KPP - the basics
Who are the people?
What are their needs?
   How well are they being met?   
KPP has five easy stages
      choosing the people to plan for
    choosing the needs to plan for
    finding out how well those needs are met now
    writing down successes and solutions for problems
    measuring what happens.
Who are the people?
      long-term (two years or more since first contact) is more relevant than 'high needs' or diagnosis - it includes all stages of recovery
    this is usually about 0.5% of the adult population
    it's a small number of people - who are usually well-known to staff
    it's about the size of a school roll
    the membership does not change greatly from one year to the next.
Or choose the group of service users who most need their needs looked at, now, and start with them.
What are their needs?
  In developing KPP, we gained agreement - among staff, service users and families - about what a good service should look like.
  A good service would have ten 'key features' - five relate to individuals, five to the system.
Personal
      guaranteed access - and recognition on re-entry
    health advice
    social support: work, housing, education
    anticipating crisis
    personal review
System
      a focus on personal growth and self management
    accountability by the team
    co-ordination point for health and social support
    contact come what may
    evaluation of the system
  Because KPP is flexible, you don't have to measure all of these at once! Start with the areas of need that are of most concern - now.
How do we find out how well these needs are met for these people?
Interviews with case workers
      take about 30 minutes
    get the case workers' impressions of
    success stories
    areas for improvement between services
    gaps in provision
    improvements that would help some of their clients.
  A picture builds of the priorities for the service user group you have selected.
What happens next?
A draft planning statement is produced - that is short, simple and purposeful:
      10 sides the limit: the fewer the better, highlighting
    successes
    areas for attention and remedies.
    no more than 5 recommendations that are person focussed, such as
    6 people will have better accommodation
    a detailed study of work opportunities will be made.
  Stakeholders, including the team and service users, should be able to verify or question the contents, and comment on or contribute to the plan.
And then?
      measure the results of the year one plan - in actual outcomes.
    did service users get what the plan intended, such as more with work, more suitable medication, fewer admissions, better housing etc?
    and then repeat the process...........
  Practice, year on year, sharpens the information and makes it ever more accurate - increasingly it can be routinely collected.


Page Last Updated 12th December 2004