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SOUTH REGION EARLY INTERVENTION IN PSYCHOSIS PROGRAMMEANNUAL REPORT 2018-19

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Document Status Final

Version Date Authors Changes Included

1.0 13.11.2018 Sarah Amani• First draft shared with regional EIP Clinical Leads and

Families and Carers Lead

1.2, 3, 4 14.11.2018Sarah Amani, Belinda Lennox

• Addition of fidelity indicators • Correction to fidelity indicators following South Region

EIP Clinical & Technical Leads webinar discussion

1.5, 1.6, 1.7 06.12.2018Sarah Amani, Belinda Lennox, Frank Burbach

• Addition of case study• Streamlined report to only include EIP Matrix findings

1.8 02.01.2019 Sarah Amani

• Adjusted care coordinator: patient ratio graph on page 7 to include all 16 EIP providers in the South of England

• Adjusted fidelity for Southern Health as now providing service for over 35s

1.9, 2.0 28.01.2019 Sarah Amani • Amended report following feedback from EIP board

Chair or Co-Chair Forum

Fiona Edwards South of England EIP Programme Board

Prof. Belinda Lennox South of England EIP Clinical & Technical Group

Jay Nairn NHS England (National) National EIP Clinical Leads Forum

Amy Clark NHS England (National) National EIP Clinical Leads Forum

David Radbourne NHS England (South East) Mental Health Operational Improvement Group

Julie Davison NHS England (South West) Mental Health Operational Improvement Group

Anne Tweedale NHS England (South) Mental Health Operational Improvement Group

Oral Arrindell NHS England (South) Mental Health Operational Improvement Group

Name Title, Organisation

Fiona Edwards CEO, Surrey and Borders Partnership NHS Foundation Trust & Chair of EIP Programme Board

Prof. Belinda Lennox South Region EIP Programme Senior Responsible Officer

2 South Region Early Intervention In Psychosis Programme | Annual Report 2018 - 2019

Document Review Distribution List

Document Approval(Persons designated to approve and sign off this document)

Table of Contents

Introduction 4Early Intervention in Psychosis 4Context 4The South EIP Programme 4Purpose 4Executive Summary 4

Method 5

Findings 5Investment 5Access 6Case Loads 8Prevalence 8Fidelity 9NICE Concordance 10Cognitive Behavioural Therapy for Psychosis (CBTp) 10Family Intervention (FI) 11Physical Health 11Individual Placement and Support (IPS) 11

Discussion 11

Appendix 1: Good Practice Examples 12Physical Health 12Individual Placement and Support 13

Appendix 2: South EIP Programme Board Members 14

Appendix 3: South EIP Clinical Group Members 15

Appendix 4: South EIP Technical Group Members 16


IntroductionPsychosis is a severe mental illness which affects up to 3% of the population and is associated with significant impairment in social functioning and shorter life expectancy. Although psychosis can emerge at any age, the peak of onset is in late adolescence and early adulthood. Psychosis is ranked as one of the top causes of disability and most expensive illnesses worldwide through costs related to hospital admissions, physical health co-morbidities and unemployment.

Early Intervention in PsychosisEarly intervention in psychosis (EIP) are multi-disciplinary teams which set up to seek, identify and reduce treatment delays at the onset of psychosis and promote recovery by reducing the probability of relapse following a first episode of psychosis. EIP is critical for ensuring that the impact of psychosis is minimised in people’s lives at a time when most are just starting out in higher education and employment. Timely access to EIP is shown to have a significant positive long-term impact on the lives and livelihoods of individuals with psychosis and their families.

ContextIn 2016, the introduction of the psychosis standards marked a historical moment as for the first time, a severe mental illness i.e. psychosis, was subject to access and quality standards. The standards were introduced to ensure the majority of people with first episode of psychosis can:

1. Access specialist psychosis treatment within 2 weeks of referral 2. Receive a National Institute of Clinical Excellence (NICE) concordant package of care

As well as assessing patients within 2 weeks of referral and providing NICE concordant care, EIP teams were also tasked with extending their age range to include those aged over 35 and to treat people with At Risk Mental States (ARMS).

