We are changing the way that care is planned and delivered at Camden and Islington NHS Foundation Trust, this follows an announcement by NHS England about care-planning for people accessing community-based mental health services.
In the new guidance NHS England said every adult accessing community-based care should co-produce a holistic personalised care and support plan from 2022. They should also be provided with the name of a key worker they can contact if their needs change.
The new care planning approach, called DIALOG+, makes it much easier to co-produce a personalised care and support plan with people. This will replace the Care Programme Approach (CPA) and research shows DIALOG+ significantly improves quality of life and care experience. The new approach is rolling out gradually across Camden and Islington NHS Foundation Trust, as part of a London-wide initiative.
We will be telling service users and carers more about this change during the next few months and are planning for everyone at the Trust to be using DIALOG+ by April 2023.
Community teams are reviewing all cases to make sure everyone has a named key worker as part of the transition to new core community mental health teams. In most cases, the named key worker will be the existing care coordinator, lead professional or person they’ll meet at their next appointment.
What are DIALOG and DIALOG+?
DIALOG is a scale of 11 questions. People rate their satisfaction with eight life domains and three treatment aspects on a 7-point scale. DIALOG provides a score for subjective quality of life and a score for treatment satisfaction. The scale is part of the DIALOG+ intervention but can also be used on its own
DIALOG+ is a full therapeutic intervention. It incorporates the DIALOG scale but goes far beyond administering a scale.
DIALOG + is the first approach that has been specifically developed to make routine patient-clinician meetings therapeutically effective. It is based on quality-of-life research, concepts of patient-centred communication, IT developments and components of solution-focused therapy, and is supported by an App. Research studies in different mental health services and multiple countries have shown that using DIALOG+ can improve patients’ quality of life.