The core audit includes the following key performance areas:
- Comprehensive assessment and care planning;
- Availability of appropriate psychopharmacological and psychological treatment;
- Crisis planning;
- Follow up and community care;
- Service user outcomes.
A retrospective audit of service users admitted to an inpatient mental health service for anxiety and/or depression.
Data will be collected on service users care and treatment over a period of six months from their date of admission.
Data collection is open between June - September 2018.
- The Trust/organisation routinely collects data to assess equity of access. Guidance: This includes age, gender, ethnicity, employment and accommodation status.
- Service users have timely access to inpatient care when required.
- Service users’ assessments are comprehensive and include consideration of:
- Identification of social support and/or stressors in relation to finance, education/employment and relationships;
- Previous traumatic experiences or associated symptoms;
- Previous treatments and response to them (if applicable).
- Service users’ physical health is considered as part of their assessment and treatment, with support, advice or onward referral offered where appropriate. Guidance: This includes blood pressure; BMI; blood tests, and Lifestyle factors (e.g. diet, exercise, smoking, drug and alcohol use).
- The needs of service user’s family members, friends or carers are considered as part of the assessment process and they are offered an assessment of their needs.
- Care plans are jointly developed with service users and their family member, friend or carer (if applicable), and they are given a copy with an agreed date for review.
- Psychotropic medication is provided in line with the relevant NICE and BNF guidance for the service user’s diagnosis/condition.
- Psychological therapies are provided in line with relevant NICE guidance for the service user’s diagnosis/condition.
- Within 24 hours of discharge a discharge letter is emailed to the service user’s GP and a copy of the service user’s care plan is sent to the accepting service (if applicable).
- The service user and their family member, friend or carer (if applicable), receives at least 24 hours’ notice of discharge and this is documented.
- Service users discharged from an inpatient setting receive a follow-up within 48 hours of discharge.
- Service users have a crisis plan agreed and in place prior to discharge from an inpatient service.
- Assessments include the use of an appropriately validated outcome measures (e.g.symptoms, level of functioning and/or disability) which are used to monitor, inform and evaluate treatment.