slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Children and Young People’s IAPT New Partnerships briefing March 2012 Kathryn Pugh PowerPoint Presentation
Download Presentation
Children and Young People’s IAPT New Partnerships briefing March 2012 Kathryn Pugh

Loading in 2 Seconds...

play fullscreen
1 / 29

Children and Young People’s IAPT New Partnerships briefing March 2012 Kathryn Pugh - PowerPoint PPT Presentation


  • 124 Views
  • Uploaded on

Children and Young People’s IAPT New Partnerships briefing March 2012 Kathryn Pugh . IAPT Website: www.iapt.nhs.uk. Plan for Today . Context setting The Children and Young People’s IAPT Project The bidding process . Context: Policy. New Mental Health Strategy, 2011

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Children and Young People’s IAPT New Partnerships briefing March 2012 Kathryn Pugh' - kendis


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Children and Young People’s IAPT New Partnerships briefing

March 2012

Kathryn Pugh

IAPT Website: www.iapt.nhs.uk

plan for today
Plan for Today
  • Context setting
  • The Children and Young People’s IAPT Project
  • The bidding process
context policy
Context: Policy
  • New Mental Health Strategy, 2011
  • - Life course approach: Quality Driven
  • - Implementation Plan being prepared
  • NHS and Social Care Bill, 2011
  • - Outcomes frameworks, NHS, Social Care, Public Health
  • Commissioning developments
    • QIPP, CQUIN
    • CAMHS PbR
  • Data & IT, Choice
  • - Data to support quality and choice
new investment announced does not impact on your application
New investment announceddoes not impact on your application
  • Existing package through existing collaboratives
  • Increase in geographical reach of collaboratives
  • Introduction of new therapies – IPT and SFT
  • E packages
  • - universal staff
  • - counsellors
  • -Computerised CBT for CYP
context current services
Context: Current Services
  • Lack of systematic evidence of
    • what services deliver
    • and what is missing is major weakness
project assumptions
Project assumptions
  • CYP IAPT will learn from Adult IAPT but will be specific to the needs of children and families
  • The budget is still modest and will be available until the next Comprehensive Spending Review.
  • Participation in the CYP IAPT project will be offered to existing CAMHS - not necessarily exclusively provided by the NHS.
transforming camhs through iapt
Transforming CAMHS through IAPT
  • Working in partnership with children and young people
  • EmbedEBP by service development
  • Building on established local relationships
  • Training CAMHS staff in RCT validated techniques
  • Enhance supervision and monitoring of outcomes
  • Maximise the value of investment
  • Deliver quick and visible change
  • Optimise local flexibility
2011 2012
2011-2012
  • Year one
    • CBT for anxiety and depression & parenting training for conduct disorder
      • Training for supervisors
      • Training for therapists – Targeted/specialist (T2/3)
    • Training in the use of outcomes information
    • Training programme to support service managers
  • Excluded from year one
    • Training of staff at universal and early targeted levels
    • NICE recommended modalities other than CBT and parenting training
cyp iapt learning collaboratives
CYP IAPT Learning Collaboratives
  • Core group of providers delivering high quality training to a wide area
  • Working in collaboration to maximise chance of delivering service change
  • Local CAMHS partnerships to contribute to designing and delivering training
    • technical input
    • clinical supervision
    • involvement of service users
    • peer evaluation
    • oversight
    • skills exchange schemes
  • Encouraging HEIs to invest in a long term response to training
camhs iapt learning collaboratives

Partnership 1

NHS CAMHS

NHS CAMHS

NHS CAMHS

Commissioners

VS

VS

VS

CAMHS-IAPT Learning Collaboratives
  • HEI
  • Assure quality
  • Organise training
  • Deliver content
  • (in partnership)

Partnership 3

Partnership 2

Commissioners

Commissioners

building a lasting collaborative

Partnership 5

Partnership 6

Partnership 1

Partnership 4

NHS CAMHS

NHS CAMHS

NHS CAMHS

NHS CAMHS

NHS CAMHS

NHS CAMHS

Commissioners

Commissioners

Commissioners

Commissioners

VS

VS

VS

VS

VS

VS

Building a Lasting Collaborative

Mentorship

Peer Support

  • HEI
  • Assure quality
  • Organise training
  • Deliver content
  • (in partnership)

