Below is an outline of the content for a report commissioned by the National Audit Office. For a full copy of the report, go to www.nao.org.uk.
- A Report of interviews with CRHT and Ward Managers across 25 sites in England, regarding 500 referrals to CRHT teams and 500 admissions to inpatiient wards during Jan-Apr 2007
Steve Morgan on behalf of Study Team:
Practice Based Evidence
www.practicebasedevidence.com
THE NATIONAL AUDIT OFFICE
Nick Gauntlett,
Kirt Hunte,
Charlotte McKinley (NAO),
Andrew and Roberta Wetherell
led by Steve Morgan,
under the direction of Jess Hudson (NAO)
| Chapter 1: The project successfully generated reliable evidence from 25 sites operating varying CRHT service models | 3 |
| Chapter 2: The Department of Health intends that CRHT teams act as ‘gatekeepers’ to admission, but in fact this function is under-realized | 8 |
| Chapter 3: Assessing a mental health crisis is a critical function of CRHT teams, but it must be efficiently organised in order that the home treatment function is not compromised | 32 |
| Chapter 4: Home Treatment offers key benefits for patients, but capacity to provide it could be improved with more rigorous implementation of the intended policy | 35 |
| Chapter 5: CRHT teams are facilitating earlier discharges where the ward and CRHT team are integrated, but there is room to improve performance in this area | 41 |
| Chapter 6: CRHT teams need to be better understood by the teams and services that refer to them in order to ensure they provide the intended functions | 47 |
| Chapter 7: Service User/Carer preferences do influence admission decisions, so they need to be fully informed of the range of options | 56 |
| Chapter 8: CRHT teams provide acute care, and success will depend on integrating them effectively in the acute care pathway | 60 |
| Recommendations | 69 |
| Appendix One: The 25 Sites Visited | 73 |
[Go to www.nao.org.uk for the full report and the complete set of National Audit Office reports on this project]