9 May 2023

We held an Adult Psycosocial Spread-a-thon on 18 April 2023. There were 75 sign ups in total with staff across the MDT attending from Milton Keynes, Westminster, Brent, Kensington and Chelsea, Harrow and Hillingdon.

The event aimed at spreading successful changes and encouraging all six teams to reflect on the opportunity to test these changes within the local context. 

The day consisted of a presentation about CNWL spread approach, a presentation from each of the six CNWL boroughs about their current Quality Improvement informed changed idea, and break out discussions in the afternoon.

For more details about the CNWL Spreadathon event, please see our Improvement Academy April Newsletter.

The day consisted of a presentation about spread theory, a presentation from each of the six CNWL boroughs about their current Quality Improvement informed changed idea, and break out discussions in the afternoon.

The change ideas presented by six teams are listed below:

  • Brent – streamline assessment process to match the capacity and demand
  • Kensington and Chelsea – Bespoke trauma informed services for refugees in hotels
  • Westminster – Tree of life approach
  • Milton Keynes – Hub transformation entailed developing step 2 interventions to reduce waiting times within the service
  • Hillingdon – Developing step 2 approach using feedback and data
  • Harrow – Integrated step 2 offer through personalised conversations

Each of the above change ideas were co-produced with locally recruited Service User and Carer representatives.

Additionally, at the event, teams voted for their preferred change idea that they would like to test in their clinical area.

For the latter half of the day, each borough made a pledge they wished to commit to within their services. They also shared what support they would need from the Psychosocial Board and QI team to help them achieve their pledge. The day ended with six break out rooms discussing the following themes:

  • What does an effective Step 2 Model look like?
  • What can we stop doing?
  • How do we capture service use voices?
  • What does an effective offer for Psychosis look like?
  • What does an effective offer for Complex Emotional Needs look like?
  • What does an effective offer for Complex Non-Psychosis look like?

The six boroughs previously met every six weeks to discuss their change ideas and access the support of senior leadership if they have any questions. These meetings will continue and the pledges they made will go on to form the basis of the plans for the boroughs for the next year.