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National Programme for Mental Health. WHAT IS CLINICAL GOVERNANCE? Clinical governance is a framework through which healthcare teams are accountable for the quality, safety and satisfaction of - PowerPoint PPT Presentation
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National Programme National Programme for Mental Health for Mental Health
National Programme National Programme for Mental Health for Mental Health
WHAT IS CLINICAL GOVERNANCE?Clinical governance is a framework through which healthcare teams are accountable for the quality, safety and satisfaction ofpatients in the care they deliver. It is built on the model of the chief executive officer/general manager or equivalent working inpartnership with the clinical director, director of nursing/midwifery and service/professional leads. A key characteristic of clincialgovernance is a culture and commitment to agreed service levels and quality of care to be provided.
National Mental Health Programme
Early InterventionEvidence
Based Practice
Interventional Partnerships
Positive Outcomes
Four Principles for New Service Development
Three ‘Strands’ of Care SMI / Psychoses
Complex MH ConditionsCommon MH Problems
The First Three Programmes
• Early Intervention in Psychosis
• Early Intervention in Eating Disorders
• The Management of Self Harm Presenting to Emergency Departments
“Specialist within Generalist” Teams
IMPROVEDOUTCOMESContinuous quality improvementInterventions and partnerships for enhanced social functioningMeasuring individual clinical and social functioning OutcomesMeasuring service user experienceMeasuring programme targets
EARLY DETECTIONRecognising that a problem existsEducation of Primary Care TeamsRapid access to an assessment
REFERRAL/RAPID ASSESSMENTLinking individuals to care providersReady access to screening with 72 hoursStreamlining the referral processImmediate take up of those at risk
TREATMENT and INTERVENTIONSPhase specific interventions includingCollaborative treatment planningFamily Psycho educationCognitive behavioural therapySupported employment/ education
MONITORING AND EVUALATIONEnsuring clinical programme success
Implementing standards and guidelinesNational Clinical and Academic networkIT infrastructure in placeService user and carer evaluations
↓
↓
EIP
Consultation Feedback
• Primary Care inclusion
• Recovery and Values Based Care
Key Factors for Better Services
• Community Mental Health Teams• Local leadership• National clinical and academic leadership• Broad based outcomes measurement
including service user satisfaction• IT• Role of Service User
Patient and Public Involvement in
Healthcare
• SUs - as patients - as consumers - as ‘survivors’ - as providers
Together (founded 1879)
• …people experiencing mental distress can direct their own journey towards improved mental health and to living independent, fulfilling lives.
How Service User Involvement Operates
• The interaction between service users and in self help
• The interaction between service users and mental health professionals working with them
• The management of local services• The planning of overall services
Values-Based Practice
… the theory and practice of effective healthcare decision-making where legitimately different (and sometimes conflicting) values are in play.
The Guiding Principles as a Framework of Values
The National Mental Health Programme
will….• Promote SU representation on CMHTs• Support the primacy of SUs as directors of
care plans• Develop a broad range of outcome measures
directed towards real world SU issues • Include satisfaction as a core outcome
measure• Promote the development of Values Based
services