Information for people accessing services and carers about CPA

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

The 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?

The 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.

You 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

Community stuff happening across Leeds & York

So here are a few events that are going off in the next few weeks or so:

Deaf Awareness 23rd April – York

A new initiative to encourage more staff and volunteers to take up  Deaf Awareness is now available in Yorkshire.

Signs4Life have set up an introductory workshop in Deaf Awareness tohelp staff to communicate and engage with their deaf & hard of hearing colleagues, service users, students, patients and clients in York.

The Deaf Awareness event will be taking place Wednesday 23 April 2014 at York CVS, 15 Priory Street, York (YO1 6ET) from 2pm – 4pm.

This local initiative is to help identify barriers that deaf people face and explore their culture and community but also to encourage inclusion of all people with sensory, physical or learning disabilities in York. Attendance is strictly by booking only (limited places).

For further information please contact Sara on  info@signs4life.org<mailto:info@signs4life.org

Employment Peer Support Workshop  6th and 16th May – Leeds

The Employment Peer Support service at WorkPlace Leeds is offering a new workshop (see flyer) and we’re looking for volunteers to share their stories of mental health and employment. As a volunteer you would attend a group workshop (12 people max.) where you would take part in a Q&A session and share some of your tips for maintaining your wellbeing at work. It will be a safe, supportive, peer led environment and we will pay your travel expenses. We’re running two sessions – one at Clarence House, 6pm – 8:30pm on 6^th May and the second one at De Lacey House, 10pm – 12:30pm on the 16^th May.

If you’re interested please fill in the form and email it back to emlyn.hagan@workplaceleeds.org.uk or call 0113 2302631 if you want a chat about the workshop or the mentoring.

Service User Network 7th May – Leeds

The Service User Network are meeting on Wednesday 7th May @ St Chad.s , Headingley, Leeds 12.45 – 3,00. Click here for more info.

 Love Arts York Festival  12-30th May – York

The first Love Arts York festival will run from Monday 12 May to Friday 30 May.  Steven Wrigley-Howe, one of our Trust’s Non-executive Directors, is directing the festival which is a collaboration between local organisations and individuals, with the aim of using the arts to get people talking about mental health and wellbeing.

For further information and details on how to get involved, please e-mail stevenwrigleyhowe@me.com or visit the Love Arts York Facebook page https://www.facebook.com/LoveArtsYork

 #mHealthHabitat Show and Tell 14th May – Leeds

Our #mHealthHabitat Show and Tell events are all about exploring the intersection between health, wellbeing and digital (for example, mobile apps and websites) as well as creativity. We bring people accessing services, clinicians, developers, designers and coders together to learn, share and build relationships for collaboration.

It’s all part of our mission to create a habitat in Leeds where mHealth can flourish. We want a city where people are active partners in keeping well and in managing their health when they are unwell and we believe digital is an important enabler in making this happen. You can find out more at www.mhealthleeds.co.uk or follow us on Twitter @mHealthLeeds.

We have three speakers who will share how they are using digital in different ways to both manage their health, the health of the people they care for, and to transform health services. We’ll also have an ‘open mic’ slot for you to Show and Tell digital innovations you are developing, ask for help or share a bright idea – don’t be shy – we’d love to hear what you’re up to and how we might be able to support each other.

If you are interested in speaking at a future event, we’d love to hear from you victoria.betton@nhs.net

Service User/Carer involvement in Trust recruitment in York

Have you had experience of inpatient services  or do you know of service users/carers in York, in particular people who have had experience of inpatient services at Bootham Park Hospital, who may be willing to be involved in recruitment for our Trust? If you, or anyone you know might be interested, please could you  e-mail communications.lypft@nhs.net  to register your interest or please provide their contact details to the same e-mail address.

Participants would need to attend a short workshop session on recruitment as part of their involvement.

 

Feel free to drop me an email donna.kemp@nhs.net or tweet @donnajkemp to share what you have up and coming across leeds and York for folk to get involved in – event, inititive, project, intersting stuff!

And, if you do get involved in any of the above – be great to hear how it went on here, its good to share 🙂

 

Using data to improve care – a participation event

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LYPFT Planning Care Network – our first event of 2014!

You are invited to join us in a participation event that brings together service users, carers, health and social care practitioners alongside developers, designers and coders to explore using data to improve care.

Click here for full details of the event and the issues we are hoping to explore.

The event will take place on Friday 11 April 2014 between 10.00 – 16.00.

Time: 10am until 4pm
Location: Arthington House (part of Leeds Federated Housing),
30 Westfield Road, Leeds, LS3 1DE

We will provide lunch and refreshments during the course of the day.

To book your place and let us know if you have any specific requirements please contact Susan Portland by 31 March 2014: Email: s.portland@nhs.net or telephone: 0113 30 55972

Please note: for those eligible, reimbursement of travel expenses will be made on the day (receipt needed). If you have any questions or comments please contact donna.kemp@nhs.net

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. The 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? Well, 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

How the meetings went…….

Well it was good to meet with people who are interested in Planning Care.  There were 2 meetings held on Wednesday 20th November – York in the morning and Leeds in the afternoon.

The idea of the meetings was to gather informally to present the concept of the Planning Care Network, to talk about how it might work  and to explore any issues that arose.  The Network is for people to share their views and ideas about Planning Care; it is everyones Network.

LYPFT’s Planning Care standing support group (awaiting a name change) has an annual work plan to progress quality and engagement in Planning Care, covering CPA, Standard Care Plan, Self Directed Support  as well as local and national initiatives. The idea is that the Network feeds into the Planning Care standing support group, letting the group know about what’s important to people that use the service, carers, supporters, staff and partner agencies, and that the Network members contribute to solutions and get involved in work groups to progress agreed work. A summary of the Planning Care standing support groups minutes and the work plan will be posted on the Network;  a couple of representatives for the Network are requested to attend the meeting – held bi-monthly.

People that use the service, carers and supporters sharing their experiences and ideas is a positive way of getting an understanding of what is important. Sharing service or team experiences of Planning Care is welcomed; it may be what is working well, or what could work better.  Sharing examples of good practice is a way of helping other teams to make changes.

Some very interesting points were raised by the people at the meeting,  such as:

How do we reach the people that don’t use social media?

How about people who don’t use English as their first language?

What if people post comments that they later regret?

The questions prompted discussion in the groups; the Planning Care Network is one of a number of ways that we are trying to engage with people.  Ideas around producing a postcard to promote the Network were discussed; this could be a way of staff offering the people that they are working with the opportunity to participate in the Network; postcards could be made available in public places such as libraries, where people would have access to computers.  There are also plans to introduce computer access to service users in parts of the Trust. It would be great to hear more about this on the blog……….

It was suggested that help line numbers be available on the blog so that people can access them if needed; a link to the external website would address this as it has a number of useful numbers listed including the Single Point of Access number – I will add an About LYPFT page this week.  Any other suggestions or comments about this are welcomed – just blog.

Comments posted on the blog are published as you hit return; there is no filtering or censoring of the comments before they are published.  This will be reviewed over time but it was felt that people should not have to wait to see their contribution go live and that people should feel free to contribute their views.   If you make a comment that you later regret then you can either post another comment saying as much, or contact me and I can remove it for you as administrator (there may be other options but I am still learning about blogging!).  Feel free to comment on this, it would be great to hear your views.

For those of you that couldn’t make the meetings, this is the power point presentation Planning Care Network ppt.

That’s all for now; thank you for reading, please consider the questions and post your views.  Also, if you are interested in representing the Network at the Planning Care standing support group then please express your interest via email donna.kemp@nhs.net

Donna