Information for Josefien Breedvelt – MH Foundation
My contact details: Alison Bourne email@example.com 07977 900716 and 01425 629602
BACKGROUND – CBRT as a mental health prevention strategy for NHS Patients.
- Since March 2011, CBRT has been searching for national funding suitable to enable the CBRT NHS QIPP Initiatives to become actioned. Large demographic pilots – which NHS due diligence have deemed “fit for purpose” and “ready to action.” Written with advice and support from many NHS colleagues – for a new psychological therapy and structured relaxation intervention for NHS Patients, children and young people.
- Clinical Commissioning Groups are unable to use CBRT with NHS Patients until these pilots have been actioned – to train NHS staff in the intervention and create independent NHS evidence base – for three key patient groups i) anxiety and depression; ii) older people and dementia; iii) children and young people. CBRT has asked NHS England for funding support.
- In 2011, The Royal College of Nursing CPD Accreditation Unit agreed the CBRT two day Training Programme of a high quality and ready to proceed through their CPD accreditation process.*
- The NHS does not have a standard in relaxation support sessions available to NHS patients which can provide a health prevention solution to help relieve anxiety, depression and long term conditions.
- In 2011, CBRT showcased with success at the NHS Healthcare Innovation Expo and were subsequently advised by NHS and Department of Health innovation and research management, to write pilot initiatives to undertake a large scale, demographic pilot in specific patient groups and create NHS evidence.
ONE PAGE DOCUMENT to read here : NHS Innovation funding CBRT & IAPT Policy. 23.06.2014
- CBRT is a pioneering UK innovation company, which has developed a low cost technology, system and range of tools, with high quality two day CBRT Training Programme* ; suitable for all nursing and allied healthcare support staff; sustainable cost saving “Train the Trainer” component for the NHS. CBRT will enable low cost and effective CBRT Relaxation Support Sessions (CBRT RSS) to become assimilated at scale and pace to NHS patients in the community and GP surgeries.
- Colour Breathing Relaxation Technique is easy to learn, non-pharmaceutical, holistic (mind-body/mindfulness based approach) to relaxation – which enables users to learn how to relax themselves naturally (either as an individual or within a group) and become more aware of their physical body and breathing pattern – focusing on an area of their body and a related colour using the “Colour Breathing Disks.” Being able to relax naturally can support all age groups and huge range of long term physical and mental health conditions. CBRT is a form of life skill which once used, patients will be able to use by themselves; the CBRT kit is safe and ideal for patients of all ages to use at home as a self care tool. CBRT provides structured relaxation support sessions – making it possible to deliver ongoing “measurable outcomes.”
- The CBRT system and pilot initiatives have been written to align with IAPT data set standards.In August 2013 CBRT spoke with Kevin Mullins, National Programme IAPT Lead NHS IQ who suggested to include in letter to The Secretary of State for Health that CBRT “is a policy matter of national interest.”
- The first CBRT NHS Initiative was written in August 2011 following advice received from individuals within the NHS NIHR and Innovation Policy Team within the Department of Health. The CBRT NHS Initiatives programme has been written to support mental health prevention strategy within three key patient groups i) anxiety and depression; ii) children and young people; iii) older people and those with dementia/carers.The CBRT NHS Initiatives are patient centred studies and create robust NHS evidence. The initiative programme has evolved through listening to a wide range of NHS clinicians and research staff. The CBRT Training programme is suitable for all levels of NHS and allied healthcare staff and it is felt the provision of CBRT RSS will help promote the 6 C’s in practice.
Extensive independent NHS due diligence already undertaken:
- Independent NHS analysis and due diligence* confirmed 1) a projected £17 million NHS cost savings in reduced GP appointments and antidepressant prescriptions and 2) CBRT aligns with the NICE Quality Standards for Depression.
- During a meeting in June 2013, The Chief Executive Officer of NHS Portman and Tavistock Foundation Trust – now CEO of NHS South London and Maudsley Trust – said the pilot initiatives would support CCGs the most as 70% of GP patients have stress related conditions and that the initiatives “really need to be actioned with immediate effect.”
