The Lambeth and Southwark partnership is a wave one CYP-IAPT implementation site. A number of factors have led to a steady increase in paired measure data over time.
Good practice points:
- Service transformation takes time and effort and involves a shared vision of transformation
- The transformation has been underpinned by good joint working between managers, supervisors and trainees.
- The task of service transformation was broken down into smaller manageable steps.
- Excellent communication has been a key component to facilitating transformational change.
Specifically: the longitudinal process has involved the following:
Careful and thoughtful consideration of how to position CYP-IAPT wave one group within teams
- Wave one manager, supervisors and trainees were embedded within CAMHS teams and this enabled good practice to be shared. The wave one group also met regularly to identify practical issues in routine outcome monitoring, data collection and feedback to families that arose.
- The wave one group worked closely with managers to be able to identify CBT and parenting cases to work with. The aim of this was to illustrate over time how CYP-IAPT could work and be extrapolated to all cases within the CAMHS team.
Teaching and training and support
- All CAMHS teams were required to attend clinical governance days run by the wave one group to learn about CYP-IAPT, ask questions and practice using the measures.
- National CYP-IAPT training day attendance was also encouraged.
- Guest speakers from CYP-IAPT were invited to talk about outcome measures.
- Data assistants were employed at the start and continue to work in the partnership. The data assistants and supervisors set up data spreadsheets and internal reporting facilities to be able to track outcome measures and input them ready for submission to Meganexus.
On going support – the role of the data assistant continues to be crucial and involves:
- Inducting all new clinical staff into the CYP-IAPT format and offer individual refresher sessions to clinicians.
- Sending out status reports on all cases at regular intervals to clinicians and team managers.
- Organising and reminding staff of monthly steering group meetings within each borough. All staff with questions about CYP-IAPT are encouraged to attend.
- The borough manager will send out regular prompts to collect outcome measures and feeds back quarterly data with data assistant and supervisor in local team settings and by e mail.
- Steering groups at national, trust and local levels help to maintain good communication between all levels of the system. CYP-IAPT is a standing agenda item on all CAMHS team business meetings.
Data input and quality control:
- The data assistant, supervisor and trust lead for the CYP-IAPT meet regularly to look at national data produced quarterly with the trust data manager to look at areas of improvement and this is feedback to the steering groups.
- The trust electronic patient record (EPJS) has been modified to enable outcome measures to be added directly to the record. EPJS will score the questionnaires, produce graphs and keep a record of outstanding areas to be completed by the clinician across the patient record including when a measure has not been completed. Data assistants currently input outcome measures into EPJS for all cases.
- To enable clinicians to input their measures onto EPJS.
- Tablets to be rolled out to clinicians so that they can complete outcome measures in session directly onto electronic system.