South East Recovery Community Mental Health Team

Background

The South East Recovery Team work with people with severe or complex mental health needs, likely to require specialist input over the longer term.  We work as part of the wider South Community Mental Health Team, which provides a service for people with mental health problems who live in the south of Sheffield.

Assessment

During our weekly meetings we collated a range of data to enable us to assess our service.  By agreeing our purpose, meeting with service users, carrying out a staff questionnaire and away day, collating our patterns data and undertaking a high level process map from the perspective of the service user, we were able to identify areas where we felt improvements could be made.

Diagnosis

From our assessment data, we identified and prioritised five key areas (themes) that we felt were important to focus on.  These themes are individual to us.

Global Aims and several Specific Aims have been agreed, relating to the first three themes: 

Theme 1: Referrals: Global Aim: “We aim to improve the referral process for patients requiring specialist care from the South East Recovery Community Mental Health Team at Eastglade”

Theme 2: Staff Wellbeing: Global Aim: “We aim to improve the efficiency and outcome of the supervision processes within the South East Recovery CMHT at Eastglade”

Theme 3: CPA (Care Coordination): Global Aim: “We aim to improve the process for Care Coordination within the South East Recovery CMHT at Eastglade”

Treatment

Theme 1: Referrals

·         New referral criteria for referring services, resulting in more complete referrals enabling swifter appropriate allocation and more efficient experience for service users coming into the South East CMHT.

·         Reduction in the number of ‘insufficient referrals’ (those requiring further investigation/information)

·         Improved dialogue between SE Access and Recovery Teams, as well as the Home Treatment Team, about the roles of each service

 Theme 2: Staff Wellbeing

Staff agreed that as well as addressing clinical work and performance, supervision needed to be a safe place where practitioners could reflect and discuss development needs. 

The following changes were made by the team accordingly:

·         Development of new supervision form to support enhance compassion for individual staff—not purely performance focused

·         Expansion of supervision contract to reflect needs of individuals 

 Theme 3: Care Coordination

·          Enhanced consistency in approach to care/support for service users and content of initial Collaborative Care Plan (CCP) formal review through the creation of a ‘Care Coordinator Guidebook’

·         Improved clarity of staff requirements and standards

·         Increased number of people having initial CCP formal review within 6 weeks of referral acceptance

·         Increased service user & staff satisfaction

Service User Involvement

We believe it is important to involve service users in this work to work collaboratively with staff to identify and make changes, directly improving their experience of the service.

Two service user engagement events have been held in February 2016 and October 2017, following which two service user representatives joined our weekly Microsystem improvement meetings.  

Moving Forward

We have a core group of focussed staff who understand the Microsystem process and regularly attend the meetings, although we are working to improve attendance numbers further.  As a result of the organisational restructure the team has now expanded and been renamed as the 'South Recovery Community Mental Health Team'.  The current area of Microsystem work is focussing on enhancing recreational, occupational and vocational opportunities for service users. 

We have learnt that use of data to evidence that changes have brought improvements needs to be embedded.  We have just started to use this approach to address and try to influence inevitable directorate level change.

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