Transfer to Partnership Components

5. Full booking to Partnership [CAPACITY ITEM]

No internal treatment waits!! This means booking, at the end of the Choice appointment, the young person and family into the next Core Partnership appointment, that they choose, that has the clinician with the right skills. This requires having job plans that specify new Core Partnership activity for each clinician as well as some sort of diary system that is available to the Choice clinicians so they can select a clinician and book the family in at the Choice appointment.

Is your rating? No (RED) = 0 Partial (AMBER) = 1 Yes (GREEN) = 2

Full booking is surprisingly important and as such is a CAPACITY item. Any service that collects Partnership requests in cardboard boxes (or filing cabinets!) and waits for clinicians to have time will quickly run up an internal list. This is because, when staff feel busy, they find it hard to take on more work. This is so even though the work isn’t for now, it’s for then. Busy clinicians often only feel able to agree to take on work when they are currently feeling quiet. This wastes weeks of lowered activity between now and the offered time in the future.

However, if we plan our activity, know our capacity and how much capacity each family uses then we can plan for our capacity in the future. If you know you will have space for the new family you can be committed to the work now, as they won’t be coming in the next few weeks. This is anticipating capacity and is one of the core aspects of the CAPA process and numbers.

It is rather similar to what happens at traffic lights. If each car waits for the car in front to move away before it starts it can take ages for the queue to go through. However, if each car moves away when the lights turn green, trusting that there will be space on the road when they get there – anticipating capacity – the queue goes through so much quicker.

Does everyone know their new Core Partnership activity number? If not, ensure you complete team job planning and sort this out. Make the numbers easy to monitor- say in the Partnership diary. Are there vacant Core Partnership appointments in the diary for Choice clinicians to book families in to? If not, get this in place (full booking).

6. Selecting Skills to Partnership [CAPACITY ITEM]

At the Choice appointment you help the family to decide on their goals and then you choose the Partnership clinician/s who have the skills to deliver these goals. You book the family into the next Partnership appointment with the clinician who has these skills. This will usually mean they see someone different from the Choice clinician unless they have the first available appointment and the family chooses to stay with them.

Is your rating? No (RED) = 0 Partial (AMBER) = 1 Yes (GREEN) = 2

Selecting someone with the right skills in Partnership makes the work more effective and less likely to drift, extending your capacity by making best use of it. Some teams find that some clinicians keep families and young people to themselves from Choice- this may be more to do with their own feelings than the choice or needs of the family. They may believe that they are best placed to help, that continuity is everything or that it is easier than picking up a new Core Partnership that they have not seen in Choice. Sometimes they are anxious about Partnership colleagues being aware of their Choice work, especially if team members do not know each other well. Whilst they may be the best person to see the family, in a team with extended skills they are unlikely to be the one with the first appointment and the family must always be given a choice.

A lot of self-allocation from Choice to Partnership (lots of ‘keepsies’!) would mean the team couldn’t rate green. Unless you are a very small team or a lone worker!

Discuss in the CAPA management group whether you think this is an issue. Monitor ‘keepsie’ rates and discuss this is in the team. When do people feel they should keep families? Agreeing criteria will help. See also the Keepsie workshop.