The South EIP ProgrammeThe South of England comprises of 13 Sustainability & Transformation Partnerships, 50 CCGs and 16 mental health providers with 32 Early Intervention in Psychosis (EIP) teams. The South EIP Programme set up platforms for exchanging ideas and expertise, defining optimal clinical pathways and service models. The programme has developed partnerships with national and local NHS England, NHS Improvement (NHSi) and Health Education England (HEE) teams in order to build staff capacity and competencies required to deliver on the standards. The programme maintains a whole system overview in order to identify emerging problems as they arise and provide expertise to support quality improvement.

PurposeThis document provides NHS England and its stakeholders an update on the equity of early intervention in psychosis in the South of England including investment per patient, resulting capacity, quality and outcomes. In doing so, we aim to honour our duty to patients and their families by driving for equitable access to evidenced based early intervention for psychosis, regardless of where people live in the South of England.

Executive SummaryEarly Intervention in Psychosis (EIP) has an overwhelming collection of robust research evidence showing its clinical and economic effectiveness. It was therefore welcome to see that NHS England listed EIP as a ‘must do’ in the Five Year Forward View for Mental Health1 (FYFV-MH).


1 NHS England (2016) Implementing the Five Year Forward View for Mental Health. Accessed online at: https://www.england.nhs.uk/wp-content/uploads/2016/07/fyfv-mh.pdf

The key findings for EIP teams in the South of England for 2018-19 are as follows:


33% of people with psychosis who were

unemployed received Individual Placement

Support (IPS) to get back into paid employment

On average, in the South of England, 83% of

referrals have been seen within 2 weeks of

referral

29% of people with psychosis who access EIP have received 2 or more

sessions of Cognitive Behavioural Therapy for

Psychosis (CBTp)

A 7% decrease in the caseload from 4,109

in September 2017 to 3,852 in September 2018, suggests that some EIP

teams are restricting access in order to manage demand.

MethodThe EIP Matrix is a web-based data analytics software which allows registered users to enter data and receive feedback in the form of graphed charts. The software uses questions on NICE concordance which were developed by a national expert reference group as part of the Royal College of Psychiatry’s Clinical College for Quality Improvement (CCQI). In addition to caseloads and NICE concordance, the EIP Matrix also has questions about investment, workforce and outcomes. Managers of EIP services were invited to update their data between 1st August – 30th September 2018. After data was submitted, each EIP team manager, their director and commissioners received a draft summary report to review and correct as needed. Webinars and face to face forums were additionally used to share initial findings with providers and commissioners.

Findings

InvestmentTo calculate investment per patient, we asked EIP teams to provide their total annual budget. The question used to elicit this information is: ‘What is the total annual budget of your EIP team at the time of entering your data? i.e. actual budget under the control of EIP team manager including vacant posts. Please exclude overheads e.g. Trust on-costs such as facilities and any additional resources from other teams such as CMHTs or Crisis Teams.’ Investment per patient is calculated by dividing the EIP team annual budget with the total caseload.

Based on NICE reference costs, approximately £8,250 investment per patient is required to deliver a NICE concordant package of care2. None of the EIP services in the South of England are funded at this level:

2 NICE (2014) Costing statement: Psychosis and schizophrenia in adults: treatment and management Implementing the NICE guideline on Psychosis and schizophrenia in adults (CG178). Accessed online at: https://www.nice.org.uk/guidance/cg178/resources/costing-statement-pdf-191763901


0 £1,000 £2,000 £3,000 £4,000 £5,000 £6,000 £7,000 £8,000 £9,000

Oxford Health NHS Foundation Trust

Solent NHS Trust

The Zone (Plymouth)

