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Rightsteps, Bristol Improving Access to Psychological Therapies

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Rightsteps, Bristol Improving Access to Psychological Therapies

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    1. Rightsteps, Bristol Improving Access to Psychological Therapies Jude Carey, Primary Care Contracting Manager, NHS Bristol Phil Harrison, Service Manager, Turning Point

    2. Background CSIP �Trailblazers� programme Addressing inequity of access Wave 2 IAPT site Provider - Turning Point Steps 2 & 3 Phased implementation What are the challenges?

    3. Key players Continuity of staffing � commissioner & provider From tender, through implementation to contract management Early appointment of contract manager Contract management/wider MH commissioning

    4. Workforce Recruitment � allow appropriate time HI qualified/IAPT compliance TUPE issues � counsellors - existing services

    5. Data reporting IAPT data reporting is complex! Identify/train staff early Allow time for systems testing Prevalence data collection

    6. Engagement with stakeholders Communication Implementation Group Forging links with secondary care Service user involvement Networking with stat/non stat sector - managing expectations - collaborative working Representation at wider MH fora

    7. Relationship with GPs Managing tensions - Cessation of previous services - Views on CBT - Phased implementation Accommodation - consider alternative premises - cost GP and PCT accommodation - consider alternative delivery times

    8. Access Recruitment - pro-active promotion e.g. local radio - aspiring to reflect Bristol population Flexible approach to assessment Interpretation/Translation Cultural competence of staff Partnership working - future plans

    9. Our learning (1) Ensure organisational history tender contract management Allow sufficient set up time Good commissioner/provider interface Alleviate anxiety as early as possible Be clear about service parameters

    10. Our learning (2) Establish regular contact/communications - personal touch - co-authored communication - joint attendance at meetings Use local knowledge/experience Identify troubleshooter/service diplomat

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