Management and Supervision Tool (MaST)

Key Aims:

• Enables NHS Trusts to transform the way services are delivered, helping Community Mental Health Teams (CMHTs) use data to support their decisions about the allocation of resources, service user care pathways and care planning.

• MaST helps clinicians to ensure these are appropriate for people's needs including considering risk of accessing crisis services. 
• Enables frontline staff to support the delivery of high quality care.
• Service users receive the right care for their own needs, enabling individualised recovery in the community.
• Supports the Community Mental Health Framework stipulated by NHS England to promote mental and physical health and prevent ill health, build an inclusive model of care particularly for marginalised people with multiple complex needs, and to review CMHT caseloads helping to increase therapeutic and supportive interventions.
• Supports the close monitoring of people who are shielding during the Covid-19 pandemic so that urgent care can be offered for those experiencing crisis and suicidal thoughts. 

Features & Functions:

• Aids mental health clinicians to review and gain a data informed insight into service user risk and their level of need using an alorithm based upon their clinical record. This estimates the likelihood of a service user requiring crisis services within 28 days.

• Supports service user flow through services, ensuring that stepping up and down levels of care is responsive to individual need.

• Enables the identification and proactive monitoring of service users who are additionally vulnerable because of Covid-19 and may require support as a priority.  As a result, mental health staff can conduct informed and high quality telephone assessments for these individuals, identifying those that need urgent support and proactive follow-up.

3 Key Outcomes:

1. MaST helps with the Stabilisation of CMHT services
2. MaST enables and supports the Transformation of CMHT services towards an integrated care model
3. MaST enables the Development of a Digital Culture by creating digital champions that drive change from within.

The MaST Covid-19 digital platform responded to:

• The increased likelihood of individuals experiencing crisis and resulting increased demand for urgent care services
• Cohorts of individuals whose mental health was increasingly at risk because they have other social and physical vulnerabilities
• The reduction in availability of staffing hours through caring for dependants, self-isolation and sickness absence.

The initial research and development of the MaST Risk of Crisis alorithm was conducted using a retrospective patient data set of over 35,000 records. It has since been been validated using retrospective analysis of five different data sets alongside monthly monitoring of organisational performance.

This validation exercise involved forcasting which service users were retrospectively at ‘highest risk of using crisis services’, and then identified how many of the service users that did go on to use crisis services, came from this ‘highest risk of crisis’ category. Service users that were ranked as the ‘lowest risk of using crisis services' were also identified. The majority of these service users had subsequently remained in services and had not gone on to use crisis services.  

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• MaST has been fully deployed across Mersey Care NHS Foundation Trust as part of the Global Digital Exemplar programme.
• Scale up of MaST is in progress in North West Boroughs Healthcare NHS Foundation Trust and Greater Manchester Mental Health Foundation Trust.

• NHS Innovation Accelerator
• Positive Practice in Mental Health (PPiMH) in conjunction with partnership agency the National Collaborating Centre for Mental Health (NCCMH) - All-Age Crisis Care Report (2019)

More information on MaST endorsements can be found on the Otsuka Health Solutions website.

The MaST team develop a Data Protection Impact Assessment (DPIA) in partnership with each trust prior to using MaST.  

Each organisation using MaST remains the data controller under GDPR regulations and Holmusk is the data processor.  Holmusk complies with each organisation’s data access processes.

Holmusk are also accredited against ISO 27001 which is an internationally recognised standard on managing information security.  Holmusk also submit to the Data Security and Protection Toolkit.

MaST was developed and deployed in mental health services primarily because of the devastating impact of mental health crisis on people’s lives. CMHTs were experiencing high caseloads of service users with complex needs, requiring a data informed tool to help manage and prioritise their resources.  This was not only to help improve the quality of individualised care, but to improve staff wellbeing and aid retention in light of a decline in the number of nurses.

The recent addition of the Covid-19 module was designed and implemented to help with the additional pressures faced by mental health service during the pandemic.