title: Comparing Choice and Partnership Approach assumptions to Child and Adolescent Mental Health Services in NHS Greater Glasgow and Clyde.
abstract: OBJECTIVE
  The purpose of this paper is to compare NHS Greater Glasgow and Clyde (NHSGGC) Child and Adolescent Mental Health Service (CAMHS) activity data over a one-year period to the Choice and Partnership Approach (CAPA) demand and capacity model assumptions, providing an evaluation of CAPA model implementation and its effects on actual demand and capacity of the service.
  
  
  METHODS
  Three assumptions within the CAPA model are tested against activity data extracted from the patient management system. Analysis by patient record assesses the number of appointments the patients received and the patients' journey from assessment to treatment. A combination of community CAMHS data are combined to compare actual activity against assumed capacity required to meet demand according to the CAPA model.
  
  
  RESULTS
  Tested against an audit of 2,896 patient records, CAMHS average 7.76 core appointments per patient compared to the CAPA assumption of 7.5 appointments at a 0 per cent DNA rate. The second CAPA assumption states that 66 per cent of assessments will result in treatment, compared to 73.55 per cent in NHSGGC CAMHS. Finally, the workforce model in CAMHS has clinical capacity to meet demand according to the CAPA assumption of weekly accepted referral rates not exceeding the number of clinical whole time equivalent.
  
  
  CONCLUSIONS
  The data allow for identification of inefficiencies within CAMHS and highlights how capacity can be increased, without increasing budgets, to meet a rising clinical demand. The results allow managers and clinicians to improve job planning to ensure more children and young people have quick access to services.
authors.affiliation: Specialist Children's Services, NHS Greater Glasgow and Clyde, Glasgow, UK.
authors.forename: Scott
authors.initials: S
authors.lastname: Wilson
authors.forename: Julie
authors.initials: J
authors.lastname: Metcalfe
authors.forename: Stephen
authors.initials: S
authors.lastname: McLeod
mesh_terms: D000293:Adolescent; D002648:Child; D017598:Efficiency, Organizational; D006297:Health Services Accessibility / Q000458:organization & administration*; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D012017:Referral and Consultation / Q000458:organization & administration; D012606:Scotland
keywords: Capacity management; Lean thinking; Management; National Health Service; Partnership; Process management