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Improving Physical Health Recording in Brent Early Intervention Service (EIS)

Published online by Cambridge University Press:  07 July 2023

Selim Kessab ,
Sukh Bahia ,
Merfet Mohammed  and
Jake Fleet
Selim Kessab*
Affiliation:
Central and North West London NHS Foundation Trust, London, United Kingdom
Sukh Bahia
Affiliation:
Central and North West London NHS Foundation Trust, London, United Kingdom
Merfet Mohammed
Affiliation:
Central and North West London NHS Foundation Trust, London, United Kingdom
Jake Fleet
Affiliation:
Central and North West London NHS Foundation Trust, London, United Kingdom
*
*Corresponding author.
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Abstract

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Aims

By July 2021, we will increase the percentage of full recording of physical health data for 90% of patients

Methods

-Completion of recording (green results) was measured using Tableau Software for a 10 week period from Jan- March 2021 (baseline), then monthly during the study

  • • PDSA cycles were conducted between April and July 2021 with analysis and changes tested monthly as per PDSA methodology. This informed future interventions.

  • • We involved staff in designing a flowchart/protocol of how to book patients into the well-being clinic and sought opinions on how recordings could be improved.

Results

  • • In March, prior to any changes being implemented, staff were reminded to complete recording of physical health data. This improved percentage of recordings up to 62% by 1 st April.

  • • Following this, a training session about the well-being clinic was arranged for all EIS staff.

  • • A further session was arranged for staff to devise a flowchart of how the process will operate and generate further ideas.

  • • A reminder system was put in place with the team leader emailing care co-ordinators monthly.

  • • By 1 st July, percentage of complete recordings were 73%.

  • • We decided to continue with the project and to increase the frequency of reminders to fortnightly. This helped to improve the percentage of complete recordings to 90% by September 2021.

Conclusion

  • • We learnt that education and training amongst all staff was needed to improve the recording of physical health data.

  • • Improved utilisation of the physical health well-being clinic helped to streamline physical health assessments and helped to reduce the workload of EIS staff (also promotes sustainability).

  • • Involving staff in designing and implementing changes leads to better adherence in improving physical health recording.

  • • More time was needed for the interventions to be implemented in our service (target reached later than original timeframe), but this should now be sustainable.

  • • Reminder systems will need to continue to ensure that performance is maintained, with further training provided as required.

Type
Quality Improvement
Information
BJPsych Open , Volume 9 , Supplement S1: Abstracts from the RCPsych International Congress 2023, 10–13 July , July 2023 , pp. S98
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NC
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. This does not need to be placed under each abstract, just each page is fine.
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists

Footnotes

Abstracts were reviewed by the RCPsych Academic Faculty rather than by the standard BJPsych Open peer review process and should not be quoted as peer-reviewed by BJPsych Open in any subsequent publication.

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