Somerset Partnership NHS Trust

Dorset Healthcare University NHS Foundation Trust

Central and North West London Mental Health Foundation Trust - Milton Keynes

Surrey Borders Partnership NHS Foundation Trust

Berkshire Healthcare NHS Foundation Trust

Isle of Wight NHS Trust

Avon and Wiltshire Mental Health Partnership NHS Trust

Sussex Partnership NHS Foundation Trust

Kent and Medway NHS and Social Care Partnership Trust

Cornwall Partnership NHS Foundation Trust

Southern Health NHS Foundation Trust

Devon Partnership NHS Trust

2Gether NHS Foundation Trust

Investment Per Patient

AccessThe new psychosis standards introduced a requirement for EIP teams to be age inclusive and for the first time, teams were tasked with treating people with first episode psychosis aged over 35 as well as individuals with At Risk Mental States (ARMS). As a result of these changes there is a 20-35% expected increase in caseloads.

2017 FEP Caseload



0 200 400 600 800 1000 1200 1400


Solent NHS Trust

The Zone (Plymouth)






Isle of Wight NHS Trust







EIP Caseloads - Sept 2017 versus Sept 2018

With the exception of Oxford, 2Gether, Solent and Southern Health the caseloads of EIP teams in the South of England have stayed largely the same or reduced this year. Our interpretation is that teams have struggled to meet demand without additional resources and have resorted to limiting access to the service by raising referral thresholds, limiting the age range for the service, or by discharging people earlier.

2018 FEP Caseload Predicted caseload based on expected incidence of psychosis (www.psympatic.org)


0 5 10 15 20 25


Solent NHS Trust

The Zone (Plymouth)





Isle of Wight NHS








Care Coordinator: Patient Ratio


20

20

20

19

17

16

15

15

14

14

14

14

13

12

12

11

PrevalenceThe Psymaptic psychosis incidence tool (www.psymaptic.org) uses epidemiological data to predict the number of new cases of psychosis that can be expected by each EIP service per year. Prevalence is calculated by multiplying annual incidence by 3, for the three years that new cases are expected to remain on the EIP caseload. It is worth noting that the current Psymaptic incidence is based on population census data from 2011. In some instances predictions underestimate actual new cases taken on by an EIP service. An updated version of Psymaptic is due to be published in 2019. The below table illustrates each EIP service’s caseload as compared to what is expected according the current Psymaptic tool:

CaseloadsEngagement with treatment is a key function for early intervention in psychosis services, and this requires care coordinators to use assertive means to engage the person and family through more flexible and frequent contacts. This is why there is a maximum recommended Service User-Care Coordinator ratio of 15 Service Users per Care Coordinator. Higher caseloads are associated with higher rates of disengagement and relapse3.

3 Cochrane Review (2017) Intensive case management for people with severe mental illness. Cochrane Research Review. Accessed online at: http://www.cochrane.org/CD007906/SCHIZ_intensive-case-management-people-severe-mental-illness


Provider 2018 First Episode

Psychosis (FEP) Caseload

Expected Caseload Based on Psymaptic Psychosis Incidence

2018 FEP Caseload as Percentage of

Expected Caseload

Cornwall Partnership NHS Foundation Trust 217 267 81%

The Zone (Plymouth) 130 168 77%

Isle of Wight NHS 52 69 75%


110 189 58%

Kent and Medway NHS and Social Care Partnership Trust 533 1029 52%

Oxford Health NHS Foundation Trust 385 762 51%

Avon and Wiltshire Mental Health Partnership NHS Trust 562 1155 49%

Surrey and Borders Partnership NHS Foundation Trust 335 771 43%

Somerset Partnership NHS Trust 111 270 41%

Sussex Partnership NHS Foundation Trust 398 981 41%

2Gether NHS Foundation Trust 138 345 40%

Southern Health NHS Foundation Trust 284 729 39%

Solent NHS Trust 65 174 37%

Dorset Healthcare University NHS Foundation Trust 146 435 34%

Berkshire Healthcare NHS Foundation Trust 166 555 30%

Devon Partnership NHS Trust 213 747 29%

FidelityThe fidelity with which a service is delivered affects its outcomes. Achievement of high fidelity is one of the best ways of replicating the success achieved by research studies that have led to implementation guidelines4. We have compiled a high-level summary of the fidelity of the EIP services in the South of England:

