The Mental Health Collaborative Programme News/Resources Page

News/Resources

"Applying Quality Improvement Science to Performance Challenges"

Latest News

April 10

Dementia HEAT Target Update

Un-validated QOF data submissions show total of 35,272 now on GP registers. This is an increase of 3,685 in 11 months since April 09. In 2008/9 registers increased by 1,128. 13 out of 14 NHS Boards now reporting monthly.
Greater Glasgow and Clyde have now met the target, Lothian are significantly above trajectory and Lanarkshire now on trajectory. All other Boards still need to increase case-finding rates further to deliver target.

Readmissions HEAT Target Update

Readmissions data to Dec 08 (so tracks readmissions in 365 days to Dev 09) shows further improvement of reduction against baseline of 27% (25%, 24%, 19%, 18% previous quarters). This is against a target of 10%. All mainland Boards delivering target for last quarter except Tayside.

Antidepressant HEAT Target Update

Antidepressant HEAT data for quarter ending Dec 09 shows 1.44% increase (2.14%, 1.33%, 1.19%, 1.43% previous quarters).

Improvement Support Update

Launched new DCAQ guides for psychological therapy services which look at how to influence demand and extend capacity. Considerable interest from service in these guides. Working closely with NES and ISD around preparatory work for new access target for psychological therapies. Electronic pdf copies of these can be accessed from the links below:

www.scotland.gov.uk/PsychologicalTherapiesServicesIntroductoryGuides/ImprovingAccess

www.scotland.gov.uk/PsychologicalTherapiesServicesIntroductoryGuides/Capacity

www.scotland.gov.uk//PsychologicalTherapiesServicesIntroductoryGuides/Demand

www.scotland.gov.uk/PsychologicalTherapiesServicesIntroductoryGuides/ClinicalAdministration

www.scotland.gov.uk/PsychologicalTherapiesServicesIntroductoryGuides/GoalSettingsandCaseReview

Paper copies can be ordered from Rachna.Dheer@scotland.gsi.gov.uk

Now started running new improvement game twice a month; attendance in March included 4 GPs. Feedback very positive - i.e. " Has made me think about how I can make positive changes to my work and caseload" Consultant Psychiatrist; "I realised now the importance of looking at entire patient journey and not just individual steps" GP. "Very good positive learning experience" CPN . "Thoroughly enjoyed day, particularly helpful at time of redesign" Service Manager .
Jan 2010 - Mental Health Improvement Game

This is a fun way to learn how the design of processes impacts on the flow of work through a community mental health service. It will help you to see first hand how the design of your processes can result in queues and waiting lists. The game is designed to help clinicians and managers think through the application of demand, capacity and flow improvement theory to community mental health services. At the moment the game is only available through the National Mental Health Collaborative Team, though we will be supporting improvement staff within Boards to run it in the longer term. If you are interested in this game being delivered locally, please contact your local Mental Health Collaborative Programme Manager in the first instance. If you are uncertain who this is, please contact your Regional Manager (insert web link to contact details) and they will put you in contact.

Dec 2009 - Depression Network - Focus in prescribing event evaluation

The aim of this event was to bring interested parties together nationally to share experiences and learning around key issues relating to the prescribing aspects of this workstream. The agenda for the day included:

• Focus on Improvement Measures

• Focus on Formularies

• Focus on Audit

Feedback from those at the event was very positive and a more detailed write up will be available shortly on the MHC pages at No Delays Scotland together with slides from the presentations http://www.nodelaysscotland.scot.nhs.uk/ImprovementSupport/Pages/MentalHealthCollaborative.aspx.

Dec 2009 - Antidepressant Formularies

Information from all NHS Boards about their formularies for antidepressant prescribing is available at: http://www.nodelaysscotland.scot.nhs.uk/ImprovementSupport/Pages/MentalHealthCollaborative-Depression.aspx Please note that a number of Boards are currently in the process of reviewing these summaries.

Dec 2009 - Audit summary from Boards

Several Boards are undertaking audit work to better understand antidepressant prescribing in their areas. Information has been pulled together and is available at http://www.nodelaysscotland.scot.nhs.uk/ImprovementSupport/Pages/MentalHealthCollaborative-Depression.aspx

Dec 2009 - Releasing Time to Care Mental Health

The first cohort of Releasing Time to Care (RTC) Mental Health training was recently completed with NHS Borders, NHS Forth Valley, NHS Greater Glasgow and Clyde, NHS Lanarkshire, NHS Lothian and NHS Western Isles all taking part.

