Early Intervention Service
The team identified their purpose as being to assess, treat and support service users experiencing first episode psychosis, to reduce the duration of untreated psychosis and improve quality of life.
The assessment process allowed a sense of ownership to develop within the team. The introduction of NHS England Access & Waiting Time standards guided some of the data collection. The team undertook detailed process mapping, staff and service user surveys and looked at key pattern data to inform their decision making.
At the diagnosis stage themes emerged around Access & Waiting Times, Clinical Interventions and Staff Wellbeing.
As part of the treatment stage (Plan / Do / Study / Act) the team have:
- Developed a clear process for allocating new assessments and engaging clients who enter through the Acute Care pathway.
- Clarified what is meant by key interventions, when it is appropriate (and by whom) to record the activity. The team made use of brochures for clients and posters as prompts to remind staff
- Arranged for a joint service improvement meeting with the South West Early Intervention team to look at development opportunities
- Moved to undertaking assessment in pairs to improve quality and speed of decision making
- Scheduled regular capacity for crisis work
- Focused on team working and team communication
The results of the work so far is that:
- The team consistently meets the national Access & Waiting time standard.
- Delivery of key interventions improved significantly - Family Intervention from 13 to 27%, CBT from 20 to 42% and Vocational Planning from 25 to 30%.
- Staff wellbeing as measured by survey / outcome measure improved.
Following a major service reconfiguration the Early Intervention Service is now a city wide team and continue to use the Microsystem Quality Improvement process.