8 February 2009
Performance Report - Existing Commitments EC06: Deliver 7,500 new cases of psychosis served by early intervention teams per year Accountability Period (1) (4) 31-Dec-2008 EC06: Deliver 7,500 new cases of psychosis served by early intervention teams per year Vicky Dutchburn Owner Carol Mckenna Sponsor For year 2 (Financial Year(FY) 08/09), the trajectory identifies total case load of 128, with 96 new cases – a Key higher delivery rate than the required 64, Full Year Investment into Southwest Yorkshire Mental Health Trust Achievements (SWYMHT)has ensured that this is achievable. The balance of the trajectory of 191 will be achieved in year 3 Since Last of the commissioning plan (FY 09/10), with a guaranteed delivery date by December 2010, though SWYMHT Report: are working to an anticipated delivery date of End September 2010. New cases are currently been identified to achieve the target as defined. However, this is been monitored Current monthly as the incidence rate & associated targets are based on a 3 year prevelance & the stretch target may Concerns: prove to be excessive. Reasons for Increased promotion of the service, including inclusion criteria is ongoing within the Kirklees community, across health, social care & other professionals, including police & schools etc. Variance and Planned Latest Variance (8) (9) Comments (value) YTD Number of people with newly diagnosed cases of first episode psychosis receiving early intervention in psychosis services Qtr 3 08/09 31-Dec-2008 128 89 -39 Percentage of people with newly diagnosed cases of first episode psychosis receiving early intervention in psychosis services Qtr 3 08/09 31-Dec-2008 9999 69.5313 -9929.469
PI
Due Date
Department of Health Vital Signs Returns (financial year 2008/2009)
Psychosis is a debilitating illness with far-reaching implications for the individual and his/her family. It can affect all aspects of life education and employment, relationships and social functioning, physical and mental wellbeing. Without support and adequate care, psychosis can place a heavy burden on carers, family and society at large. The mean age of onset of psychotic symptoms is 22 with the vast majority of first episodes occurring between the ages of 14 and 35. The onset of this disease is therefore often during a critical period in a person’s development. Early treatment is crucial because the first few years of psychosis carry the highest risk of serious physical, social and legal harm. One in ten people with psychosis commits suicide - two thirds of these deaths occur within the first five years of illness. Intervening early in the course of the disease can prevent initial problems and improve long-term outcomes. If treatment is given early in the course of the illness and services are in place to ensure long-term concordance (co-operation with treatment), the prospect for recovery is improved. There is evidence that early intervention can be helpful in reducing suicidal behaviour. Early intervention in psychosis services provide quick diagnosis of the first onset of a psychotic disorder and appropriate treatment including intensive support in the early years. A fully operational early intervention service typically serves a total of 450 people, but the caseload builds up over a 3-year period. (The service covers a population of 1 million, in that population there would be expected to be 150 new cases per year, and each person who is taken on by an early intervention service will remain on the books for 3 years.) As set out in the 2008/2009 NHS Operating Framework, each PCT is required to continue to deliver its locally agreed share of the 7,500 people to be taken on as new cases by early intervention services throughout England. HC - 18th June 2008
© Dynamic Change Limited 2009 Performance Report - Existing Commitments
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