Essay guidance CP Portfolio Consider and critically analyse an interprofessional service improvement initiative within your final clinical placement area XXXXXXXXXXwords) Service improvement can be...

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Essay guidance CP Portfolio









Consider and critically analyse an interprofessional service improvement initiative within your final clinical placement area. (1500 words)







Service improvement can be a seemingly small change in practice that has a high impact on patient/service user experience.



Suggested structure


Outline a suggested change in your final clinical area that would result in an improvement in patient experience


Critically examine how a particular aspect of service improvement has or would improve the care of the patient


Consider the contribution of governance and risk management approaches to the improvement of the quality of the patient experience


Analyse the leadership approaches that will be needed to implement this change in the clinical area


Consider how you would work besides the interprofessional team to implement this change




You would be expected to utilise a robust evidence base to underpin the writing throughout.






CLP30 – CPA Policy Page 1 of 7 CPA POLICY POLICY REFERENCE NUMBER: CLP30 VERSION NUMBER: 1 REPLACES SEPT DOCUMENT CPA & Non-CPA Policy CLP 30 REPLACES NEP DOCUMENT CPA & Non-CPA Policy & Procedure CP10/CPA/08/16 KEY CHANGES FROM PREVIOUS VERSION The Care Programme Approach (CPA) Policy and Procedure has been harmonised and reviewed following the merger of SEPT and NEP to ensure it is fit-for-purpose for the new organisation. AUTHOR: Emma Strivens, Associate Director, Community Mental Health Services CONSULTATION GROUPS: AD’s, Service Managers and Community Teams Community Quality and Safety Group Members Workforce Development Policy Group (North) IMPLEMENTATION DATE: 1 July 2017 AMENDMENT DATE(S): Dec 18 (Author) LAST REVIEW DATE: N/A NEXT REVIEW DATE: May 2020 APPROVAL BY CLINICAL GOVERNANCE & QUALITY COMMITTEE: 26 May 2017 RATIFICATION BY QUALITY COMMITTEE: 15 June 2017 COPYRIGHT © Essex Partnership University NHS Foundation Trust 2018. All rights reserved. Not to be reproduced in whole or part without the permission of the copyright owner POLICY SUMMARY  This policy outlines the implementation of the Care Programme Approach (CPA) and Non-CPA for Essex Partnership University NHS Foundation Trust (EPUT). The policy must be applied together with other relevant legislation, and should be read in conjunction with the CPA Procedure which provides detailed reference for staff and advice regarding care under CPA and Non- CPA.  The CPA is a process which describes the approach used in secondary mental health services to assess patients, develop a personalised care plan, manage risk, review and coordinate care to address patient needs.  This policy applies to, and is mandatory for, all staff working within mental health services and learning disability provided by the Trust. It sets out the policy governing the operation/delivery of CPA & Non-CPA within the Trust. CLP30 – CPA Policy Page 2 of 7  The commitment of the Trust and responsibility of all staff in everything we do is not to discriminate on any grounds. In drawing up this policy aspects of discrimination have been considered so that particular groups are not disadvantaged. The Trust monitors the implementation of and compliance with this policy in the following ways: Performance Standards, KPI’s, Audit, Supervision, 1-1s and Trust wide CPA Steering Group. Services Applicable Comments Trustwide Essex MH&LD  CHS The Director responsible for monitoring and reviewing this policy is Executive Director of Corporate Governance & Strategy CLP30 – CPA Policy Page 3 of 7 ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST CPA POLICY CONTENTS 1.0 INTRODUCTION 2.0 SCOPE OF THE CARE PROGRAMME APPROACH 3.0 CPA PROCESS 4.0 TRAINING 5.0 POLICY REFERENCES / ASSOCIATED DOCUMENTATION 6.0 REFERENCE TO OTHER TRUST POLICIES/PROCEDURES APPENDICES Appendix 1 – Ten Essential Shared Capabilities CLP30 – CPA Policy Page 4 of 7 ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST CPA POLICY 1.0 INTRODUCTION 1.1 The Care Programme Approach was introduced by the Department of Health (DoH) in 1991 to provide a framework for effective mental health care to all patients and carers regardless of age, disability, race, ethnic origin, nationality, gender, gender reassignment, sexual orientation, marital status, religion, culture, belief, spirituality, pregnancy and maternity. 1.2 CPA is a framework for assessing, planning, implementing/delivering care, and then evaluating the effectiveness of that care/intervention. 1.3 The patient/carer is put at the centre of care planning and delivery. Comprehensive information is given to patients so they can make informed choices with regards to their care and treatment based on their diverse needs, strengths and preferences. 1.4 Values and principles of person-centred care include:  Focussing on the individual and recovery.  Assessing and planning the care for the person as a “whole”.  Promoting and supporting self-care.  Recognising the role and needs of carers.  