Initial feedback is very positive from staff regarding implementation of the programme & we aim to feedback in more detail through our quarterly newsletters. The second cohort of training is now taking place and the following Boards are taking part with the aim of rolling out RTC Mental Health in their areas: NHS Borders, NHS Forth Valley, NHS Greater Glasgow and Clyde, NHS Lanarkshire, NHS Lothian and NHS Western Isles, NHS Highland, NHS Tayside and NHS Dumfries and Galloway.

Oct 2009 - Summaries of current NHS Board activity for each of the Mental Health Collaboratives three workstreams have been produced. Copies can be accessed at http://www.nodelaysscotland.scot.nhs.uk/ImprovementSupport/Pages/MentalHealthCollaborative.aspx

October 2009, we had our 2nd national learning event this year "Working Together to Deliver Improvement" for all stakeholders involved in Mental Health Service Improvement. The aim of the day was to provide a forum for those involved in the work of the Mental Health Collaborative to share their progress locally in delivering improvements against the HEAT target areas. It gave them the opportunity to learn more about tools and techniques that can help services and teams to deliver improved outcomes and an improved experience of using their service. Give an idea about how the work of the Mental Health Collaborative can support Mental Health Services in delivering productivity and efficiency gains. It also provided a networking opportunity where individuals can identify those facing similar issues in other services across Scotland and make links to share learning on an ongoing basis. The feedback from our evaluations was very positive.
We are pleased to announce the roll out of two tools to help services better manage their demand and make the best use of current capacity. IST Mental Health DCAQ Tool and Wiseman Workload Management e -Tool. Both tools are complementary, though each tool can be used independently of the other. Testing of the IST MH DCAQ tool has highlighted that it may need to be customised to your local service set up. The Wiseman Workload Management Tool requires training before use. Therefore access to both tools is through the local MHC Programme Manager who will then liaise with the Regional MHC Teams to agree a plan for roll out. If you are uncertain who your MHC Programme Manager is, check our contacts page to obtain a Regional Managers name from your region.
September 2009 - Summary of key actions Boards are taking to deliver the Dementia HEAT target produced please email Rachna.Dheer@scotland.gsi.gov.uk for information.
August 2009 We organised our first national Service User and Carer event. This was the first such event to be hosted by the Improvement and Support Team and the event was positively evaluated by delegates, speakers, facilitators and the MHC team.
August 2009 we had our first Clinical Leads Networking event . The purpose of the day was to bring Clinical Leads together to share and discuss issues that they would find helpful in carrying out their role. The event was attended. The feedback from the day said that the majority of participants found the content of the sessions good. The decision was made to hold regular Clinical Leads' meetings to facilitate discussion and the sharing of knowledge from different pieces of work.
Aug 2009 - Newsletter produced - please email Rachna.Dheer@scotland.gsi.gov.uk for a copy or download it from the link below.
June 2009 - Improvement Measures have been agreed for Dementia and Readmissions. Following consultation, further work is taking place around Depression Improvement Measures. Improvement Measures are a limited number of measures that look at improvements that support the delivery of the HEAT targets. Boards will start reporting on these monthly from July 2009 through their local Collaborative structures.
May 2009 - Regional Learning Events took place across Scotland jointly with NES and NQIS. These events focused on delivering the dementia and depression HEAT targets, with a particular emphasis on how to engage primary care in this work. Copies of the presentations can be accessed on the Mental Health Collaborative Shared Space.
May 2009 - Boards returned their self-assessment against the Improvement and Performance Support Framework. This Framework helps to provide an early indication of those Boards who may be at risk of not delivering the relevant targets. For more information on this, please contact Rachna.Dheer@scotland.gsi.gov.uk

Events

Depression Network - Self Management & Self Help

Tuesday 25 May 2010, Pollock Halls. Edinburgh

This event has now taken place. Please visit www.shsceventsbookings.co.uk for a copy of the presentations.

Dementia Networking Event

Friday 24 June - Scottish Health Service Centre, Edinburgh

This event has now taken place. Please visit www.shsceventsbookings.co.uk for a copy of the presentations.

Mental Health Improvement Game

This is a fun way to learn how the design of processes impacts on the flow through a community mental health service and to help you to apply a number of concepts around demand, capacity and flow to mental health services.

This is a 'mental health' version of a game that has been successfully used for many years around A&E improvement work. We've worked with the original designer of the game to completely overhaul it for Mental Health. We held a test run of the new Mental Health version and it evaluated extremely well. If you are interested then please contact your local MHC Programme Managers in your Boards as these events are held locally within Boards.

Dates are still available. Please contact your local Mental Health Collaborative Programme Manager at your local Boards.

To book, please contact Rachna.Dheer@scotland.gsi.gov.uk