The use of operationalised criteria for inclusion on a Care Programme Approach register

M. Phipot, H. Hales, B. Sheehan, S. Reeves, M. Lawlor
2001 Psychiatric bulletin of the Royal College of Psychiatrists  
Aims and Method To determine the rates at which clinical teams within one NHS trust placed older people on a Care Programme Approach (CPA) register and to examine the degree to which clinicians' use of the register conformed to trust policy. Two retrospective case notes surveys were carried out 6 months apart within a completed audit cycle. Results Consultant teams varied considerably in their application of the CPA policy. Feedback to clinicians after the first survey had a variety of effects
more » ... n subsequent use of the CPA register. Clinical Implications Health service policies exist to reduce variation in clinical practice and to ensure minimum standards. Clinical audit may be a useful tool in identifying irrational variation within the framework of clinical governance.
doi:10.1192/pb.25.5.172 fatcat:cd62k3obdvfpzb54nvbfqpbjum