Our Trust is passionate about Quality Improvement and our team are involved in a QI project around the accommodation pathway. We have a service user representative as part of the project team. Quality Improvement (QI) is a method applied to understanding and improving problems where the issue is not entirely understood or the solution known It allows for clear formulation of goals for improvement, by breaking down components within current systems and testing change ideas to visually track their impact on the issue In our placement review work, we often reflected on how stuck we got with proceeding with step down once it was identified and this led to the QI project. The team has run a project for the past 24 months – aiming to achieve 25% increased throughput within the MH funded accommodation pathway Service user input has been a key part of this project. As well as throughput we wanted to improve the experience of placement reviews for service users. Our belief is that when people feel that their views are heard in placement reviews they will feel empowered to engage in any process of move-on and are more likely to take an active role in the process and have a positive experience. We have sought feedback on the placement review meeting itself and the process of moving. We have seen the following results so far: · 12.5% increase in appropriate move-ons achieved over 2 years · Throughput and LBH spending maintained despite the loss of 50 HRS placements · Improved partnership working with adult social care and general needs housing · HRS provision and floating support contracts to re-tender- influencing commissioning and scoring bids · Improved panel process with less presentations rejected for funding · Placement review embedded within the team · Improved and more robust processes · Reduced paperwork for clinicians · Positive feedback from service users and staff We use Dialog+ as part of the CPA process with service-users with care coordinators. The scale includes the following: •8 items –measure of subjective quality of life •3 items – measure of treatment satisfaction •Interpretation is straightforward •Each item meaningful •It is preferred by patients to other scales •It is increasingly used as outcome measure •It can be Interpreted for individual patients and services Questions are set out as follows: •“How satisfied are you with your…” · mental health · physical health · job situation · accommodation · leisure activities · partner/family · friendships · personal safety · medication · practical help received · meetings •Rating of each domain from 1-7 •‘Do you need more help in this area?’ Responses to Dialog+ help to ensure that the service user has an opportunity to raise issues that are important to them and this can be incorporated into recovery goals and support plans. |