PRINCIPLE 1: A locality’s mental health policy is interagency. There are no specific measures relating to this principle. No policy on how a locality will deliver improved outcomes for CYP mental health. Child mental health is not included in the Sustainability & Transformation Plans (STPs) or Local Transformation Plans (LTPs). There is no implementation plan in place. There is a policy on how a locality will deliver improved outcomes for CYP mental health. However this is not jointly created with all agencies. There is no clear implementation plan in place sitting alongside this policy. Child mental health is included in either the LTP and STP, but this is not comprehensive. is a policy on how a locality will deliver improved outcomes for CYP mental health. Creation has involved some of the relevant agencies, but not all. Child mental health is included in both the LTP and STP. There is an implementation plan in place that sits alongside this, however this does not span all agencies in the locality. There is a policy statement/ document that clearly articulates the localities’ approach to delivering improved outcomes for CYP mental health. This is jointly created between health, care and education, with clear 3rd sector input. Child mental health is included in both the LTP and STP. There is a clear plan for implementation associated with this.
Rating Circle the rating level that best describes your service. Capture key points in the deliberation and note particular areas of strength or opportunities for improvement. THRIVE Principle 1 2 3 4 Notes MACRO PRINCIPLE 1: A localities’ mental health policy is interagency. 1 2 3 4 Macro System Considerations (Populations of young people, commissioning and interagency working) THRIVE Principle Measure used (where relevant) Level 1 Some way to go to achieving THRIVE-like Practice 2 Level 3 Level 4 Practice is very MACRO PRINCIPLE 2: All agencies are involved in commissioning care (education, health, social care, third sector) There are no specific measures relating to this principle. There are separate commissioning structures for local authority and health. Joint commissioning is not routine, or is confined to certain elements of the system. There is There is a limited amount of joint commissioning. This may relate to specific projects or services. There are separate governance boards that collaborate on the development There is a joint commissioning board that is attended by all of the modality types. This is translated into a joint governance structure. There is a range of established Health, authority, education and the third sector are actively involved in commissioning mental health care for the locality. They sit within one board with a common
limited engagement with educational commissioners and the third sector is not considered routinely as part of commissioning decisions. There are no joint structures, outcome frameworks nor budgets. of their commissioning plans, but no joint governance, strategy or budgeting at the most senior levels of the organisation. Each organisation has a separate outcome framework and manages their contracts separately. projects that agencies collaborate on, however this collaboration does not include all services. There are joint budgets in some, but not all elements of the localities provision. There are no jointly owned outcome frameworks, but there is effort to align these and the board is working towards integration. strategy and are jointly responsible and accountable for delivery of this strategy and the subsequent outcomes for their population. There is a governance structure that includes each of these and all agencies are regular attenders of joint commissioning board meetings. This governing body has developed joint outcome frameworks to
between agencies). Rating Circle the rating that best describes your service. Capture key points in the deliberation and note particular areas of strength or opportunities for improvement. THRIVE Principle 1 2 3 4 PRINCIPLE 2: All agencies are involved in commissioning care (education, health, social care, third sector) 1 2 3 4 Macro System Considerations (Populations of young people, commissioning and interagency working) THRIVE Principle Measure used (where relevant) Level 1 Some way to go to achieving THRIVE-like Practice Level 2 3 Level 4 Practice is very THRIVE-like MACRO PRINCIPLE 3: There is no regular Commissioners have a Commissioners have a Commissioners develop annual
Contracting of services, and the performance management of these, is informed by quality improvement information consideration of the contracts within a locality. There is little consideration of performance or quality data during the commissioning cycle. Providers do not have good systems in place to collate and report the quality data required to enable effective management of the contract. schedule in place for reviewing contracts. There is some consideration of data and outcomes in the commissioning cycle, but there are problems in accessing the full range of data and quality improvement (QI) information that is needed. This is in part due to a lack of systems within the providers to enable schedule in place for reviewing contracts. Data and quality information is used well in developing the commissioning and contracts, however there is still some development to do in terms of the collection and reporting of data to support this. There are good relationships between the commissioners and providers, but there are commissioning plans taking into account service performance and quality data. There are clear agreements about the use of data within contracts and on-going performance management of these. There are systems in place in providers to collate this data and it is routinely and comprehensively provided to commissioners. There are systems in place within
THRIVE Principle Measure used (where relevant) Level 1 Some way to go to achieving THRIVE-like Practice Level 2 3 Level 4 Practice is very MACRO PRINCIPLE 4: Use of population level preference data is used to support commissioning decisions. Preference data is data that is collected on the preferred treatment option that has been agreed on as a result of a shared decision making process. Preference data is not collected, reported on or used by commissioners to make decisions about the effectiveness and value of services that are commissioned. Preference data is collected in some services. This is either not reported on, or is not used within the service to support improvement or commissioning decisions. Preference data is collected in most services. This is collated and reported on however it is not yet used within the commissioning cycle to support decision making. Preference data is collected routinely and utilised to support decision making. This includes resource allocation, contract management and the of services. Providers have systems in place to collect and report this. Rating Circle the rating level that best describes your service. Capture key points in the deliberation and note particular areas of strength or opportunities for improvement.
THRIVE Principle 1 2 3 4 Notes PRINCIPLE 4: Use of population level preference data is used to support commissioning decisions. 1 2 3 4 System Considerations (Populations of young people, commissioning and interagency working) THRIVE Principle Measure used (where relevant) Level 1 Some way to go to achieving Practice 2 Level 3 Level 4 Practice is very MACRO PRINCIPLE 5: Services working closely together such that service experience InteGRATE: a four item scale CHI ESQ Average score for services is 20% <70% strongly endorse the service Average for services is 40% 70% strongly endorse the service Average score for services is 60% 80% strongly endorse the service Average score for services is 80% 90% strongly endorse the service