Internal Waits to Partnership

This is a common problem that can have one single large cause or a combination of several small causes that just add up. It’s first worth deciding if you are roughly in balance, using one of our Rules of Thumb…

The number of referrals you can accept

You can accept about 1 times as many referrals per week as you have full time equivalent staff. So a team with 8 FTE can accept about 8 referrals per week (see the Numbers chapter 13).

Work out your team’s full time capacity and figure out roughly how many referrals you can accept. If you are way out of balance (such as a team of 5 FTE with 12 accepted referrals a week) you will not manage. Detailed job planning will allow you to have data to discuss with your managers and commissioners.

Even if you are clearly out of balance, it is still useful to carry out a more detailed analysis so that you can make best use of what capacity you have. A better experience for your users and probably less stressful for the team if you feel you are doing all you can. And evidence for your managers and commissioners that you are working as efficiently as possible.

You might find it helpful to read this section and think about things as you go. To actually solve some of the issues download and print off a copy of the CAPA-CRS questionnaire and score it for yourself, in the team or in the CAPA leadership group. If fact, if you haven’t got such a group the first step might be to form one (Key Component 1!)

So what are the possible causes to consider?

Well, let’s go back again to the 11 Key Components of CAPA as our way of analysis and look at each in detail [Component Review]. This will help you see whether you have one big cause or multiple small ones adding up to a large effect. Some of them are DEMAND variables, that may have to be reduced and some are CAPACITY variables that we may have to increase. Some are FOUNDATION items- not impacting directly on demand or capacity but if not in place will have indirect effects.

Read this alongside your CAPA-CRS questionnaire.