- CBRT also has the support of three Chief Executives of NHS Clinical Commissioning Groups as named clinical leads for each pilot. Since applying for the 2013 RIF Fund, other senior management and VSM from additional NHS Trusts, CCG’s and AHSN”s – have expressed a keen interest to also participate in these pilots. Previous independent NHS South of England due diligence in 2013/2013 confirmed that the £1.08 million investment for the pilots will benefit >25,000 NHS patients and provide associated NHS cost savings of c.£17 million in Year One. CBRT is unable to become commissioned in the NHS without these pilots being completed.
- Between November 2012 – March 2013, Sir Ian Carruthers – IHW and CEO NHS England SoE requested his Innovation Promotion Manager Duncan Goodes* to provide a full evaluation of CBRT as a technology and intervention. This independent NHS SoE due diligence confirmed the initial £1.078 million pilots investment* will save the NHS a projected >£17 million in associated costs in Year One and benefit c.45,000 patient users. The CBRT NHS Initiatives pilot was also deemed “fit for purpose.” The budget provides each CBRT NHS Initiative with a PhD student to enable independent analysis of the NHS evidence data, review of all users’ feedback and experiences of CBRT RSS as an individual or within a group setting and key deliverables such as RCT’s including completion of three “NICE QIPP Quality Collection Reports.”
- Randomised Controlled Trials need to be undertaken with NHS staff trained in CBRT and their NHS patients. Strong NHS evidence will support NICE approval for CBRT as both a talking therapy and relaxation intervention.
- Colour Breathing was first piloted in UK schools between 2003 – 2006 with much success as part of “The Discovery Programme” an emotional intelligence led programme. See http://www.colourbreathing.com/using-cbrt/cbrt-in-education/
- CBRT is seen as being “a missing piece of the puzzle in patient care” by many clinicians – as helping patients learn how to relax themselves naturally will support all NHS patients-whether receiving physical and/or mental health care.
- The NHS is under extreme pressure to find an estimated further £20 billion in cost savings and improve NHS patient experience in mental health with parity of esteem.
- In July 2013, I had a very positive meeting with Lynne Winstanley at NHS IQ after speaking with Helen Bevan.
- Two-thirds of Britons with depression get no treatment _ Society _ The Guardian
- CBRT have spoken with individuals in mental health companies and organisations ‘outside of the NHS’ e.g. The Mental Health Foundation, NHS Psychological Therapy Commissioning Managers, senior clinicians and patients. Nobody CBRT has spoken with can understand any reasons why the CBRT pilots – ready with a very high quality ‘market ready innovation’ and associated NHS cost savings potential are being denied the opportunity to pilot – given the extensive NHS due diligence and NHS input to date.What are the reasons? CBRT has already invested more than three years into preparation for NHS entry-which is a massive time investment for a small innovation company and now has 17 years research and development at stake.
In March 2013 Duncan Goodes (Ex mental health nurse) Innovations Manager for NHS South of England updated “CBRT A Case for NHS Adoption”to ALSO include that CBRT aligns with the NICE Quality Standard for Depression : CBRT – a case for NHS Adoption 05.04.13
- Sandra Barrow suggested that CBRT complete the NHS National Innovation Centre Technology Scorecard process which was thorough and awarded an overall 92.53% score. CBRT and the written CBRT NHS QIPP Initiatives were given three months extensive due diligence by the NHS National Innovation Centre Technology Scorecard Process. CBRT had already completed an in-depth equivalent “D1-D5+ process. In May 2012, CBRT was told “all components submitted are of an excellent quality and ‘market ready’ to NHS Pilot.” Read here : CBRT NHS Scorecard_Appraisal_Details 22.03.12
The NHS NIC Management wrote: “ We have considered your submission carefully but regret to advise you that the NHS National Innovation Centre will not be supporting your innovation in this instance. Your submission went through a comprehensive review both internally and with the assistance of our external assessment panel , and our conclusion was unanimous.The reason for this is that your product is ‘market ready’ and therefore does not meet the criteria set for NIC product development. The NIC operates in the field of pre-commercial development of medical devices and technologies, and so is not best placed to assist in this instance. This does not mean that we are of the view that there is no place in the NHS for your product or indeed in the wider ‘care’ market place, simply that it outside our operational scope.”
