1. cCBT TEC

2. 2016: Scottish Government, cCBT TEC
PROGRESSION of cCBT IN SCOTLAND
2007: 2 territorial services
2014: EU, MasterMind Project
2016: Scottish Government, cCBT TEC

3. MASTERMIND IN SCOTLAND

4. WHAT MASTERMIND MEANT FOR SCOTLAND
Opportunity
Understanding
Experience

5. MASTERMIND IN SCOTLAND
GRAMPIAN
FIFE
LANARKSHIRE
SHETLAND
BOARDS
POPULATION
NHS Lanarkshire
652,580
NHS Fife
366,910
NHS Grampian
579,220
NHS Shetland
23,200
MasterMind Total
1,621,910
TAYSIDE
FORTH VALLEY

6. This was achieved in month 7 of 24
SUCCESS OF MASTERMIND
RECRUITMENT
NUMBER
TARGET
+/-
Patients
6,107
800
+ 5,307
Target of 800 patients commencing treatment was required by MasterMind.
This was achieved in month 7 of 24

7. ACROSS EUROPE

8. THE RIGHT SERVICE MODEL

9. Service model built around trust in technology and referrers
RIGHT SERVICE MODEL
Patients complete treatment in their homes or community locations such as Libraries
Co-ordinator arranges initial appointments across all locations and deals with initial patient issues
Central Coordination
of service from within psychology
Co-ordinator supports home and community users
All referrals come to one central point using same process
Run with minimal clinical input but support is there when needed
Referrers maintain clinical responsibility and respond to suicide alerts
Service model built around trust in technology and referrers

10. KEY ELEMENTS OF IMPLEMENTATION
Service costs are limited to software licence and administration
Service are fully integrated into stepped or matched care models
Multiple referral routes are created across a number of disciplines
Selection of the right workforce is vital
A strategic approach to marketing
High level support, commitment and effort in participating boards

11. IMPLEMENTATION APPROACH

12. NATIONALLY SUPPORTED IMPLEMENTATION
Existing services feed into national expertise and directly into implementing boards
Expertise and support offered to Health Boards includes policies, key documentation advice and guidance
Implementing Boards in MasterMind able to pass on knowledge and experience to other remaining Health Boards
4 Health Boards
Nationally supported implementation reduced set-up time from 2 years to 5 months

13. PHASED IMPLEMENTATION
1st Phase: service development, integration into psychology service model, service opens to psychology, early engagement GPs
2nd Phase: continued development, service opens to GPs
3rd Phase: implement marketing strategy
4th Phase: marketing strategy, service improvement
5th Phase: sustainability of service

14. DIFFERENT REGIONAL APPROACHES, SAME OUTCOMES
National Model of Implementation
Different Implementation Models
Service Localised and Embedded in Local Structures
Maintains Fundamentals of Original National Model
Same Outcome for Patients and Quality of Service

15. CLINICAL ENGAGEMENT

16. Marketing creates expectations that needed to be met
WHAT DO WE MEAN BY MARKETING
Marketing is simply structured, co-ordinated communication
Marketing was used to shape opinion and address negative perceptions
Marketing delivered consistent messages preventing confusion and creating clarity
Marketing strategies aimed to create 7 points of varying contact
Marketing creates expectations that needed to be met

17. It is also the most complex and subtle of tasks
GOOD COMMUNICATION AND MARKETING IS VITAL - WHY?
SUSTAINABILITY
REFERRALS
IMPACT
Single most important activity in the development of a sustained cCBT service.
It is also the most complex and subtle of tasks
Do it well and the service can have a genuine impact on patients, referrers and those services surrounding it

18. NEED FOR STRATEGY Co-ordinates activities and message
Define and understanding of objectives
Creates targets that define successful outcome
Identify assets, resources and man power
Focuses and targets approach
Develops understanding about what can and cannot be achieved

19. Services becomes more efficient and cost effective with increased use
WHEN IT WORKS
Use increases dramatically and continues to increase inline with marketing activity
Average cost per patient = £60
Services becomes more efficient and cost effective with increased use

20. PLAN EARLY FOR LONG TERM SUCCESS

21. PLAN EARLY IN THE PROCESS
SUSTAINABILITY PLANNING
MARKETING STRATEGY
Mid 2014
Early 2015
Mid 2015
Mid 2016
End 2016
2017
Services Running Milestones of Development Completed
Organisational Structures in Place
Referrals received and patients commencing treatment
Continued Service Development
Marketing of Service
MasterMind Targets Achieved
Service Improvement
MasterMind Commencers Target Achieved
MasterMind Project Ends
Continued Marketing of Service
Sustainability Planning

22. PROGRESS THROUGH cCBT TEC

23. PROGRESSION OF cCBT IN SCOTLAND
DUMFRIES & GALLOWAY
BORDERS
HIGHLAND
WESTERN ISLES
AYRSHIRE & ARRAN
LOTHIAN
ORKNEY
GLASGOW & CLYDE
GRAMPIAN
FIFE
LANARKSHIRE
SHETLAND
2007: 11% of national population
TAYSIDE
FORTH VALLEY
2015: 44% of national population, funded EU MasterMind Project
2018: 100% of national population, funded by TEC

24. REFERRAL NUMBERS
YEARS
TOTAL REFERRALS
2013
1,340
2014
1,370
2015
5,529
2016
7,050
2017
10,553
In 2016 – Shetland is the highest referring Boards per head of population showing the value of technology to overcome barriers of traditional therapy approaches
During the implementation programme cCBT received over 22,000 referrals, this estimated to raise to 30,000 by the end of the process in July
All service continue to grow with Forth Valley and Tayside recording increases in referral

25. THANK YOU