4 NHS England (2016) Implementing the Early Intervention in Psychosis Access and Waiting Time Standard: Guidance. Accessed online at: https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/04/eip-guidance.pdf


EIP Service Uses Stand Alone

Service ModelTreats Those Aged

Over 35Treats At Risk Mental

States (ARMS)

Caseloads of ≤15 Per Care Coordinator

Offers Treatment for Up to 3 Years

2Gether

Avon & Wiltshire

Berkshire

Milton Keynes

Cornwall

Dorset

Devon

Isle of Wight

Kent and Medway

Oxford

Solent

Somerset

Surrey and Borders

Southern Health

Sussex

The Zone

NICE Concordance

CBT for Pyschosis

Received Intervention

Family Interventions

Individual Placement

Support (IPS)

Clozapine Physical Health Check

Smoking Cessation

Carer Focused Education

Programmes

29% 20%33% 41%

51%

83% 80%

Cognitive Behavioural Therapy for Psychosis (CBTp)There has been an increase in the number of people receiving CBTp from 21% in 2017 to 29% in 2018. There has been significant investment in this area from Health Education England (HEE) in terms of funding for training, and from providers in terms of releasing staff and arranging backfill. A second cohort of graduates has qualified this year bringing the number of CBTp therapists up from 27.2 to 44.2 Whole Time Equivalents (WTE). We therefore expect to continue to see improvements in this area so long as teams are able to retain their newly qualified CBTp therapists.


Family Interventions (FI)The proportion of families who received Family Interventions has remained relatively low at 20%. Family Interventions are typically delivered by care coordinators in pairs at times when the family is most likely to be available, which can be during evenings. The low level of delivery of family interventions is likely due to the lack of capacity within the teams to deliver this intervention.

Physical Health EIP teams in the South of England have made some improvements in the screening of physical health, from 41% in 2015 to 51% in 2018. Although this is an improvement, it is still some way off from the 90% standard set by the 2017-19 Commissioning for Quality and Innovation (CQUIN) framework. Some teams, like the Pan-Dorset and Gloucestershire Recovery in Psychosis (GRIP) EIP teams have made significant improvements and provided a comprehensive physical health check for 93% of people on their caseload. Some of the learning from the Pan-Dorset and Gloucestershire Recovery in Psychosis (GRIP) EIP team is explored further as part of a good practice case studies in Appendix 1.

Individual Placement and Support (IPS) Individual Placement and Support (IPS) has been shown to be an effective intervention for supporting people with severe mental illness back into paid employment5. NHS England has set an ambition to double the number of people accessing IPS by 2020. Of the people with psychosis who are not in employment or education on the EIP caseload, 33% have had 2 or more appointments with an IPS worker. Alongside NHS England’s ambition to double those accessing IPS, there has also been transformation funding. The following Sustainability and Transformation Partnerships in the South of England were successful in securing IPS transformation funding:

1. Buckinghamshire, Oxfordshire and Berkshire West 2. Devon 3. Frimley 4. Somerset5. Sussex and East Surrey

A second tranche of transformation funding is expected later this year and should provide more resources for EIP to make further improvements in the delivery of IPS.

5 Killackey et al (2018) Individual placement and support for vocational recovery in first-episode psychosis: randomised controlled trial. British Journal of Psychiatry. Accessed online at: https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/individual-placement-and-support-for-vocational-recovery-in-firstepisode-psychosis-randomised-controlled-trial/CB93C608C81C7A62642FBAAC20BB4D51

DiscussionEarly Intervention in Psychosis Services are the most clearly specified and evidence-based area of mental health care delivery making them transparent to commissioners, people with psychosis and their families. EIP teams in the South of England have significantly improved waiting times and increased access to CBT for psychosis, Individual Placement and Support (IPS) and physical health screening. These improvements have been made despite the majority of teams not receiving any increase in funding. With the exception of the Devon CCG, the 6 CCGs in Surrey, the 8 CCGs in Kent and Medway and the 4 CCGs in Hampshire, none of the other 31 CGGs in the South of England have made funding increases for EIP this year or where funding has been given to providers, it has not reached the EIP frontline. Without this investment the vision of the Five Year Forward View for Mental Health will not be realised.

