The Bradford EIP service provides assessment and support for people aged 14–35 experiencing first episode psychosis. It is committed to service user involvement. This is achieved through the employment of four service user development workers and other staff members who have previously accessed mental health services.
Demonstrating positive practice in relation to statement 7 of the Psychosis and Schizophrenia in Adults NICE quality standard:
Bradford population, incidence and workforce for 16–64 year olds
7. Adults with psychosis or schizophrenia are offered combined healthy eating and physical activity programmes, and help to stop smoking.
Predicted cases per year (from Fingertips data)
Incidence per 100,000 person years (from Fingertips data)
‘Stand alone’ EIP service
For a caseload of 292: psychiatrists (2.2 WTE), a consultant psychologist (1.0 WTE), a family therapist (0.8 WTE), a CBT therapist (1.0 WTE), an assistant psychologist (0.4 WTE), employment specialists (4.0 WTE, 2 social workers and 2 experienced mental health workers), care coordinators (18 WTE, 7 community psychiatric nurses, 3 occupational therapists, and 8 social workers), team managers (2.5 WTE), support workers (7.2 WTE), service user development workers (3.4 WTE) and an administrator (1.0 WTE).
Airedale, Wharfedale and Craven CCG Bradford City CCG
Bradford District Care NHS Foundation Trust
The Bradford EIP service provides assessment and support for people aged 14–35 experiencing first episode psychosis. It is committed to service user involvement. This is achieved through the employment of four service user development workers and other staff members who have previously accessed mental health services. As part of promoting recovery, service users are also encouraged to develop their own recovery stories. With permission, these are shared with other service users to encourage further learning.
In order to ensure an effective and efficient service, a strong emphasis is placed on improving and streamlining the referral process. This includes the introduction of a new assessment tool and clinics for those referred. Data collection is key to the successful implementation of the access and waiting time standard and the service regularly collects and reviews a large amount of data including clinician and patient-rated outcome measures and patient-rated experience measures. This information is then used to develop actions to target areas for improvement.
Currently, the team is focused on improving the physical health of service users, which is in keeping with quality statement 7. New plans include increased monitoring and the introduction of new opportunities to promote physically active lifestyles, such as badminton, walking and football. Through working collaboratively with Bradford College, the service has also developed a health assessment and intervention package with health trainer students and service users working on a one- to-one basis.
As part of continued improvement, the Bradford EIP service has drafted a bid for additional funding to extend the service to an ageless one, while also strengthening key aspects of the service, such as the psychological competencies and skills of the workforce.
Training to ensure the provision of NICE-recommended care
- There is an in-service training programme, which includes sessions tailored to the needs of the workforce (as informed by NICE).
- There is a positive recruitment policy with an eye to wider workforce development, including an appraisal process to rationalise and fund skills development.