Quality standard

Quality statement 6: Care plans

Quality statement

People receiving continuing support for self‑harm have a collaboratively developed care plan.

Rationale

A care plan can help support recovery of people who self‑harm. It documents the person's needs and safety considerations, and should be developed with the person and their family and carers.

Quality measures

The following measures can be used to assess the quality of care or service provision specified in the statement. They are examples of how the statement can be measured, and can be adapted and used flexibly.

Structure

Evidence of local arrangements to ensure that people receiving continuing support for self‑harm have a collaboratively developed care plan.

Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by provider organisations.

Process

Proportion of people receiving continuing support for self‑harm who have a collaboratively developed care plan.

Numerator – the number of people in the denominator who have a collaboratively developed care plan.

Denominator – the number of people receiving continuing support for self‑harm.

Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by provider organisations for example, from patient records.

What the quality statement means for different audiences

Service providers ensure that collaboratively developed care plans are in place for people receiving continuing support for self‑harm.

Healthcare professionals ensure that people receiving continuing support for self‑harm have a collaboratively developed care plan.

Commissioners ensure that they commission services that have collaboratively developed care plans in place for people receiving continuing support for self‑harm.

People who are having long‑term support after self‑harming have a care plan developed with their healthcare professional that helps to support their recovery.

Source guidance

Self-harm: assessment, management and preventing recurrence. NICE guideline NG225 (2022), recommendations 1.5.15 and 1.5.17

Definitions of terms used in this quality statement

People receiving continuing support for self-harm

People who have carried out intentional self‑poisoning or injury, irrespective of the apparent purpose of the act, and who are receiving longer‑term psychological treatment and management. This includes people with both single and recurrent episodes of self‑harm. It does not include people having immediate physical treatment or management for self‑harm in emergency departments. [Adapted from NICE's guideline on self-harm, terms used in this guideline; self-harm, and evidence review J]

Care plan

The plan of treatment or healthcare to be provided to the service user. It typically documents the needs and safety considerations of the service user, the interventions that will support their recovery, as well as the key professionals involved in their care. [NICE's guideline on self-harm, terms used in this guideline]