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Extra resources for Integrated care pathways in mental health
Example text
It is crucial that care pathway development and variance information are tabled regularly at forums and that the links are drawn between governance, performance and modernisation. In particular, there is the need for high-profile supporters as this greatly influences how variance information is viewed and used. The support of clinicians in the development of care pathways and securing any variance information is also vital for success. A useful approach to secure this is to identify two champions for each team and enable those individuals to promote and support colleagues in using the pathway.
The combination of these issues had led to a ‘postcode lottery’ where, depending on an individual’s address, services were likely to be better, or worse, than adjacent areas. To address this, the New Labour government’s pursuit of standardising quality throughout the UK was strengthened by the Health Act 1999, which set up the National Institute for Clinical Excellence (NICE). The role of NICE was to advise on the latest good practice and produce standard clinical and practice guidelines. This was supplemented in 2002 by the National Institute for Mental Health in England whose role was to assist trusts to develop and implement good practice and policy.
It is common for ICP strategies to offer guidelines for choosing target processes for ICP development and a specific model of development that should be adopted. It may be possible as part of the strategy and programme to offer standards around ICP outputs. These may refer to a criterion around the ICPs to be developed, although experience has shown that ICP outputs can change, especially since, as ICPs move from paper to electronic versions, their format within health care changes as do the variance reporting strategies used.