Appendix 1: Good Practice Examples

Physical Health


EIP Team Pan-Dorset EIP Team

AchievementThe team has excelled at physical health screening by providing a comprehensive physical health check to more than 90% of people on their caseload.

Enablers

The Pan-Dorset EIP team has a named clinical lead for physical health. His main duties are care coordination and a smaller caseload allows him to lead the team in ensuring physical health checks are completed and recorded.

Where the physical health checks results indicate an issue, the team will offer and deliver an intervention which is also recorded. The Information and Technology team have built a business intelligence solution with a dashboard which allows managers and clinicians to have a near real time view of performance.

The dashboard refreshes every 24 hours and is able to forecast the number of patients that will require a new physical health check in the coming months, so that clinicians can plan ahead and set time aside to complete them. This allows the clinicians and team to be proactive rather than having to constantly respond to breaches.

EIP Team Gloucester Recovery in Psychosis (GRiP) EIP Team

Achievement2gether NHS Foundation Trust is one of only 3 Mental Health Trusts to consistently achieve targets set for compliance for this CQUIN.

Enablers

The GRIP EIP credits some of their success to consistent support from their board and IT department. The Trust’s physical health workstream is treated as a transformation project, with clear milestones and deliverables set against those who are accountable. The EIP team has a physical health lead but each clinician is responsible for ensuring physical health checks are completed, and any interventions required are offered.

Before embarking on the project, a comprehensive clinical engagement exercise was conducted to find out the barriers to completing and recording physical health checks. One of the barriers was the forms for recording physical health checks were in multiple areas and hard to find on the electronic health record. The Trust IT team worked with clinicians and people who use services to simplify the process of recording to involve one screen which is easy to find.

The GRIP EIP team’s initial plan was to hold clinics where patients can get physical health tests completed, but the DnA rate to these clinics was high. The team adapted their method to go to people’s homes with a mobile physical health bag with all necessary recording devices. The results are now much improved with 93% of the team’s caseload having had a comprehensive physical health check in the last 12 months.

To sustain this improvement, the IT department has also deployed a physical health tracking dashboard so that individual clinicians, their managers and the board can have near real-time updates on progress.

Individual Placement and Support (IPS)


EIP Team Sussex EIP Team and Southdowns Housing

AchievementSouthdowns Housing is a centre for excellence for Individual Placement and Support (IPS). Working in partnership with Sussex EIP teams, the service has delivered IPS to 83% of those who were not in employment in the last year.

Enablers

The relationship between Southdowns and Sussex Partnership NHS Foundation Trust is a longstanding partnership with a solid governance structure which ensures that IPS is embedded within every mental health team that treats people with severe mental illness. The group were successful in securing NHS England funding in the Wave 1 IPS bid for expanding the existing IPS service within mental health teams. The funding enabled the recruitment of additional employment specialists, who are co-located with EIP teams, enabling them to work side by side with EIP clinicians to deliver IPS interventions earlier and to more service users. As well as co-location, the employment specialists also have access to the Trust’s electronic health record system, so that they can be informed about the activity of other team members with service users, and record IPS activity. Future work will focus on strengthening ties between the EIP clinicians and the teams’ IPS workers through developing an EIP IPS Partnership Forum and to improve reporting of interventions and outcomes to stakeholders.

