Editorial. High quality care is patient-centred.1 Efforts to promote patient-centred care in clinical practice should improve quality. Both shared decision-making (SDM) and the process of obtaining informed consent could be expressions of patient-centred care—to the extent that they respond to the advocates' call for ‘nothing about me without me’. In this issue of BMJ Quality and Safety, Shahu et al2 discuss variations in the quality of informed consent procedures, which could, in their view, fail to support patient-centred care in general, and SDM specifically. To read the full article, log in using your NHS OpenAthens details.
A digital dashboard showing daily updates of progress against the new access and waiting time standard for Early Interventional in Psychosis (EIP) is helping improve outcomes in Berkshire.
The ‘Improving services for people with mental health needs who present to A&E’ CQUIN and the ‘Transitions out of Children and Young People’s (CYP) Mental Health Services’ CQUIN (Commissioning for Quality and Innovation) aim to incentivise providers to work with partners to improve patient care by delivering services more efficiently and effectively.
People with mental ill health are three times more likely to present to A&E than the general population so the former CQUIN will allow mental health and acute trusts over the next two years to access funding aimed in year one at improving support for the top 0.25% or 150 to 200 people per A&E, who use it most frequently through improved recognition and coding of mental health needs and proactive care planning.
Year two focus will be on reducing overall number of attendances at A&E by people with mental health needs as improved community-based mental health services come online.
AEs are defined as those aspects of the care experience that should always occur when people and family members interact with healthcare professionals and the health care delivery system. [One of Lancashire Care's Adult LD teams volunteered to take part and co-designed AEs with service users and carers, to understand their priorities in care]
England's Chief Inspector of Hospitals has told Leeds and York Partnership NHS Foundation Trust that it must make improvements following an inspection by the Care Quality Commission in July 2016.