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Logo of qualsafetyQuality and Safety in Health CareCurrent TOCInstructions for authors
Qual Saf Health Care. Apr 2003; 12(2): 100–106.
PMCID: PMC1743692

Quality indicators for primary care mental health services

Abstract

Objectives: To identify a generic set of face valid quality indicators for primary care mental health services which reflect a multi-stakeholder perspective and can be used for facilitating quality improvement.

Design: Modified two-round postal Delphi questionnaire.

Setting: Geographical spread across Great Britain.

Participants: One hundred and fifteen panellists representing 11 different stakeholder groups within primary care mental health services (clinical psychologist, health and social care commissioner, community psychiatric nurse, counsellor, general practitioner, practice nurse/district nurse/health visitor, psychiatrist, social worker, carer, patient and voluntary organisations).

Main outcome measures: Face validity (median rating of 8 or 9 on a nine point scale with agreement by all panels) for assessing quality of care.

Results: A maximum of 334 indicators were rated by panels in the second round; 26% were rated valid by all panels. These indicators were categorised into 21 aspects of care, 11 relating to general practices and 10 relating to health authorities or primary care groups/trusts. There was variation in the total number of indicators rated valid across the different panels. Overall, GPs rated the lowest number of indicators as valid (41%, n=138) and carers rated the highest number valid (91%, n=304).

Conclusions: The quality indicators represent consensus among key stakeholder groups in defining quality of care within primary care mental health services. These indicators could provide a guide for primary care organisations embarking on quality improvement initiatives in mental health care when addressing national targets and standards relating to primary care set out in the National Service Framework for Mental Health for England. Although many of the indicators relate to parochial issues in UK service delivery, the methodology used in the development of the indicators could be applied in other settings to produce locally relevant indicators.

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Supplementary Material

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[Web-only Questionnaire]

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Seddon ME, Marshall MN, Campbell SM, Roland MO. Systematic review of studies of quality of clinical care in general practice in the UK, Australia and New Zealand. Qual Health Care. 2001 Sep;10(3):152–158. [PMC free article] [PubMed]
  • Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs. 2000 Oct;32(4):1008–1015. [PubMed]
  • Wilkinson G, Williams P. Priorities for research on mental health in primary care settings. Psychol Med. 1985 Aug;15(3):507–514. [PubMed]
  • Skews G, Meehan T, Hunt G, Hoot S, Armitage P. Development and validation of clinical indicators for mental health nursing practice. Aust N Z J Ment Health Nurs. 2000 Mar;9(1):11–18. [PubMed]
  • Walker L, Barker P, Pearson P. The required role of the psychiatric-mental health nurse in primary health-care: an augmented Delphi study. Nurs Inq. 2000 Jun;7(2):91–102. [PubMed]
  • Fiander M, Burns T. Essential components of schizophrenia care: a Delphi approach. Acta Psychiatr Scand. 1998 Nov;98(5):400–405. [PubMed]
  • Schaller G, Fournier P. Les priorités de prévention en santé mentale à Genève: une enquête par méthode Delphi. Sante Publique. 1998 Jun;10(2):191–201. [PubMed]
  • Kassirer JP. The quality of care and the quality of measuring it. N Engl J Med. 1993 Oct 21;329(17):1263–1265. [PubMed]
  • Turpin RS, Darcy LA, Koss R, McMahill C, Meyne K, Morton D, Rodriguez J, Schmaltz S, Schyve P, Smith P. A model to assess the usefulness of performance indicators. Int J Qual Health Care. 1996 Aug;8(4):321–329. [PubMed]
  • Campbell SM, Roland MO, Buetow SA. Defining quality of care. Soc Sci Med. 2000 Dec;51(11):1611–1625. [PubMed]
  • Campbell SM, Cantrill JA. Consensus methods in prescribing research. J Clin Pharm Ther. 2001 Feb;26(1):5–14. [PubMed]

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