Making New Ways Work for US
NHS Ayrshire and Arran
Andrew Smith
Clinical Operations Manager
What we had
•
•
•
•
•
•
A single point of triage
Daily triage of all referrals
All cases assessed in 18 weeks
Passed back in to 3 locality teams
An electronic record that cant give us data
No way of identifying/recording what treatment was
being delivered except by care plan
• No accurate way of recording assessment( as defined by
New Ways
• No way of recording identified need
What we did
• In the shadow period using New Ways
definitions
• We looked at how we record waiting lists
• We examined the present waiting lists
• We looked at how we would re-design the way
we collected the data in the teams
• Decide how we would collect the data more
accurately and usefully
Outcome
We had two waiting lists..1 for tier 2 and 1 for tier
3..
We had been using different starting points, and
there was no reason for this
..stopped this
outcome
• …we found that, in our figures, we had been
recording cases passed from one discipline to
another for treatment. And the waiting time had
been getting recorded from initial assessment,
even if they had been getting seen for months
• stopped this
How/What Data was collected
• Staff filled in monthly stats forms looking at how
many face to face contacts were undertaken
• This was then processed using the original
referral date as starting point for tier 3, and the
assessment date for tier 2
• Data was produced by discipline specific input
• We had monthly feedback..and we know the
data was not helpful
We decided
• With help, to train all staff in new ways compliant
definitions
• Design a template to capture as many of the points as
we thought reasonable
• Collect the figures weekly
• Define not only treatment , but the 1st treatment choice
by expanding on the Gen 18 definitions in the document
• Re-design the weekly meeting structure to initially focus
on collecting these figures
New Ways of Reporting Information
New Ways Reporting
Information
Case Discussed
Assessment
Client
Name
WEEK ENDING ………………………………………….
Date
Assessed
Date
Referred
DNA/CANC/Couldn’t
attend
Treatment
Outcome
Treatment
option
(DATE)
(codes)
Assessment
Psychiatric
Co-ordinated
CP
Out of hours
Treatment
Hospital
Admissions
Treatment Waiting
list
On
waiting
list from
Profes
sional
group
Off waiting
listbeginning
treatment
(date)
Definitions of Treatment - This is deemed to be when:1.
The commencement of a planned programme of intervention delivered by an appropriately qualified clinician designed to address agreed
treatment goals is undertaken. OR ~
2.
3.
Initiation of a coordinated treatment plan. OR –
Commencement of a specialist assessment, which will typically be multi-disciplinary, for
example Eating Disorder/ADHD.
DESCRIPTION CODE
Assessments
Assessment- Child/Young Person
Assessment - Parent/Carer
Assessment - Family
Assessment - Functional
Assessment - Paediatrics Self Harm
Assessment - Paediatrics Liaison
Assessment - Out of Hours
CLINICAL PATHWAYS ASSESSMENT
ADHD
Eating Disorder
ASD
Psychoses
Other-Specify
A-CYP
A-PC
A-FAM
A-FUN
A-PSH
A-PL
A-OUH
ADHD-A
ED-A
ASD-A
PS-A
O-A
Specialist Medication
SM
PSYCHOLOGICAL THERAPIES
Interpersonal Psychotherapy
Behavioural Therapy
Cognitive Behaviour Therapy
Dialectical Behavioural Therapy
Brief Solution Focused Therapy
Psychodynamic Psychotherapy
Systemic and Family Therapy
Humanistic/Integrative Therapy
EMDR
NLP
Social Learning Theory based Parental Management Training
Problem Solving Skills Treatment
Guided Self Help
Relaxation Training
Motivational Enhancement Therapy
Social Intervention
Occupational Intervention
Educational Intervention
Speech and Language Therapy
Other
IP
BT
CBT
DBT
BSFT
PP
SFT
HIT
EMDR
NLP
PMT
PSST
GSH
RT
MET
SI
01
EI
SLT
O
Results
• We can now accurately produce RTT Data using
the definitions.
• We can now accurately produce
1. Workload demand- discipline specific
2. Capture the full range of assessment work
3. 1st clinical direction treatment
4. Include the full range of what we do in the data