Peer Support

Mentorship

Partnership 3

Partnership 2

Commissioners

Commissioners

Mentorship

Peer Support

year one collaboratives
Year one collaboratives

Reading

UCL & KCL

Salford

•Ox and Bucks

•Wilts, Bath and NE Somerset

•Gloucs

•Swindon

•Bournemouth, Dorset and Poole

•Lambeth & Southwark

•Herts

•Sussex

•Westminster

•Haringey

•Cambridge

•Wandsworth

•Greenwich

•Derby

•Manchester and Salford

•Pennine North

•Pennine South

•Barnsley

what does our offer include
What does our offer include?
  • Training and ‘backfill’ for staff
    • Trainees
    • Supervisors
    • Managers/leaders
  • For partnerships: funding for service development, IT infrastructure, participation, accreditation
  • Creating change agents within CAMHS
  • Funding for a further year for data capture across the service
principle behind the core offer rigorous adherence to protocol
Principle Behind the Core Offer: Rigorous Adherence to Protocol
  • National curriculum to define teaching content
  • Well-defined competencies to evaluate individual trainees at selection and at the end of training
  • Strong front-ending of supervisor training
  • HEIs to ensurecompetence of practice and implementation
  • Unwaveringemphasis on outcomes monitoring and outcomes-informed practice
  • Learning from the evidence at individual therapist, speciality and service organisation levels
principle behind the core offer flexibility
Principle Behind the Core Offer: Flexibility
  • Allowing variation in structures for the construction of learning collaboratives that effectively meet IAPT priorities given local organisational constraints
  • Creating (modularised) training programme structures that optimally match skills needs
  • Encouraging collaboration between HEIs and partnerships and between partnerships to make optimal use of local knowledge and skills
  • Within Collaborative Clusters organisation of the funding for the programme (including backfill and infrastructure)
the funding formula each collaborative has a package based on
The funding formula - each collaborative has a package based on

Therapist to supervisor ratio 5:1

Staff & Fees

-Therapist backfill (per therapist) £30K

-Supervisor and leadership backfill £60K

-Therapist training £12K

-Supervisor training £ 5K

Infrastructure £100K

-Service manager/lead training £ 5K

-IT £40K

-Participation £10K

-Service development e.g. self referral £35K

-Accreditation of services £10K

changes to the formula since year one
Changes to the formula since year one

If you apply for a supervisor and have less than 5 trainees, formula is

Supervisor training + backfill for 4months+ funding to supervise the number of trainees applied for at £8K per trainee

Eg – partnership applies for 4 therapists, supervisor funding is

5K +20K plus (4x8K) = £57K

using the funding
Using the funding
  • Can be used flexibly – but we do ask how you plan touse the moneyto meet thecommitments you sign up to -
  • For example
    • Agreeing extra supervision or support from HEI
    • Setting up new systems e.g. telephone triage
criteria to evaluate bids partnerships
Criteria to Evaluate Bids: Partnerships
  • Vision for enhancing service by embedding EBP therapy and commitment to training
  • Markers of stability (e.g. funding TMHS)
  • Vision and commitment to outcomes monitoring
  • Vision to improve access to therapy including self referral
  • Ensuring access and waiting times are sustained
  • Matching community aspirations
  • Existing ratio of need to current resources
routine outcome monitoring
Routine Outcome Monitoring
  • Full details and resources are on the web – www.iapt.nhs.uk
  • Measures at assessment, session by session and at review/end
  • Embedding outcome monitoring
    • in the therapeutic relationship
    • in supervision
    • Across all practitioners not just IAPT trainees
    • Data information sessions 19 March 2012
the cyp iapt implementation feedback process
The CYP-IAPT Implementation Feedback Process

Develop a Collaborative Partnership

Adapt for Contexts & Culture

Train Professionals

Evaluate Effectiveness

Evaluate Fidelity – Certification and Accreditation – video observation

Make Sustainable – Supervision and recertification

quality assurance and evaluation
Quality Assurance and Evaluation
  • Accreditation in development
  • Sites and Collaboratives to be evaluated using outcomes monitoring and CYP evaluations
  • We are intent on evaluation of the process as a whole
timeline for 2012 phase one

Advertise for phase one sites

Completed applications to be submitted

Select sites

Supervisors and Service managers begin training

Therapists begin training

End of July

Feb 2012

End of July

End of July

June 2012

End of July

November 2012

End of July

January 2013

April 23rd 2012

Timeline for 2012-Phase One
the application process
The Application Process
  • Application process – our interest is in commitment to transformation : sign up to the fixed aspects of the project and understanding how you will approach areas where method of delivery is not determined
  • Evaluation methodology and weighting is in the Offer
  • The size of the bids are not predetermined
  • Funding will flow via PCTs/CCGs
documents you will need to consider
Documents you will need to consider
  • National Curriculum - understand the nature of the training for your teams
  • Core offer
    • Sets out in detail our offer to you
    • Sets out the calculations sitting behind the funding package
    • Sets out what we are looking for in competitive bids
documents continued
Documents continued
  • Joining and existing collaborative Application Form
  • Requires senior level sign off
    • Word applications for all qualitative information
    • Excel workbook
      • One worksheet for each HEI/Training Provider
      • One worksheet for each local partnership
      • Financial macros calculate the funding package
lessons learned from year one
Lessons learned from year one
  • Make sure you fully understand the paperwork and what you are agreeing to do
  • Start having discussions now about Information Governance eg filming cases, data flowing to the centre
  • Sort out local governance – money will come to the PCT, how will it get to suppliers?
  • Discuss with clinical teams the routine outcome monitoring - don’t assume you will ‘make’ everyone do it
after 23 rd april
After 23rd April
  • Bids are sent to SHA leads for comment – each SHA has been asked to nominate a lead/link for the project
  • Short listing by collaboratives and members of the Service Development Group who are not bidding
  • Interview appointments sent out for interviews
  • Interviews in June
you are applying for
You are applying for
  • Existing CBT, parenting and Service development package
  • You will have the opportunity to train in the new therapies when we know how they will be delivered
  • www.iapt.nhs.uk
  • Kathryn.pugh@dh.gsi.gov.uk