- The Organisation for Economic Co-operation and Development study found mental health issues are costing Britain £70bn a year with the UK bill and failure to cope adequately with mental health issues was 4.5% of GDP each year. Noting that prevention was better than cure, the OECD listed a series of recommendations for the UK, including mental health in the workplace and increased access to psychological therapies for those with a common mental disorder. NHS supporters realise CBRT Relaxation Support Sessions could very quickly support these needs.
- The first Initiative documentation draft : CBRT NHS Project Overview Statement Executive Summary 15.08.2011 draft
- RCN CBRT Training Programme successful review ready for CPD 28.11.2011
- CBRT NHS Training Initiative v4.27.08.2012 – contains references to national healthcare policies.
- OHE lecture NICE approval is open to being evidence based on short term outcomes 20.06.2012
- Updated Initiative reduced size to Sandra Barrow 28.08.2012
- Further information requested by NHS NIC Technology Team – Prescribing costs it is envisaged CBRT will help negate : NIC Scorecard information around the prescribing costs savings to NHS South of England
- Briefing Position Statement requested by Sandra Barrow, Policy Advisor, in response to the Secretary of State for Health Letter (10 pages summary) : Briefing Position Statement in response to SoSfH 28.11.2013 aligning with DH £5 million Competition for new innovations for long term conditions-mental health.04.01.13
- During 2013, CBRT was selected through competition for Poster Presentations at national health conferences :
The Future of Health Conference (NHS England and British Medical Journal) 3rd & 4th October 2013 : CBRT Poster _for Future of Health Conference 03.10.13 _AO size NEW
The College of Medicine Annual Conference – focus on Self Care : CBRT™ Colour Breathing Relaxation Technique Self Care Poster for College of Medicine -Self Care Conference 08.06.13
- The Guardian Online – to read article: Problem solving should be a priority for the NHS – not innovation Calls for innovation can distract from fixing issues faced by NHS staff and patients see Words posted in Guardian Online Healthcare Innovation Article 27.11.2014
- Documentation relevant to the 2014 £2.5 million NHS RIF FUND Applications:
CBRT asked to re-submit the three bids and apply for 2014 RIF Fund. Resubmit your RIF application 09.04.14 The new 2014 guidelines made it impossible for the CBRT bids as they stood to be awarded funding as the bids demonstrating matched funding would become preferred bids. RIF Guidance received : RIF guidance 2014-15 draftv1
BID 1 : CBRT NHS QIPP Initiative – for Anxiety and Depression – 2014 RIF funding – Collaboration with NHS West London CCG
BID 2 : CBRT NHS QIPP Initiative – Older People and Dementia – 2014 RIF Funding – Collaboration with NHS Crawley CCG
CBRT Evidence and Measurable Outcomes including GAD – 7
- Professor Stephen Westland (Leeds University) has written an introductory draft first paper which you can use for preliminary section if you wish? : Bourne_2014 UPDATED 16.05.14 Bourne_2014_figures
- Here is CBRT supporting evidence of CBRT demonstrated here after two sessions in a group setting and as an individual experience:
41 slides POWER POINT : 193 individual users feedback – who participated in two CBRT Relaxation Support Sessions 2/14 – within a group setting of up to 5 people – with a recently trained CBRT Practitioner : CBRT – 193 GROUP Case study Feedback Evidence – 17 Jan 2014
36 slides POWER POINT : 28 individual users feedback – who participated in two CBRT Relaxation Support Sessions 2/14 – as an individual – with a recently trained CBRT Practitioner : CBRT – 28 INDIVIDUALS Case study Feedback Evidence – 15 JAN 2014
This Power Point explains what activities happen during the two day CBRT Practitioner Training Programme.