Services based on fulfilling therapeutic relationships and partnerships between the people involved. 1.5 The CPA process promotes safety, positive risk taking, and recovery/living well through a whole life focused approach and draws specifically on the Ten Essential Shared Capabilities (ESC). 1.6 The term ‘Patient’ will be used throughout this CPA Policy. This refers to service users, clients, residents. 2.0 SCOPE OF THE CARE PROGRAMME APPROACH 2.1 Following the initial assessment, service users will be placed on either CPA or Non-CPA. The decision to provide care under CPA or Non-CPA is a clinical decision.  CPA: An individual deemed to have complex needs, a higher risk profile and/or requiring multi agency input should be placed on CPA.  Non-CPA: An individual with more straightforward needs, one agency input or no problems with access to other agencies/support and lower risks should be placed on Non- CPA. CLP30 – CPA Policy Page 5 of 7 2.2 CPA or Non-CPA is applicable to all individuals (adults, older adults and younger people) receiving secondary mental health services in whatever setting that care is delivered. Therefore, throughout this policy, reference to the CPA framework includes the two levels (CPA & Non-CPA). 2.3 The following key groups will automatically be considered to require the support of CPA. Those:  Who are admitted to a mental health hospital as an inpatient.  Who have parenting responsibilities.  Who have caring responsibilities.  Who are unsettled in their accommodation.  Who have a history of violence or self-harm.  Who have known history of suicide attempts/ideations.  Who have co-morbid drug and alcohol or physical health conditions.  Who have complex physical, psychological and social needs.  Who have learning disabilities.  Who are accepted for treatment (as opposed to just assessment) by the Home Treatment Team.  Who are under the care of the Early Intervention Team.  Who are supported under S117 of the Mental Health Act.  Who are subject to a Community Treatment Order (CTO) under the Mental Health Act.  Who are under a Guardianship Order under the Mental Health Act (Section 7).  Who are subject to safeguarding procedures. 3.0 CPA PROCESS 3.1 Referral Referrals are received from a range of sources including GP’s, local authority social services, the voluntary sector, probation services, police service, carers, family members, neighbours, other organisations, any other professionals (e.g. district nurse, pharmacist, etc.) and in some instances individuals user may self-refer. 3.2 Components of CPA The main components of the CPA framework are:  Assessing  Risk assessing and planning  Care planning (including crisis and contingency planning)  Reviewing  Co-ordinating care  Transitions CLP30 – CPA Policy Page 6 of 7 3.3 Assessment Those accepted for assessment will receive a comprehensive holistic assessment of their mental and physical health and social care needs (in line with the Care Act 2014) and this must always include an assessment of risk. 3.4 Risk Risk assessment is an essential and on-going part of the CPA process and there must be a specific assessment of the level of risk posed to self and/or others using the Trust’s approved risk assessment tool. 3.5 Care Plan A care plan is intended to provide a shared understanding of care being provided for each individual. It is a written record outlining who is doing what, when and where, how and why, and must be written using language and terminology that the patient and their family or carer (if appropriate) are able to understand. 3.6 Coordinating Care Care co-ordination is a clearly defined function which assures that the objectives and goals agreed with the individual are achieved through the effective delivery of care.  The term Care Co-ordinator is used for those working with individuals supported by the CPA Process.  The term Lead Professional is used for those working with individuals on Non-CPA. 3.7 Review Review is the way we find out if the care plan is working, look at the progress the patient has made and the ways in which their needs may have changed. On review, consideration must be given to whether or not care should continue to be delivered under CPA. 3.8 Transitions Individuals can experience any number of transitions during their contact with our service, such as discharge from services, transfer between services, or transfer of care to another provider. 3.9 Carers Carers play an important role in the support required in helping to contribute to a person’s recovery and wellbeing. Carers are entitled to a holistic assessment of their own needs in order to continue their caring role, even if the person they are caring for refuses support from the mental health service. CLP30 – CPA Policy Page 7 of 7 4.0 TRAINING 4.1 All staff who undertake the role of care co-ordinator will complete eLearning training every three years 5.0 POLICY REFERENCES / ASSOCIATED DOCUMENTATION  Department of Health 1991, Care Programme Approach  Department of Health 2008, Refocusing the Care Programme Approach  Department of Health 1994, Ten Essential Shared Capabilities  Mental Health Act 1983 (amended 2015)  Mental Capacity Act 2005  The Care Standards Handbook 2014 (Care Co-ordination Association) 

