5. Full Booking to Partnership
No internal treatment waits!!
If the service user is going to return for Partnership work a system exists whereby they can leave the Choice appointment with a booked Partnership appointment with the selected clinician/s. This requires a Partnership diary and no internal waiting list.
Full booking is surprisingly important and as such is a CAPACITY item. Any service that collects Partnership requests in cardboard boxes (or filing cabinets!) and waits for clinicians to have time will quickly run up an internal list. This is because, when staff feel busy, they find it hard to take on more work. This is so even though the work isn’t for now, it’s for then. Busy clinicians often only feel able to agree to take on work when they are currently feeling quiet. This wastes weeks of lowered activity between now and the offered time in the future.
However, if we plan our activity, know our capacity and how much capacity each service user uses then we can plan for our capacity in the future. If you know you will have space for someone new you can be committed to the work now, as they won’t be coming in the next few weeks. This is anticipating capacity and is one of the core aspects of the CAPA process and numbers.
It is rather similar to what happens at traffic lights. If each car waits for the car in front to move away before it starts it can take ages for the queue to go through. However, if each car moves away when the lights turn green, trusting that there will be space on the road when they get there – anticipating capacity – the queue goes through so much quicker.
Does everyone know their new Core Partnership activity number? If not, ensure you complete team job planning and sort this out. Make the numbers easy to monitor- say in the Partnership diary. Are there vacant Core Partnership appointments in the diary for Choice clinicians to book people in to? If not, get this in place (full booking).
6. Selecting Partnership Clinician by Skill [CAPACITY ITEM]
All clinicians select the Partnership clinician according to the skills needed: this means choosing the appropriate clinician for Partnership work based on the service user’s goals and chosen therapy style.
Selecting someone with the right skills in Partnership makes the work more effective and less likely to drift, extending your capacity by making best use of it. Some CAMHS teams find that some clinicians keep families and young people to themselves from Choice – this may be more to do with their own feelings than the choice or needs of the family. They may believe that they are best placed to help, that continuity is everything or that it is easier than picking up a new Core Partnership that they have not seen in Choice. Sometimes they are anxious about Partnership colleagues being aware of their Choice work, especially if team members do not know each other well. Whilst they may be the best person to see the family, in a team with extended skills they are unlikely to be the one with the first appointment and the family must always be given a choice.
A lot of self-allocation from Choice to Partnership (lots of ‘keepsies’!) would probably mean that a) clinicians are anxious about having their Choice work examined or 2) that service user probably shouldn’t have been offered a service. Unless you are a very small team or a lone worker!
Discuss in the CAPA management group whether you think this is an issue. Monitor ‘keepsie’ rates and discuss this is in the team. When do people feel they should keep service users to them- selves? Agreeing criteria will help. See also the Keepsie workshop.