Care Programme Approach Standards
"The CPA enables me to get on with my life and gives me a possibility to live nearer my family."
- Service user at Cygnet Hospital Wyke.
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The following service user defined CPA (Care Programme Approach) standards were developed by the i4i Network, in conjunction with the Yorkshire and Humber SCT, by service users and staff from secure services across the Yorkshire and Humber region. The standards were developed because service users wanted a more 'person centred approach' to CPA and to be more involved in the process.
As a result of these standards, as a service user, you can expect the following:
1. You should be included in all parts of your CPA meeting. In exceptional circumstances, where there is third party information to be discussed, you may not be involved. Where possible you should be informed this is happening.
2. As far as possible your service will try to meet your needs when selecting the venue for your meeting. Prior to the meeting you will have the opportunity to discuss and agree the choice of venue. This will include:
- Choosing the room and its size
- Visiting the room before to discuss the layout
- Choosing where people will sit
3. You will discuss, negotiate and agree with your care co-ordinator / named nurse who should be invited to your CPA meeting and ensure that plenty of notice is given to everyone. The named nurse has an important role in making this happen. Together you will make a joint decision on how to move forwards if people are unable to attend. You will also be given the opportunity to send out invites to the meeting in your name. This includes letters to your carers (with admin assistance).
4. Any cancellation of the CPA meeting should be done with yourself and your carers wherever possible. If it is not possible for the CPA meeting to take place another date will be made with you as soon as possible.
5. You and your care co-ordinator will talk through and agree a plan for the meeting your named nurse will help with this. Extra items can be added by either party.
6. You should be made aware of the advocacy service and have the choice for advocacy support within the CPA process and meeting.
7. All reports will be written with your involvement, including future planning / discharge planning, at least one week before the meeting.
8. You will have the opportunity to attend ward round / MDT meeting nearest to your CPA meeting to discuss any issues which may arise at the CPA meeting.
9. You will have the chance to present your own views in your chosen format (written, verbal, etc). This will be done in time to go in to the CPA pack.
10. The chair of the CPA meeting is currently the care co-ordinator or your nominated individual, however this may change in the future to include your wishes e.g. You may want to chair the meeting or continue to nominate a member of your clinical team.
11. You should have the chance to discuss how you would like to meet everybody before the meeting. You should have the opportunity to meet everyone invited informally over coffee immediately prior to the meeting.
12. You can choose how the meeting will be arranged. This might include:
- How and when people enter the room
- Where different people are invited to sit
- Decide on which way reports are presented and in which order
- A joint decision will be made when you want to respond to reports and issues arising from them
You and the service you are in will develop a checklist to help with this.
13. The people who write the reports, should do everything in their power to be at the meeting.
14. At the end of the meeting there should be an agreement on what everyone feels is the action plan and there should be clearly identified people for each goal or action point, with clear timescales. The date for the next CPA meeting should be agreed at this point and important people who are necessary to attend should be identified (see point 2). A five minute break for you to gather your thoughts and ideas before devising your future plans / goals should be included in the meeting at your chosen point.
15. After the CPA meeting you should be shown a copy of the final draft report. At this point you have the opportunity to add your views about anything you disagree with to the report. You will be told if the report is to be done by a certain date.
16. People who are reading or summarising the reports should talk to you directly, and not over you, making sure you feel included.
17. All reports should be written in straight forward language avoiding jargon.
18. Paper and pens will be available at the meeting for everybody.
19. All people present at your CPA meeting will be respectful of each other and their roles and will behave in a respectful manner within the meeting.
20. You and your carers will be given a questionnaire after the CPA meeting to be sure that these standards are being met.
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Fax: 01274 604400
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For Sat Nav users please use postcode BD12 8LP