next 9 -12 months. In the meantime, please feel free to leave your comments or feedback, they will be considered in the review. Nearer the time, I will be asking for people to express interest in getting involved with the review……..

Donna Kemp | CPA Development Manager | donna.kemp@nhs.net

 

 

 

Choice & how people want to be treated: key messages from SUN

SUN logo

At the March Service User Network (SUN) meeting there was a discussion carried forward from the previous meeting. The SUN members wanted to explore areas that they would like choice in. The following two questions were addressed at tabletop discussions, and the responses are condensed:

1. What would you like choice in?

  • Which service I am involved with
  • Choice of worker and who I work with – gender, CPN/Support worker/care coordinator, access to different professions, seeing the same worker
  • Appointments – flexibility in where we meet
  • Involvement in planning care – reviews: how often, who attends, what is discussed; involved in agreeing care plans;
  • Medication – the different options, including not taking any medication, easy access to a second opinion
  • Treatment and therapy options – CBT, DBT, TC; what we do not want and what we do want, including ECT; access to complementary therapies; mindfulness
  • Access to peer support – including courses (Mind), easy access
  • Personal independence budgets
  • Where I live and the things I do – like cooking, what I eat, and watching sport
  • To have the right to make my own choices

2. How would you like to be treated as an individual within Mental Health and Learning Disability services?

  • Treated as a person, not an illness
  • As an equal – regardless of my characteristics
  • Non-judgementally – with respect, compassion and understanding
  • As an intelligent person – just because I have a mental health problem doesn’t mean I’m stupid – people can talk down to you!
  • As an expert in my own issues and life
  • As a customer – eye contact, honesty, humane, respect my sense of urgency in crisis
  • To be talked to, listened to and liked – to be seen as worth getting to know and be with
  • That my feedback is accepted – that what I say has value

These points will be discussed at the April SUN meeting and next steps in moving this forward decided. How would you like to see this – as a charter? a ‘best practice’ support? All ideas welcomed!

What is your view from a mental health professional, carer or partner agency  perpective? Feel free to comment…..

Please leave a comment if you have anything to add to these suggestions…….

The next SUN meeting is on Wednesday 2nd April at St Chad’s Community Hall in Headingley; the guest speaker will be Dr Jim Isherwood, LYPFT’s Medical Director – click here to see the flyer. All are welcome to attend, but if you can’t get there, please feel free to post any comments or questions you may have for him here or email donna.kemp@nhs.net

Carers Resource Folder – feedback request

Hi, my name is Steve Taylor and I manage of the carers team in Leeds at Leeds and York Partnership NHS Foundation Trust.

I am in the process of developing a ‘Carers Resource Folder’ and am keen to get your views and feedback on it.

The folder comprises of a series of fact Sheets that carers can pick up as they go through their own  ‘journey’ of mental health services.carers resource pack

There will be a core number of sheet (information that is relevant) to all Mental Health carers and others that are service specific.

By introducing the information as a series of ‘fact sheets’ means that it keeps cost low and information would be able to be updated easier.

Click here to view the Resource Pack 

All ‘fact sheets would be available to download or view from LYPFT external website.

Please consider:

  • The overall presentation
  • The wording – is it understandable? is it in plain English?
  • The layout
  • The content – is it enough information, too much?

Can you please post your comments here or feel free to email them to me stephen.taylor3@nhs.net  by 14th April 2014

Many thanks

Steve

 

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

Exit comfort zone stage left…….

That is how it felt when the plan for CPA – making a difference  got the green light and was signed off. CPA - making a differenceThe plan focuses on listening. Listening to what people say about Planning Care – from people’s personal experience of accessing care, support and treatment across LYPFT services  to hearing how people would like services designed and delivered. Listening to what staff say about what they need to provide the best care, support and treatment and listening to what our partner agencies, statutory and third sector, say about what its like being alongside LYPFT.

Listening is a key element of communication, the listening part is key to understanding different viewpoints and identifying people’s priorities; and it is around here that I start to leave my comfort zone. The tension emerges when there are differences between what people want – from differences between individuals to differences between different groups or ‘stakeholders’.  Difference is good, it would be rather dull if everyone wanted the same thing but how to reach consensus fairly? The end result will be some folk are delighted, some are dismayed. My challenge is to remain neutral enough to ensure that people can freely express their views but to provide enough information for people to consider their views upon.  At times there can be different priorities between people who access our services, the professionals delivering the service and the organisation itself; final decisions are often made at quite a distance from where the original discussions took place, it takes courage to shout up for other people’s views and it requires committment and believe  to progress what can initially appear as disparate agendas (though they often are not).

So why am I sharing this? Well, hearing people’s views and making shared decisions is what we all do.  Discussions with staff across the organisation be it face to face, via email or social media constantly reminds me that we are all working in a similar way. I wanted to acknowledge this and share a bit about how this shift has changed the way I work and some of the challenges this has brought along the way.

If you are still reading, then you will be aware that I didn’t manage to squeeze in competence and compassion – oh look, I have now! So what’s all this about? 6CsWell, it’s about building Compassion in Practice;  you can read more about this, along with examples of how this is working locally here,  you can also read here about how Towngate House Rehabilitation and Recovery Team are building a culture of compassion.  So how are you building compassion in  your practice?  If  you access services or are a carer, how do you experience compassion in care – is this something that can be felt/experienced? How does it make a difference?

So whats the link between The 6Cs, Planning Care and exiting comfort zone stage left? Well if we apply the culture of compassionate care to the way that we work with people in planning care then the benefits to people who access our services and their carers should be evident. I came across The 6C’s on Twitter. Yes Twitter. Something very new to me and a steep learning curve in many respects. I had not underestimated the value of twitter in relation to connecting with people professionally, with the public and people in other organisations, fact is I had not estimated it at all. But that’s a whole other subject…….

Thanks for reading – Donna Kemp

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The Mental Nurse

The inane ramblings of a mental health nursing student in the UK.

Academic Irregularities

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Sharing all things mental health nursing, service user and carer involvement, care planning, Care Programme Approach, recovery and wellbeing

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The evolving tale of my PhD as it happens

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My continuing journey as a Patient Leader

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Working together to reclaim mental health nursing

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A blog for carers of mental health

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