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CAPA The Choice and Partnership Approach Summary of research and evaluation to 2010. Ann York and Steve Kingsbury rowe.york@btinternet.com steve.kingsbury@hertspartsft.nhs.uk www.camhsnetwork.co.uk. Overview. This slide set is an overview of the current audit and research into CAPA
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CAPA The Choice and Partnership ApproachSummary of research and evaluation to 2010 Ann York and Steve Kingsbury rowe.york@btinternet.com steve.kingsbury@hertspartsft.nhs.uk www.camhsnetwork.co.uk
Overview • This slide set is an overview of the current audit and research into CAPA • Full details are available on the website www.camhsnetwork.co.uk
Published data: all UK CAMHS 1 national (England) 2 UK New Ways of Working studies 1 redesign report (Richmond) 7 local and 1 national: CAPA book and website Type of Data Quantitative e.g waits: 15 User views: 10 Staff views: 12 Referrer views: 3 How many studies? National (3) • 1 UK 2007 • 1 England 2009 • 1 New Zealand 2010 Local (16) CAMHS • 2 NZ • 1 Australia • 13 UK Adult (1) • 1 NZ
National evaluation: England 2009Mental Health Foundation 97 teams implementing • Av 6 out of 11 Key Components, range 1- 10.5 • waits to a first appointment dropped from 7-108 weeks before to 5-12 weeks after CAPA (N=7) • Families satisfied • Reduced demands on the service • More formalised team working and better planning infrastructure • Greater transparency for staff and families
National evaluation: England 2009Mental Health Foundation • Few teams were implementing • Job plans (Key component 8) • Full booking systems (K c 5) • Handling demand ( K c 3) Recommendations: including • CAPA should be rolled out gradually, for teams to opt-in • A national support framework for CAPA should be established
National Survey, 2007 Steve Kingsbury & Ann York Online survey 40 teams out of 113 were using CAPA On average CAPA in place 8 months Waits: CAPA teams • Before CAPA: average 20 weeks • After CAPA: 73% had waits to Choice of 6 weeks or less Non- CAPA teams • Wait to first appointment on average 12 weeks. Only 33% had waits of 6 weeks or less CAPA compliance on items 2-11: CAPA teams 7.1 Non-CAPA: 2.5
Local studies • 13 UK • Sheffield • Somerset • Lincs • Wakefield • Bristol • Exeter • Gloucs • Stockton • Stockport • Rochdale • Glasgow • East Herts • Richmond • 2 NZ CAMHS • 1 Australia • 1 NZ GAMHS
User views • 2 NZ • 8 UK Mix of direct interviews and questionnaires Overwhelming majority extremely positive Families said they were • Seen quickly • Felt listened to and • Got new ideas
Staff views Data • 9 UK • 1 NZ Results • Increased job satisfaction • Increased morale • Anxiety about change • Improved team working • More focussed • Love team discussion • Increased learning
Quantitative impacts 8 UK 1 NZ Waits • Pre CAPA: range from 5 - 9 months • Post CAPA: range from 1 - 6 weeks Transfer to Partnership • range 66 - 90% Waits to Partnership • 4 weeks (some teams developed longer waits due to not implementing full booking) DNAs: • 5- 10 %
Adult Mental Health 1 NZ (4 GAMHS) Waits Pre CAPA: 35 days Post CAPA: 20 day DNAs Pre CAPA: 3% Post CAPA: 2.8% Activity 12% increase in referrals 11% increase number offered appt 11% increase in patients seen