Evaluating a digital tool to manage caseload and care in community mental health
We helped reduce mental health crisis rates and optimise user flows by introducing a new data capture tool, evaluating existing digital tools and implementing a service redesign which resulted in a cost saving of £1.7m within six months of introducing changes.
Mersey Care NHS Foundation Trust began using MaST within its community mental health teams to help frontline staff make better decisions about the resources they use to provide safe quality care. With rising caseloads and increasing numbers of service users with complex mental health needs the staff have had to prioritise managing risk and keeping people safe with limited time to deliver recovery-based care.
The MaST software platform uses predictive analytics which draws on clinically relevant information from multiple sources to support healthcare professionals in better managing caseload and care. It can predict a person’s likelihood of requiring crisis care, enabling clinicians to effectively manage caseloads and ensure more people get early support to help avert admission to the hospital.
The Health Economics Unit was commissioned by the Innovation Agency, Academic Health Science Network for the North West Coast, to evaluate digital technology. The aim was to assess the impact it had on service user flow, management of mental health crisis in the community, quality and safety performance indicators and caseload management as well as resource use and cost savings.
The Health Economics Unit worked to understand what the intervention was looking to solve and how it fit within the bigger picture. We undertook a pathway mapping exercise and logic model to understand the outcomes of interest and identify key metrics and data needed for analysis.
We produced an evaluation framework and analysis plan to help guide the evaluation, before carrying out a descriptive analysis and regression analysis (a technique to understand the relationship between two variables) to examine the effect of MaST.
A new data capture system, COVID-19 and a service redesign meant that showing the effect of MaST was challenging. Despite this, our analysis showed that mental health crisis rates began to decline during the introduction of MaST and continued falling with a reduction in the length of stay in the hospital. This shift in activity is estimated to have resulted in a cost saving of £1.7m in the six months following its introduction.
As a result of the report, our client has been able to see the effect of the software on user flow, management of mental health crisis, quality and safety performance indicators and caseload management, as well as the effect on resource usage and whether there were any cost savings. Our client could understand any benefits and make an informed decision on the costs and benefits of its continued investment. The outputs from the report were used in business cases to help provide evidence-based findings to support requests to implement the system.
News and views
Recorded live at the NHS ConfedExpo, join host Richard Caddy in an engaging dialogue with Kelly Bishop, Assistant…
Our Health Economics Unit (HEU), in a successful collaboration with the Midlands Decision Support Network, has marked a…
The Digital Innovation Unit (DIU), along with their commercial partner Citizen Communications, are hosting an event on the 31…
How we can help health systems
Developing health systems
Acting as an independent and trusted partner within the system to facilitate working across stakeholders and integrate elements of the provider system…Learn more about Developing health systems
Workforce resilience and transformation
Supporting systems to build a sustainable and integrated workforce, transforming systems, organisations and the workforce experience to improve resilience.Learn more about Workforce resilience and transformation
Communications and engagement
Supporting ICSs with approaches to design and deliver effective communication, engagement and behavioural insights as a key enabler for system change and…Learn more about Communications and engagement
Digitally enabled transformation and IT
Digitising care and partnering with systems for the transformation of digitally enabled service delivery (and other supporting processes) across vision, planning and…Learn more about Digitally enabled transformation and IT
PHM analytics and decision support
Applying intelligence-led understanding of the health of the population to support the redesign of care and improve patient and financial outcomes across…Learn more about PHM analytics and decision support
Place and primary care transformation
Supporting providers to work together at a place and neighbourhood level to manage common resources, integrate community teams, improve health and reduce…Learn more about Place and primary care transformation
Clinical redesign and provider collaboration
Redesigning how health and care works across England - placing people at the centre of their own health and care and utilising…Learn more about Clinical redesign and provider collaboration
Personalised healthcare commissioning services
Providing end-to-end funded care services, including patients as active partners in identifying their healthcare needs and then commissioning care to meet these.…Learn more about Personalised healthcare commissioning services
Business enabling services
Delivering a wide range of support functions through transactional services, business partnering and transformation that drives efficiencies and releases value and time…Learn more about Business enabling services