There are eight NICE quality standards that relate to the EIP access and waiting time standard, covering a range pharmalogical, psychological, social, occupational and educational interventions
What is NICE concordant care?
The NICE quality standards that relate to the EIP access and waiting time standard are:
- Referral to early intervention in psychosis service
- Cognitive Behavioural Therapy
- Family Interventions
- Treatment with Clozapine
- Supported employment programmes
- Assessing physical health
- Promoting healthy eating, physical activity and smoking cessation
- Carer-focused education and support.
All of the above provisions must also consider issues of equality diversity and language.
There are several NICE guidelines and recommendations that cover early intervention in psychosis services.
Requirements of a NICE compliant EI team
EI teams must be able to provide access to all NICE recommended care and interventions in order to meet the standard. Many EI teams require training in a mix of specialist skills in order to meet the NICE standards, primarily in:
- Family Interventions (FI)
- Cognitive Behavioural Therapy for psychosis (CBTp)
Training may also be required to support other workforce development needs, for example:
- Medication and prescribing in EI
- IPS, education training and employment awareness
- Physical health in mental health
- Training for carers
- Cultural awareness training
- Assessment skills training including At Risk Mental State and the use of these tools
- Scale of Prodromal Symptoms (SOPS) and the Structure interview of Podromal Symptoms (SIPS)
- Comprehensive Assessment of At Risk Mental States (CAARMS)
- Positive and Negative Syndrome Scale (PANSS)
Understanding your local training needs
While HEE has coordinated the training procurement for Family Interventions (FI) and Cognitive Behavioural Therapy for psychosis (CBTp), it is the responsibility of each mental health trust and EI team to understand their local skills gap and training requirements.
NHS England national guidance
NHS England published the Implementing the Early Intervention in Psychosis Access and Waiting Time Standard: Guidance document in May 2016. This guide is intended to support local implementation of the EIP access and waiting time standard by CCG commissioners and mental health providers, working collaboratively with service users and their families or carers and partner organisations.
The National Collaboration Centre for Mental Health (NCCMH), with help from the national Expert Reference Group, has developed a workforce capacity calculator to help local providers and commissioners plan their joint workforce capacity needs. This calculator will provide you with indicative levels of skilled staff your EI team requires.