Mental Health Teams

Introduction

PKB is being used successfully by mental health teams in the UK. In this section, we highlight some of the problems faced by mental health teams and their service users and how PKB can address these. We look at the use case of a Mental Health Trust in Sussex and how generally PKB can be used in mental health, within the care of severe mental illness, the NHS and in private mental health.

Current problems

• Care plans are written but not accessible even when requested

• Feels like a tick box exercise, not personalised care

• No way of sharing information with service users

• All questionnaires are done on paper and are not always accessible to service users

• Service users repeating themselves, no central place for care plans

• Mental health teams don't have all the information and data they need

PKB solution

• Integration with Care Notes

• Patients have access to their healthcare data all in one secure place

• Digital care plans

• Integration to Care Notes, allowing services users access to appointment letters and appointments

• Integration with EMIS for demographics, diagnosis, medications and allergies

• Digital recovery platform for severe mental illness

• Creating a single source for care and a central place for care plans to sit

• Online resource library

• Secure messaging between service users and the team

• Symptom and measurement tracker

Mental Health Organisation rollout of PKB

In 2021, Sussex Partnership NHS Foundation Trust started using PKB, to enable their service users to access their mental and physical health records whenever they needed them, in one place. Importantly, it also allowed them to choose to share parts of their record with others involved in their care, including their GP, other NHS Trusts, care workers, friends and family carers.

Below is what they've achieved so far:

• All active adult users have been added to PKB

• 33,000 records created

• Part of a Multi Organisation Network

• 23% of patients registered with their record

• Over 7,000 registering a week (since April 2022)

• 80% by NHS login and 20% via email invitation

• NHS login is widely promoted (customised login, on the comms, website and on clinic letters)

• Support team - adding email address manually

Clinical input

• Care plans - any service users with a care plan will see this in their PKB record in PDF format

• Care Notes integration with PKB gives services users access to their 'My care and safety care plan'

• The Care plan is created, completed and published in Care Notes and sent to PKB

• Creating patient PKB records via integration, demographics

• Care Notes do a demographic update or the support team is trained to add patient's emails manually

• Sharing data within the network they are part of

• PKB process in place to document the privacy label changes

• Appointment letters, appointments, and care plans are all under the mental health privacy label

• Treating the data the same as general health

• Giving patients access to their data was the driving force

• Recall questionnaire through an API

Key PKB features

Consultations

• Quality of life questionnaires

• Depression scores and programme questionnaires

• About Your Mental Health Questionnaire

Messaging

• Patients have access to secure messaging (saving time on the phone)

• Admin team can triage and either resolve or pass on messages

Library:

• A wealth of resources

• Online patient leaflets

• Support group information

• Videos

Care plans

• Shareable plans of care

• HL7 care plans sent to PKB from Care Notes

• My care and safety care plan

• Individualised templates with escalation plans

• A place to track and record symptoms

• Daily journal care plan

Appointments

• Appointment letters and appointments sent to PKB via integration

• Manually entered appointments

Medicines

• Document medications, past and current

• Medication integration

Workflow

Comms Examples

Sussex Partnership NHS Foundation Trust Web page gives patients information and a link to register with their PKB record via the NHS login. https://www.sussexpartnership.nhs.uk/my-health-and-care-record

The below ti-leaflet is also sent to patient alongside clinical or appointment letters

Clear information for services users and patients on how to register with their PKB record, what data they will see and how their teams will use PKB with them.

Further information

• Severe mental illness: using PKB to provide a digital recovery platform

• Mental Health consultation templates: examples of consultations used by mental health teams

• Mental Health care plan template: example of a care plan used by a mental health team

• A digital recovery platform for severe mental illness: NHSX Digital Playbook using PKB as the digital solution for the severely mentally ill