Fiona EdwardsCEOSurrey and Borders Partnership NHS Foundation Trust

Prof Belinda Lennox EIP Clinical LeadOxford Academic Health Science Network

Sarah Amani Senior Programme ManagerOxford Academic Health Science Network

Andy Oldfield Mental Health Commissioner South Kent CCGs

Zena Watson Senior Contracts ManagerWest Kent CCGs

Aly FieldenMental Health CommissionerBristol CCG

Sheila BaxterMental Health CommissionerSwindon CCG

Georgina RuddleMental Health Commissioner Wiltshire CCG

Ann Tweedale Senior Programme ManagerNHS England - South

Ben Abubakar Mental Health Commissioner Portsmouth CCG

Lisa PageMental Health CommissionerSurrey CCG Collaborative

Vikki CochranMental Health CommissionerSouth Devon & Torbay CCG

Julie Brown & Sheena Lee

Mental Health CommissionersDorset CCG

Dave HolmanHead of MH CommissioningWest Kent CCGs

Kate WilliamsCommissioning ManagerSomerset CCG Diane WoodsCommissioning Manager Surrey CCGs Collaborative Tracey MarshMental Health CommissionerCornwall CCG Georgina RuddleMental Health CommissionerWiltshire CCG

Juliet LongCommissioning ManagerOxfordshire CCG

Ian MundyDirector of Adult ServicesBerkshire Healthcare NHS Foundation Trust

Jonathan Thomas Community Services Manager ²gether NHS Foundation Trust Jane YeandleHead of ServicesSomerset Partnership NHS Trust

Jason HopeMental Health CommissionerWest Hampshire CCG

Gayle BridgmanOperations ManagerNHS England - South West

Nadia BarakatMental Health CommissionerEast Berkshire CCGs

Rabia AlexanderMental Health CommissionerWest Berkshire CCGs

Jacquie Mowbry-GouldChief Operating OfficerKent and Medway NHS and Social Care Partnership Trust

Kate LavingtonMental Health CommissionerSouth Gloucestershire CCG

Katrina LakeClinical Lead – Adult Mental HealthSouth East Clinical NetworksNHS England

Dr Rick FraserMedical Director Sussex Partnership NHS Foundation Trust

Karl GlukMental Health CommissionerGloucestershire CCG

Sofia HattonCommissioning ManagerBuckinghamshire CCG

Maggie GairdnerDirector of Mental HealthSurrey and Borders Partnership NHS Foundation Trust

Lin WaltonMental Health CommissionerNorth, East & West Devon CCG

Sheila O’keefeDirector of Mental HealthKent and Medway NHS and Social Care Partnership Trust

Mike MarshallDirector of Adult ServicesCornwall Partnership NHS Foundation Trust

Martyn WardHead of PerformanceOxford Health NHS Foundation Trust

Graham WebbClinical Director of Adult ServicesSouthern Health NHS Foundation Trust

Dr Claire WilliamsonHead of Psychological TherapiesAvon and Wiltshire Mental Health Partnership Trust


Appendix 2: South EIP Programme Board Members

Dr Belinda Lennox South Region EIP Clinical LeadOxford University | Oxford Health NHS Foundation Trust

Dawn HydeFamilies and Carers Participation LeadSouth EIP Programme

Sarah AmaniSenior Programme ManagerOxford Academic Health Science Network

Dr Paul Tabraham Consultant PsychologistSouthern Health NHS Foundation Trust

Dr Jeremy RowlandConsultant PsychiatristSouthern Health NHS Foundation Trust

Lena SpencerEIP Team Lead – Milton KeynesCentral and North-West London Mental Health Foundation Trust

Dr Helena LaughtonPsychologist – Bucks EIP TeamOxford Health NHS Foundation Trust

Lucy Betts & Chris MortonEIP ManagersOxford Health NHS Foundation Trust

Dr Louise JohnsConsultant Psychologist – Oxford EIPOxford Health NHS Foundation Trust

Alexandra Luke Head of Mental HealthBerkshire NHS Foundation Trust

Zoe EmmsEIP Service ManagerBerkshire NHS Foundation Trust

Claire GreenlandBristol EIP Team ManagerAvon and Wiltshire Mental Health Partnership NHS Trust

Andy James Team Lead Avon and Wiltshire Mental Health Partnership NHS Trust

Terry GregoryBristol EIP Team ManagerAvon and Wiltshire Mental Health Partnership NHS Trust

