Abstract
Aims and MethodAnnual audits of the enhanced care programme approach (CPA) were conducted from 2002 to 2005 to evaluate and improve the implementation of CPA in two inner-London community learning disability services. The CPA standards included those stipulated by the Department of Health. The notes of all patients on enhanced CPA were analysed using a structured data collection form.ResultsThere was a gradual improvement in the attainment of targets by both services. Areas of strength included allocating a date for the next CPA review, crisis plans and documentation of service users' comments. Areas of weakness included completion and review of risk assessments and the availability of a care plan for the previous 6 months.Clinical ImplicationsCompleting the audit cycle and reauditing improves attainment of targets and encourages service development, but further progress is required.
Highlights
The care programme approach (CPA) has evolved over the years following further guidance and recommendations by the Department of Health, which has acknowledged problems such as professionals finding the CPA process bureaucratic and service users finding the process inconsistent
Important changes in the implementation of the CPA were highlighted in two key publications: Effective Care Coordination in Mental Health Services: Modernising the Care
The combined targets achieved by both services in included the presence of a care plan, recording of general practitioner details, allocating a CPA follow-up date and documentation of service users’ and carers’
Summary
ROY, D. (2004) Recording health care and sharing the information - more bureaucracy or a welcome change to prevailing practice? Psychiatric Bulletin, 28, 33^35. (2004) Recording health care and sharing the information - more bureaucracy or a welcome change to prevailing practice?
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