Part One
Part 1 of the Measure requires local health boards and local authorities to work together to establish Local Primary Mental Health Support Services across Wales.
1) The number of practitioners per 20,000 population (all ages) at the end of the month
This is the number of practitioners (calculated in Whole Time Equivalent (WTE), that are in post to provide Local Primary Mental Health Support Services (LPMHSS) as required under Part 1 of the Measure for all age and client groups, at the reporting date, and to show the rate per 20,000 population.
2) The number of referrals for an assessment by Local Primary Mental Health Support Services (LPMHSS) received during the month
This is to show the number of referrals for assessment received for each of the categories of patient identified in the Measure (primary care and secondary mental health service), and the total number of referrals received during the month.
3) The number of assessments1 undertaken by LPMHSS during the month, by category
This is to show the number of assessments undertaken within the LPMHSS for each of the two categories of patient identified in the Measure (above), and the total number of assessments undertaken.
4) Waiting times for assessments1 undertaken by LPMHSS during the month
This is to show the number of patients who had waited for assessment by LPMHSS in time bands, so as to assess the performance of the service against the target waiting time of 28 calendar days. The time bands are 0-28 days, 29-56 days, and 57+ days.
5) The total number of patients discharged during the month by category
This is to show how many patients were discharged during the month following direct intervention, referral or signposting to services other than secondary mental health services, provision of information or referral to secondary care, and the total number of patients discharged.
6) Waiting times for therapeutic interventions started during the month
This is to record waiting times
for therapeutic interventions, whether delivered on an individual or group
basis, provided by the LPMHSS following assessment. The time bands are 0-28
days, 29-56 days and 57+ days. The target waiting time is 28
days.
1 For Part 1 of the Measure, as of April 2021, the
definition of assessments in the pro forma will include virtual attendances. A
virtual attendance is a two way conversation between the service provider and
the patient, or parent or carers only, to agree the next step in the patient's
pathway. There is contact with the clinician in real time (e.g. via telephone,
VC, Skype). The patient record is updated accordingly, and the patient pathway
is updated.
Part Two
Part 2 of the Measure places duties on local health boards and local authorities in Wales to work together to ensure that people of all ages within secondary mental health services have a care co-ordinator and a care and treatment plan (CTP) that is reviewed at least yearly. As of April 2020, Learning Disabilities will be further categorised by age bands: Adult services (18-64 years), Older Persons (65+ years), CAMHS (<18 years).
1) The total number of patients with a valid care and treatment plan (CTP) at end of month (including new patients)
This is the number of LHB residents who have current CTP which has not passed its review dates
2) Number of patients resident in your LHB new to secondary mental health services within month
This is the number of LHB residents who are new referrals into secondary Mental Health Services during the reporting month
3) The number of patients resident in your LHB discharged / transferred out of secondary mental health services within month
This is the total number of residents who are discharged or transferred out of the secondary mental health services during the reporting month.
4) Total number of patients in receipt of secondary mental health services at end of the month
This is the total number of residents who are currently on a secondary mental health service caseload at end of the month
5) The percentage of valid CTPs completed
6) The total number of patients in receipt of secondary mental health services, as at the 31st March 2016
Part Three
Part 3 of the Measure is to enable eligible adults who have been discharged from secondary mental health services, but who subsequently believe that their mental health is deteriorating to such a point as to require such care and treatment again, to refer themselves back to secondary services directly for an assessment, without necessarily needing to first go to their general practitioner.
1) The number of people resident in your LHB requesting an assessment under Part 3 of the Measure within the month
This is the number of LHB residents who have requested an assessment during the month, following a self referral, under Part 3 of the Measure
2) The number of people resident in your LHB who were assessed following a referral
This is the number of LHB residents who had a routine assessment during the month following a referral, under Part 3 of the Measure, and how long they had waited for that assessment.
2a) The number of people resident in your LHB who were assessed following a referral for an emergency assessment
This is the number of LHB residents who had an emergency assessment during the month following a referral, under Part 3 of the Measure, and how long they had waited for that assessment.
2b) The number of people resident in your LHB who were assessed following a referral for an urgent assessment
This is the number of LHB residents who had an urgent assessment during the month following a referral, under Part 3 of the Measure, and how long they had waited for that assessment.
2c) The number of people resident in your LHB who were assessed following a referral for a routine assessment
This is the number of LHB residents who had a routine assessment during the month following a referral, under Part 3 of the Measure, and how long they had waited for that assessment.
3) The number of patients resident in your LHB assessed under Part 3 of the Measure within the month, how many outcome of assessment reports were sent after the assessment had taken place
This is the number of outcome assessment reports which were sent to LHB resident patients following their assessment under part 3 of the Measure, and how long after their assessment were they sent.
Part Four
Part 4 of the Measure ensures all inpatients in Wales who are receiving assessment or treatment for a mental disorder are entitled to request support from an Independent Mental Health Advocate (IMHA).
1) The Total number of hospitals within the Local Health Board (LHB)
This includes NHS mental hospitals, independent mental health hospitals, other NHS hospitals and any other setting.
2) The total number of all hospitals with arrangements in place to ensure advocacy is available to qualifying patients at the end of the quarter
This includes individuals eligible for independent mental health advocacy (IMHA) services where they fall within the meaning of a Welsh qualifying compulsory patient or within the meaning of a Welsh qualifying informal patient.
3) The total number of whole time equivalent (WTE) independent mental health advocates (IMHAs) in the Local Health Board at the end of the quarter
This is the number of whole time equivalent (WTE) independent mental health advocates at the end of the quarter.
4) The qualification status of the of the IMHAs in the Local Health Board (as given in indicator 3) at the end of the quarter
This is the number of whole time equivalent (WTE) independent mental health advocates in the Local Health Board at the end of the quarter categorised by whether they satisfy appointment requirements, have or are working towards the IMHA diploma, or have any additional relevant qualifications.
5) Whether the advocacy provider within the Local Health Board has, or is working towards, a recognised advocacy quality performance mark
This indicates whether the advocacy provider delivering IMHA services on behalf of the Local Health Board has achieved, or is working towards achieving, a recognised advocacy quality performance mark.
6) The total number of newly qualifying patients accepted into IMHA services during the quarter
This is the number of new patients accepted into the IMHA service during the quarter and whether these are compulsory or informal/voluntary patients.
7) The total number of qualifying patients in receipt of IMHA services at the end of the quarter
This is the total number of patients on the IMHA service caseload (open cases) as at the end of the quarter and whether these are compulsory or informal/voluntary patients.
8) The total number of qualifying patients discharged from IMHA services during the quarter
This is the number of patients discharged from (no longer receiving) IMHA services during the quarter and whether these were compulsory or informal/voluntary patients.
9) The total number of qualifying compulsory patients who had their first contact with an IMHA during the quarter
This is the number of qualifying compulsory patients who had their first contact with an IMHA during the quarter, further specifying whether they had waited five working days or less or six working days or more following their request for an IMHA before that first contact.
10) The total number of qualifying informal/voluntary patients who had their first contact with an IMHA during the quarter
This is the number of qualifying informal/voluntary patients who had their first contact with an IMHA during the quarter, further specifying whether they had waited five working days or less or six working days or more following their request for an IMHA before that first contact.