Mersey Care CQUINs in mental health

ContactMersey Care NHS Trust
Telephone0151 473 0303
Emailcommunications@merseycare.nhs.uk
Websitehttp://www.merseycare.nhs.uk/
AddressV7 Building, Kings Business Park, Prescot, Merseyside, L34 1PJ

Mersey Care CQUINs in mental healthMersey Care NHS Trust is working on a series of Commissioning for Quality and Innovations (CQUINs) in mental health, including improving the quality of care for people with psychosis, a developing a new way of collaborative working with primary care and improving the transitional mental health pathway for young people.

Download the Mersey Care CQUINs in mental health

Advancing Quality Psychosis
This innovation aims to improve the quality of care for people with psychosis.

The underlying clinical process measures for Early Intervention Psychosis in 13/14 are: (1) Risk assessment completed within 30 days; (2) Care Coordinator assigned within 1 day, and service user informed within 3 days; (3) Antipsychotic medication review within 6 weeks; (4) Duration of untreated psychosis assessment within 30 days

Advancing Quality Dementia
This innovation aims to improve the quality of care for people with dementia.

The underlying clinical process measures for Dementia in 13/14 are: (1) Assessment of Functional Capacity before discharge; (2) Assessment of cognitive ability within 14 days; (3) Assessment of physical health within 7 days; (4) Patient focused care plan on discharge; (5) Assessment of depression within 14 days; (6) Assessment of pain within 7 days; (7) Assessment of nutrition within 5 days.

NHS Safety Thermometer
This innovation aims to collect data on the following three elements of the NHS Safety Thermometer: pressure ulcers, falls and urinary tract infection in patients with a catheter. The ambition is a 0.36% reduction in the total number of falls.

Improving Collaborative Working between Primary and Secondary Mental Health Care
This innovation aims to deliver a new way of collaborative working with primary care by establishing primary mental health liaison workers to champion proactive engagement with GPs across all three CCG areas. Its implementation will be formatively evaluated using an ‘action research’ type approach (the suggested method to aid reflection and transparency is the establishment of a community of practice.)

Communication
This innovation aims to improve the quality and timeliness of communications between secondary and primary care. The project will support the transition from paper to electronic transmissions of discharge letters, discharge notifications, out-patient letters, and transfer of care notifications and timely communication of changes to the level of care provided including medication changes.

Inpatient Communication
This innovation aims to ensure that all discharge communication from In-patient episodes contains the agreed level of information and is sent to General Practice within a timely manner.

Outpatient Communication
This innovation aims to ensure that all clinic/outpatient correspondence/ letters sent to General Practice following the patient’s appointment, including discharge from service are sent electronically within 10 working days (excluding weekends and bank holidays). The correspondence will contain an agreed Minimum Data set.

Outpatient Communication changes to patient’s treatment plan / medication
This innovation aims to ensure that all patients seen in Out-Patients to have their change in medication or treatment plan communicated electronically to General Practice within 24 hours (excluding weekends and Bank Holidays).

Transition from CAMHS to Adult Mental Health and Learning Disability services
This innovation involves Alder Hey and Mersey Care to jointly develop and conduct an audit of the transitional mental health pathway and jointly undertake a survey of the needs of a sample of current young people aged 15 – 19 who are on Alder Hey CAMHS and MCT caseload.

The project will develop a shared transition protocol which includes guidelines and checklist for transition planning arrangements, thresholds for transition, parallel and shared care, review and continuity of care, involvement of young people and carers, discharge planning with primary care,  effective communication with all stakeholders.