Making New Ways Work for USNHS 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     WEEK ENDING ………………………………………….

Case Discussed Client Name

Date Assessed

Date Referred

DNA/CANC/Couldn’t attend

Treatment Outcome

Treatment option

On waiting list from

Professional group

Off waiting list- beginning treatment

Assessment (DATE) (codes) Assessment (date)

PsychiatricCo-ordinated CP

Out of hours Treatment

Hospital Admissions

Treatment Waiting list

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. Initiation of a coordinated treatment plan. OR –3. Commencement of a specialist assessment, which will typically be multi-disciplinary, for

example Eating Disorder/ADHD.

DESCRIPTION CODEAssessmentsAssessment- Child/Young Person A-CYPAssessment - Parent/Carer A-PCAssessment - Family A-FAMAssessment - Functional A-FUNAssessment - Paediatrics Self Harm A-PSHAssessment - Paediatrics Liaison A-PLAssessment - Out of Hours A-OUHCLINICAL PATHWAYS ASSESSMENTADHD ADHD-AEating Disorder ED-AASD ASD-APsychoses PS-AOther-Specify O-ASpecialist Medication SMPSYCHOLOGICAL THERAPIESInterpersonal Psychotherapy IPBehavioural Therapy BTCognitive Behaviour Therapy CBTDialectical Behavioural Therapy DBTBrief Solution Focused Therapy BSFTPsychodynamic Psychotherapy PPSystemic and Family Therapy SFTHumanistic/Integrative Therapy HITEMDR EMDRNLP NLPSocial Learning Theory based Parental Management Training PMTProblem Solving Skills Treatment PSSTGuided Self Help GSHRelaxation Training RTMotivational Enhancement Therapy METSocial Intervention SIOccupational Intervention 01Educational Intervention EISpeech and Language Therapy SLTOther 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