Mental Health Case Studies
Nottinghamshire Healthcare Foundation Trust
We have worked with Nottinghamshire Healthcare on several projects and further collaborations are on the horizon
We've predominantly worked with their adult mental health division, its clinicians, managers and front-line staff and its data including anonymised patient-level data on referrals, psychometric assessments, contacts and admissions.
Capacity and Demand in Adult Community Mental Health teams
We helped the Trust to understand, quantitatively, how their front-line staff are spending their time and to identify opportunities (by sharing best practice between teams) to free up more clinician time to spend with patients
Personality Disorder service redesign
We helped the Trust to prove the impact their interventions were having for Personality Disorder patients
Urgent and Emergency Mental Health Care standards field testing
Assisting the Trust with their participation in NHS England's field testing of proposed access standards
Case study 1: Capacity & Demand (2019)
Adult Community Mental Health Teams
How are our front-line staff spending their time?
What can we do to free up more of that time to spend with clients?
What we did
Spent time with every adult community mental health team – learning what they do and how they do it
Dug deep into the trust's operational data (client contacts and staff rotas)
Put what we learned into a flexible computer model that we could ask “what if?” questions of
Compared local teams and asked “what if local best practice was shared across the organisation?”
A quantitative understanding of how front-line staff are working
Ideas that could release up to 20% of staff time – some of which have been implemented already
Boosted engagement and enthusiasm from the teams
Case study 2: Personality Disorder (2020)
Assessing impact of various interventions
How well have our interventions for these clients been working?
What are the implications for the future design of our Personality Disorder services?
What we did
Worked closely with leaders and front-line practitioners from across the services
Dug deeper into the Trust’s operational data (including referrals, assessments and admissions in addition to contacts)
Evaluated 4 interventions:
•Mentalisation Based Therapy
•Dialectical Behavioural Therapy
Quantitatively assessed their impacts on patients wellbeing and service use (including their use of crisis services and their admissions) - all statistically tested and grounded
Compelling evidence of the impact the services are having
Clear recommendations, which are already impacting practice on the ground