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September 2023

Optimising care pathways, increasing efficiency and improving outcomes with Hertfordshire Partnership University NHS Foundation Trust

 

Introduction

From September 2023, Censeo is now available  across the whole of Hertfordshire Partnership University NHS Foundation Trust (HPFT) adult mental health services. This follows the establishment of a commercial arrangement with Psyomics in June 2022, and a successful pilot in two localities from July 2022. This project has served as an ideal test bed for working in partnership in a challenging environment, and has seen outstanding results.

The problem

Like all mental health services nationally, the services in Hertfordshire face significant challenges:

  • demand is increasing, with 1.4 million people (nationally) waiting for NHS funded mental health care
  • capacity is not keeping up with the increase in demand due to workforce challenges
  • significant unwarranted clinical variation exists within the triage and assessment process

    These all have a negative impact on:
  • waiting times and effective use of resource
  • satisfaction of NHS staff
  • experience of care and outcomes for patients/service users

The solution

Censeo, a mental health triage and assessment product. It is a web based medical device, that requires no time from clinicians to complete and is completed in a time and place of the patient/service user's choice. Censeo uses algorithms to analyse self-reported responses to adaptive questions. This produces a report clinicians use, which includes:

  • a risk profile
  • the likelihood and severity of presence of 15 mental health conditions
  • determinants of mental health ill-health and many NHS MHSDS items
Hakan Akozek
Director of Innovation and Digital Transformation, Chief Information Officer
“What Psyomics’ solution allows us to do is to give our service-users the option to tell us their story at a time and a place of their choosing.
At the moment we have to do it is at the initial assessment, which can at times be stressful for the service-users. This approach will not only improve the quality of our initial assessments, but save time for our clinicians and service-users, which means this time can be reinvested in care, to help us see more service-users and help more service-users, ultimately helping us to meet some of the increased demand.”

Partnership Objectives

There were holistic aims and intentions behind this partnership, which are aligned to both Psyomics and HPFTs purpose, vision and values. These were to:

  1. Reduce clinician time during assessment, allowing them to build a care plan and start treatment faster
  2. Improve the identification of mental health conditions
  3. Improve efficiency within service delivery

  • Results to date

    The results from the pilot have been overwhelmingly positive, from both a quantitative and qualitative perspective. These include:

  • 70% completion rate 

    from 1246 patients/service users

  • 91% clinical alignment

    between care professionals view of the patient/service user and Censeo's clinical report

  • 81% of clinicians

    agreed Censeo was useful and improved quality of care

  • 75% of patients/service users

    felt positively about Censeo

  • 0 Serious Incidents, Incidents or Complaints

    involved with using Censeo

     

Jonathan Sweeney

Head of Digital Delivery

 

“It has been a really positive experience working with Psyomics colleagues and I think this has been a mutually beneficial journey that we have undertaken as a partnership. 

 

We have always appreciated the friendly and supportive way both you and colleagues have worked with us on this delivery so thank you for everything.”

What HPFT clincians say about increased efficiency

“It did save me time on the assessment. I used the information and I had it to refer to in assessment.” – Consultant Psychiatrist

 

“Censeo helped streamline my assessments” – Community Psychiatric Nurse

 

"The assessment is more streamlined and productive. It saves me time because I focus on specific lines of questions using detailed information I already have.” – Social worker

What HPFT clinicians say about improving quality and their experience of Censeo

“It was really helpful to have so much information about the patient. When the patient has already disclosed, I know they are willing to discuss” – Consultant Psychiatrist

 

“I liked the way the information was presented on the report and liked having information beforehand to prepare for the assessment.It gave me a heads up on the patient and I was able to focus and give me more direction during the assessment” – Community Psychiatric Nurse

 

The very positive thing that it comes from a patient. It gives a true picture of how they were feeling at the time, allows you to discuss things that might never have been raised otherwise and understand that patient far more than you would’ve done. There’s nothing I dislike about Censeo…I get really excited as it makes my life easier” -  Social Worker

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