Answered Same DayApr 29, 2021

Answer To: Essay guidance CP Portfolio Consider and critically analyse an interprofessional service...

Malvika answered on May 02 2021
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Service Improvement – Mental Health Inpatients
Suggested Change in clinical area
Among all the health problem worldwide, the burden of mental health problems is by far the greatest accounting for about 13% mentioned Vigo (2016). People with mental disability lose many productive years of their life in illness and live for many disability-adjusted l
ife years which accumulates as the mental health burden on the country. Every government has to spend a certain percentage of their GDP on the care for mental health patients. The patients have certain kind of mental disorder are treated in many ways like on OPD and IPD basis. Some patients who are diagnosed early and with manageable problems like depression need medications and they get better with time. Other patients with serious mental issues need to be admitted in the hospital or other healthcare facilities. All the medical colleges have a psychiatric ward for the treatment of such patients. There are separate mental health facilities as well that are dedicated for these patients only.
All the healthcare professionals whether medical, nursing or paramedical take the necessary training to handle the mental disorder patients during their clinical placements. This placement helps the students to learn about these patients so that they are able to help the patients when they graduate. The healthcare facilities do their best to take care of these patients and help them get better. The patients are given the medication along with other required care to help them overcome their mental problems. Some patients are able to get better and and get back into the society while some patients are unable to improve. The care provided to these patients have many steps and aspects explained Mc Carthy (2018). During the clinical placement, it was observed that a small change or improvement in the service would really help the patient/service user experience. The change needed is the risk assessment and management policy should be practiced more vigorously.
Improvement in Patient Care
The mental health of the people is affected by three major factors i.e. the quality of life, economy and society. The European Region is facing the greatest public health challenges in the form of mental disorders. The government continuously makes efforts for the care, prevention and treatment of mental health disorders patients says World Health Organization (2017). There are plans made by the healthcare agencies to maintain, improve and restore the mental health of the population. The main mental health problems that are a major burden on the economy of many countries are depression, anxiety and schizophrenia. The economy loss occurs due to the loss of productivity, and care expenditure for the patients which includes infrastructure and care professionals. The treatment for mental disorders is effective and shows considerable reduction in the co-morbidities with the patients.
Though the government tries to provide care to every mental patient, a large percentage of people with mental health disorders do not receive the treatment. Sometimes, the patients fail to open up to the healthcare professionals or they do not have access to the care. Lund (2018) mentioned that there is an unmet need for quality in healthcare services provided to the mental health disorder patients. He also mentioned that this need can be achieved once the stakeholders do the necessary planning, evaluation and then check for targeted improvement. Once the quality improvement happened, the qualitative and quantitative quality indicators...
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