Developing Collaborative Care Plans Back to Basics Positive

Developing Collaborative Care Plans: Back to Basics Positive and Safe Conference Wednesday 13 th November 2019 Stadium of Light, Sunderland Michael Cowan – TEWV’s CPA Lead

Looking Back l. The Baseline Audit l. The Focus Groups l. The Deep Dive

Results l. No correlation between the assessment/review and the care plan l. The care plan has lost its value in amongst a sea of ‘plans’ l. Reviews are artificially created at set points rather than needs led l. It is all document heavy and information is all over the place

Action Plan l. The One Plan Vision l. The One Approach Vision l. The Right Tools l. The Right Guidance

PLAN

The One Plan Vision l One plan person per episode of care* l Concept well received – workshops, governance groups, meetings, conference l Aligned to national vision of service provision in mental health services l Embedded in the philosophy of the CITO development group – less is more

The One Plan Vision l For One Plan to work then there needed to be, and there is, a consensus that: l Assessment does not mean a multi-staged and/or frequently repeated interrogation l Basic needs are a priority l Everything does not need a plan l Every plan needs a goal l Reviews are happening continually*

Needs and goals and actions l An area of record keeping that needs work l These are often used interchangeably which confuses the record – a good example of the ‘language’ issue l If these are not understood then personalising the plan will prove tricky as these are the foundations l So, before we go any further, I have some example plans with me that are very real…. .

A quick review of where we are: l In groups, go though these and mark out: l what is a need, l what is a goal, l what are actions l what is irrelevant l Then rate the plans according to: l Personalisation l Meaningfulness l Usefulness l Accessibility

The Right Tools

Before any fancy tools, the basics…

The assessment l An assessment must start with a conversation* l It is an opportunity for the person to tell their story l We need to listen to what the person is saying about their experiences and their most basic needs l Structured curiosity not a never ending checklist l The domains of DIALOG (next few slides) will be the much needed link between the assessment/review and the care plan

Sense check…. l A SWOT analysis of the DIALOG approach to personalising care planning… l Strengths l Weaknesses l Opportunities l Threats

Thanks