The North of England Crisis Project – Organisational Collaboration in Clinical

Standard Setting

Jim Sowter12th November 2014

Background

• Commissioned by North of England Strategic Clinical Network for Mental Health and N.D

• Priority in 2012/13 to improve crisis resolution services

• Change in Crisis landscape• Funding for 6 month Project • Project hosted by North of England Mental

Health Development Unit (NEMHDU)

Project Brief 1

• Work collaboratively with Providers across SCN region

• Improve Practice and Reduce Variation• Patch includes North Yorkshire, Co. Durham,

Teesside, Wearside, Tyneside, Northumberland, North Cumbria

• Providers = TEWV, NTW, CPFT. Mix of rural and urban. Mix of deprived and affluent.

Project Brief 2

• Develop Clinical Standards for Crisis Resolution

• Scope resources and activity in Crisis Resolution services across SCN patch

• Raise profile of CRHT, inform discussion and direction of travel

• Prepare ground for next steps and potential further phase of Project

Project Governance

• Steering Group – Chair, SCN Lead, Senior Crisis clinicians, NEMHDU

• Provider Locality Leads – Clinicians x3. Leadership of Project in each provider area, engagement of clinicians, service users, task completion

• Whole Project consultation group and work shops

Clinical Standards 1

• Approach = Combination of existing standards and guidelines with local clinical expertise

• Review of existing literature and guidelines, used to shape and underpin approach

• `Best practice` approach • Build practical and useful standards to assist in

service development, applicable over various models

• Draft Standards work shopped at Regional events

Clinical Standards 2

• 4 Super Classes• 1 = Entry to Service• 2 = Treatment Interventions• 3 = Discharge Standards• 4 = Partnerships and Joint Working

Clinical Standards 3

• Super classes divided to sub classes (13)• For example; Super class 1 = Entry to ServiceSub class 1.1 = EntrySub class 1.2 = Crisis AssessmentSub Class 1.3 = Care Planning

Clinical Standards 4

• Sub classes divided to Clinical Standards (51)• For example;Sub class 1.2 = Crisis AssessmentCS 1.2.1 = Initial Crisis AssessmentCS 1.2.2 = Risk AssessmentCS 1.2.3 = Medical ReviewEtc..........Underpinned by references, validated through

clinical work shops

Next Steps Plan

• Presentation of Project to SCN Mental Health Network Event - 5 year work plan

• Identification of `Next Steps` sponsor • Publish to SCN website in full• Local Audit against Clinical Standards• Regional Crisis Clinical Network

Conclusion

• Real opportunity to develop CRHT services in our region and beyond

• Document available at nemhdu.org.uk or from Jim Sowter

• Correspondence jim.sowter@ntw.nhs.uk• Thanks to all colleagues who have generously

given their expertise and time in support of the project