QI 110 To Improve Access for Families to Family Intervention in the North Warwickshire Early Intervention Team (EIT)

Abstract

Aim: To increase the number of families offered family interventions (FI) in North Warwickshire EIT by 10% by September 2022. FI should be offered to all families who receive an EIT service. Data from the 2020/21 National Clinical Audit of Psychosis (NCAP) showed we were underperforming (14%) and were identified as an outlier for this audit standard. Quality improvement methodology was used to scope the available data to understand the current process by mapping referrals and the last 10 patients. A driver diagram was developed to identify change ideas which could be implemented within the North Warwickshire EIT service. Using Plan, Do, Study, Act (PDSA) cycles we were able to see whether the change had been effective. The statistical process control (SPC) chart (left) illustrates the number of people being offered FI and whether the change has been sustainable.

Driver Diagram - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-driver-diagrams.pdf; PDSA Cycles - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pdsa-cycles-model-for-improvement.pdf; SPC Charts - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-statistical-process-control.pdf.

Project Impact: The project aim has been exceeded-Number of families being offered FI has increased by a mean of 262% . Other identified benefits: •Clearer pathways in place for clinicians to identify families. •Stepped care approach embedded into EIT practice. •Robust supervision in place. •New Family Intervention Team being appointed.