1. Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance Efficient and Effective Community Mental Health Services Toolkit Workshop A

2. Aim of the Workshop The aim of the workshop is to present the Efficient and Effective Community Mental Health Services Toolkit and to provide you with an opportunity to discuss and consider how the toolkit will work for you and for your service.

3. Workshop Objectives To present an overview of the content of the toolkit and provide examples from each section To describe why it was developed and how services can work with the toolkit To briefly describe the tools and how they can be accessed and used To provide an opportunity for reflection and discussion on key points

4. The Toolkit Contents Section One - Background and Introduction  Background  Introduction to the toolkit Section Two - Effective Practice  Reliable implementation of evidence based care  Effective team working Section Three - Understanding and Managing your Capacity  Introduction to capacity  Optimising capacity – reducing DNA and CNA  Optimising capacity – skill mix  Optimising capacity – effective meetings  Optimising capacity – removing non-value adding work  Optimising capacity – reducing sickness rates Section Four - Understanding and Managing your Demand  Introduction to demand  Managing demand – set clear eligibility criteria  Managing demand – goal setting, case review and caseload management Section Five – Undertaking a full DCAQ Analysis This section is still in development phase and as not yet been issued Section Six – Tools

5. The Toolkit Content Section 1 – Background and Introduction Section 2 – Effective Practice Section 3 – Understanding and Managing your Capacity Section 4 – Understanding and Managing your Demand Section 5 – Undertaking and full DCAQ Analysis Section 6 - Tools

6. Section 1 – Background and Introduction to the Toolkit Quality and Efficiency Challenges –Mental Health Pathway Efficiency and Productivity Report Why has the Toolkit been Developed –Range of resources already available –To provide support and guidance –Supports achievement of the three quality ambitions outlined within the NHS Quality Strategy –Supports services to deliver the ambitions outlined within the Mental Health Strategy

7. How to Work with the Toolkit Structure –Modular format –Why it is important –Understanding your current state –Ideas for improvement –Within each main section there are subsections

8. How to Work with the Toolkit Support –Analytical support –Skilled facilitation and management of change –Basic background knowledge of how to use and present data –How to process map –Test change using PDSA cycles Where to start –Anywhere although effective practice may be where you may want to focus initially

9. Section 2 – Effective Practice Reliable Implementation of Evidence Based Care Effective Team Working

10. Effective team working

11. Examples of Ideas for Improving the Effectiveness of your Team Clarify purpose and function Provide good leadership Actively manage team composition and processes Promote inter-team working Ensure reflection and adaptation Hold effective meetings

12. Section 3 - Understanding and Managing your Capacity Introduction to What, Why and How to measure capacity and activity Section on using Job Plans to measure capacity and also how to measure capacity without job plans Understanding how time is actually spent – Activity Includes tools to support analysis Ideas for making better use of your capacity

13. Optimising Capacity Reducing DNA’s and CNA’s Skill Mix Effective Meetings Removing Non-value adding work including duplication of work Reducing Sickness Rates

14. Reducing DNA’s and CNA’s

15. Optimising your Skill Mix

16. Section 4 – Understanding and Managing your Demand Introduction to What, Why and How to measure Demand Table outlining the data you require to analyse your demand Ideas for influencing your demand

17. Managing Demand Set clear eligibility criteria Goal setting, case review and caseload management

18. Section 6 –Tools Generic Improvement Tools Mental Health Specific Tools

19. Contents

20. Table Discussion Considering what you have just heard and by referencing the toolkit on each table can you discuss the following points; What are your initial thoughts about content and format? How might you introduce and test the toolkit with your teams/services? What support do you think you might need to test the toolkit in practice? –Locally –Nationally How might we measure the effectiveness of the toolkit?