Paul HarrisSouth Glos EIP Team ManagerAvon and Wiltshire Mental Health Partnership NHS Trust

Elena ElyBANES EIP Team ManagerAvon and Wiltshire Mental Health Partnership NHS Trust

Liz CoxSwindon EIP Team LeadAvon and Wiltshire Mental Health Partnership NHS Trust

Dr Frank BurbachSouth West EIP Clinical Lead & Consultant PsychologistSomerset Partnership NHS Trust

Annie HodginsEIP Team ManagerSomerset Partnership NHS Trust

Brenda McauleyService Manager Devon Partnership NHS Trust

Ruth EustaceEIP Team Manager 2Gether NHS Foundation Trust

Richard TaylorPortsmouth EIP Team LeadSolent NHS Trust

Darren LloydTeam ManagerThe Zone (Plymouth)

Faye MurphySnr Quality Improvement LeadNHS England South East Clinical Network

Xolani VikiSnr Quality Improvement LeadNHS England Wessex Clinical Networks

Lynne DicksonSnr Quality Improvement LeadNHS England South West Clinical Network

Collette ChamberlainEIP Service ManagerKent and Medway NHS and Social Care Partnership Trust

Sharon BarrettProject CoordinatorKent and Medway NHS and Social Care Partnership Trust

Dr Meena McGillConsultant PsychologistKent and Medway NHS and Social Care Partnership Trust

Anne-Marie HempsteadEIP Team ManagerIsle of Wight NHS Trust

Peter WilliamsEIP Team Manager – East SurreySurrey and Borders NHS Foundation Trust

Kate AllenEIP Team Manager – NE Hants & West SurreySurrey and Borders NHS Foundation Trust

Anastasia O’Donnell EIP Service Manager Sussex Partnership NHS Foundation Trust

Dr Stuart ClarkPsychologist and EIP Clinical LeadSussex Partnership NHS Foundation Trust

Tracy ReadEIP Service ManagerDorset HealthCare University NHS Foundation Trust


Appendix 3: South EIP Clinical Group Members

Luke Taylor & William FearneyEIP Team ManagersCornwall Partnership NHS Foundation Trust

Nigel LowtherHead of Information Management & TechnologyKent and Medway NHS and Social Care Partnership Trust

Arenea BelcherInformation ManagerOxford Health NHS Foundation Trust

Bill JohnstonHead of Clinical Transformation & TechnologyBerkshire Healthcare NHS Foundation Trust

Becki KillhamSenior Service Improvement ManagerSouthern Health NHS Foundation Trust

Jenny HausenHead of ITSolent NHS Trust

Senior Data Analyst Surrey and Borders Partnership NHS Foundation Trust

Nicola Rayment Head of Information Management & Technology Cornwall Partnership NHS Foundation Trust

Clive IngramHead of PerformanceCentral and North-West London Mental Health Foundation Trust

Toby RickardPerformance ManagerAvon and Wiltshire Mental Health Partnership NHS Trust

Michael WatsonMental Health Manager – Intensive Support TeamNHS Improvement

Stefan BirkettInformation AnalystKent and Medway NHS and Social Care Partnership Trust

Martyn WardHead of Performance and InformationOxford Health NHS Foundation Trust

Duncan SimpsonHead of InformationBerkshire Healthcare NHS Foundation Trust

Justine MillsPerformance ManagerSouthern Health NHS Foundation TrustLindsey WhiteBusiness PartnerDorset HealthCare University NHS Foundation Trust

Doug StewartChief Clinical Information OfficerSurrey and Borders Partnership NHS Foundation Trust

Sarah PowleslandIT ManagerCornwall Partnership NHS Foundation Trust

Dave West Head of PerformanceSussex Partnership NHS Foundation Trust

Paul FryIT ManagerThe Zone (Plymouth)

Nick GitchamMental Health Manager - Intensive Support TeamNHS England/NHS Improvement


Appendix 4: South EIP Technical Group Members

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