2015 saw an unprecedented psychosis programme which mandated the delivery of NICE recommended therapies for children and adults with psychotic disorders 14 days after referral.
Within the Oxford AHSN region, there are several innovative initiatives that have significant potential to improve clinical outcomes, cost effectiveness and patient experience.
This project also aims to provide support to local early intervention in psychosis (EIP) teams to adopt tried and tested, along with emerging, innovations by advising on agile adoption methods, benefits realisation and evaluation.
It will also support the leads of the relevant projects to share their learning with other EIP services across the network so that all of the services within the Oxford AHSN region will be able to implement the new service innovations.
Key innovations that the Oxford AHSN Early Intervention in Psychosis (EIP) Network has explored include:
DIALOG patient experience app
The new EIP standards mandated in April 2015 require all services to collect routine and bespoke patient experience data and patient recorded outcome measures (PROMS) connected to the electronic patient record. The EIP commissioning guide stipulated that this data should be recorded and reported using the DIALOG app. One provider in the Oxford AHSN region has given iPads to all EIP clinicians to record PROMS at the point of care.
Janssen Health Innovations big data analysis
EIP services in the Oxford AHSN region have pioneered a data-driven approach to service improvement using big data analytics. With Janssen Health Innovations, the network was able to demonstrate the value of EIP services (where they were available and accessible) and compare the outcomes to areas where EIP services were dismantled or inadequately resourced. The rich data spanned acute and mental health providers in Berkshire, Oxfordshire, Buckinghamshire and Milton Keynes. The evidence from the analysis has been so powerful that commissioners have released extra funding for EIP services across the Oxford AHSN region. Read more in this case study.
Patient Knows Best (PKB)
Patient Knows Best is an electronic patient-controlled record that aims to allow patients greater control over their own health records. It is designed for use by individuals, NHS trusts, local authorities, charities, social enterprises and other organisations involved in the care of patients, particularly those with complex, long-term conditions requiring multidisciplinary care from a variety of providers.