Type of Entry: Digital
Name: Management and Supervision Tool (MaST)
Date added: 27 November 2020
Delivery type: Approach / Tool
Owned by: Otsuka Health Solutions (OHS)
Cost: Yes
Target audience: Healthcare professionals

Core Elements

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.

Supporting Rationale

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.

Evaluation

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 required OHS to forecast which service users were retrospectively at ‘highest risk of using crisis services’, and then identify how many of the service users that did go on to use crisis services, came from this ‘highest risk of crisis’ category. OHS also identified service users that were ranked as the ‘lowest risk of using crisis services,’ the majority of whom had subsequently remained in services and had not gone on to use crisis services.  

Rating

N/A

Recommendations

  • 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.

Endorsements

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

Data Protection Considerations

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 OHS is the data processor.   OHS complies with each organisation’s data access processes.

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

Additional Information

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.

The aim of the ZSA Resources is to introduce users to a range of existing and new resources with a connection to supporting people with their mental health, bring awareness to and help prevent incidences of suicide.  The ZSA do not endorse individual resources but instead aim to present standardised information to enable the user to make an informed decision over its use.

This resource content was developed and approved in collaboration with the resource owner. If you would like to update this content, please contact us.

For more information on ZSA Resources, please refer to ZSA Policies.

Content last updated: 02/12/2020.

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