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Round 2 Questionnaire: Expert Consultation

-------Please complete this survey before 28th May 2021-------
 
We are seeking your continued opinion in a priority setting exercise which aims to identify and prioritise evidence-based solutions (such as new/adapted interventions or service delivery models) in mental health care that meet system/patient needs and are ready for implementation.

Some of you may have participated in the first round of this project, for which we are very grateful. During the first round you have helped us generate a list of needs (some unmet) together with identifying possible solutions. This time we require you to rate each solution based on how well they meet a series of objectives derived from the priorities set by the NIHR priority network.

This will take 10 minutes of your time. We are also asking you to inform us of any specific implementation examples in each area.
 
INSTRUCTIONS: Please select your response on the following pages, where you are asked to score the extent to which each solution meets each of five objectives. There may be cases where you do not feel informed enough to answer a question. In all such cases, please choose the option ‘don’t know’.

There may be solutions that you do not feel sufficiently informed to comment on, in which please skip to the next one. 

You will be also be able, at the end of the questionnaire, to help us to weigh those criteria.

Explanation of the objectives to be used for scoring: 
 
1. Alignment with national priorities: How well is each of the solution aligned with health and care priorities identified nationally in the NHS Long-term Plan. 

2. Clinical effectiveness: Is there evidence that potential solutions deliver improved outcomes for health, wellbeing and social care, patient safety, patient experience, and/or service delivery?

3. Inequalities: Does the solution contribute to addressing inequalities in health and social care and/or improve access to care in hard-to-reach groups?

4. Public patient involvement and engagement: Have patients been involved in the identification of the need or the design, development or implementation of the solution?

5. Feasibility of implementation: Can the solution be successfully implemented and used within the NHS and social care system?


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* 1. What is your name?

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* 2. Select the organisation which best reflects your affiliation? (if applicable)

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* 3. In which region of England do you work in? (if applicable)

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* 4. What is your current role in the organisation? (if applicable)

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* 5. In the box below, please provide your email address.

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* 6. To what extent does the following potential solutions achieve the different objectives?

  Aligns with national health priorities Will be clinically effective Reduces health inequalities Engages service users and public in design and implementation Can be implemented in England
Solution1: Implementation of digital platforms to deliver parent-led cognitive behavioural therapy for children with anxiety problems.
Solution2: Implementation of evidence-based guidelines on improving perinatal mental health care for mothers, their partners and children.
Solution3: Implementation of guidelines that nurture appropriate levels of trust in adolescents to improve help-seeking for self-harm and suicide ideation.
Solution4: Implementation of evidence-based guidelines to effectively manage adverse events during childhood.
Solution5: Implementation of IAPT-style services for children and adolescents, particularly accessible for schools
Solution6: Implementation of crisis resolution teams for children and adolescents, with a special focus on autism or emerging personality disorders.
Solution7: Implementation of evidence-based care for inpatients in psychiatric hospitals who also have long-term physical comorbidities.
Solution8: Implementation of evidence-based guidelines to scale up physical health check-ups for people with severe mental illness.
Solution9: Implementation of evidence-based interventions to improve access to mental health care for people with-long term physical conditions.
Solution10: Implementation of integrated care protocols for patients with co-occurring severe mental illness and substance misuse, including alcohol addiction.
Solution11: Implementation of psychosis risk prediction tools through electronic health records within primary care.
Solution12: Implementation of evidence-based treatment guidelines for people with bipolar disorders.
Solution13: Implementation of evidence-based guidelines which regulate access to medicines which have potential for misuse in self harm and suicide
Solution14: Implementation of evidence-based support to prevent the burden on caregivers of people with severe mental illness.
Solution15: Implementation of evidence-based guidelines to support people with severe mental illness to find and retain employment.
Solution16: Implementation of evidence-based guidelines to train health care professionals to make women with severe mental illness aware of the risks around pregnancy and childbirth.
Solution17: Implementation of community engagement systems to improve access to mental health care health for Black, Asian, and other minority ethnic groups.
Solution18: Implementation of models involving trained bilingual therapists to provide talking therapies in languages other than English.
Solution19: Implementation of peer support systems across all mental health services.
Solution20: Implementation of prevention strategies and dissemination of awareness materials to reduce head banging, especially among children and adolescents.
Solution21: Implementation of of guidelines on suicide and self-harm prevention for women of South Asian origin via community linkages and charities involvement.
Solution22: Implementation of education and training to improve healthcare professionals’ awareness and understanding of LGBTQ+ communities mental health needs.

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* 7. How much weight would you give to each of the 5 objectives?
You may feel that some of these five objectives are more important to achieve than others, so please provide  numerical weights to them.

[Distribute a total of 100 points between the 5 objectives, with a higher number indicating more weight]

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* 8. Do you have any other comments, questions, or concerns?

If you require additional information before you could complete this survey. Please write to Dr Shalini Ahuja shalini.ahuja@kcl.ac.uk and/or Ms Christine McDonald christine.3.mcdonald@kcl.ac.uk
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