Psychological therapies and interventions specification: consultation analysis

7 Outcome 4: My rights are acknowledged, respected and delivered

Introduction

This chapter presents feedback on Outcome 4 which states that: “When Psychological Care is delivered, I will be an equal partner in my care. Values, rights-based, and person-centred approaches will be embedded in all practice.” It then sets out a number of statements that describes how this will be achieved.

Question 26

How far do you agree that the statements within Outcome 4 will improve the experiences of people accessing psychological therapies and interventions?

Table C20 presents the quantitative response to Question 26. This shows that:

• almost three-quarters of all consultation respondents who answered Question 26 either agreed or strongly agreed (74%) that the statements within Outcome 4 will improve the experiences of people accessing psychological therapies and interventions
• 19% neither agreed nor disagreed
• 7% either disagreed or strongly disagreed

Question 27

How far do you agree that the statements within Outcome 4 will improve the outcomes of people accessing psychological therapies and interventions?

Table C21 presents the quantitative response to Question 27. This shows that:

• over two-thirds of all consultation respondents who answered Question 27 either agreed or strongly agreed (68%) that the statements within Outcome 4 will improve the outcomes of people accessing psychological therapies and interventions
• 22% neither agreed nor disagreed
• 10% either disagreed or strongly disagreed

Question 28

How far do you agree that the statements within Outcome 4 successfully sets out to individuals, their families and carers what they can expect when your rights are acknowledged, respected and delivered?

Table C22 presents the quantitative response to Question 28. This shows that:

• around three-quarters of all consultation respondents who answered Question 28 either agreed or strongly agreed (76%) that the statements within Outcome 4 clearly set out to individuals, their families and carers what they can expect when your rights are acknowledged, respected and delivered
• 15% neither agreed nor disagreed
• 8% either disagreed or strongly disagreed

Question 29

We know that currently not everyone has the same experiences or outcomes when they access psychological therapies and services. We want the specification to help make sure that services meet your needs whoever you are and whatever your background. How far do you agree that the statements within Outcome 4 will help do this?

Table C23 presents the quantitative response to Question 29. This shows that:

• around two-thirds of all consultation respondents who answered Question 29 either agreed or strongly agreed (67%) that the statements within Outcome 4 will help to support equitable access to psychological therapies and interventions
• 25% neither agreed nor disagreed
• 8% either disagreed or strongly disagreed

Question 30

The statements within Outcome 4 should support you to be an equal partner in your care and make sure that values, rights-based, and person-centred approaches will be embedded in all practice. How far do you agree that the statements within Outcome 4 will help do this?

Table C24 presents the quantitative response to Question 30. This shows that:

• almost three-quarters of all consultation respondents who answered Question 30 either agreed or strongly agreed (72%) that the statements within Outcome 4 support individuals to be an equal partner in their care and make sure that values, rights-based, and person-centred approaches will be embedded in all practice
• 22% neither agreed nor disagreed
• 5% either disagreed or strongly disagreed

Question 31

Do you have any other comments on Outcome 4?

Over half (58%) of all consultation respondents answered Question 31 which asked respondents whether they had any comments regarding Outcome 4. The main themes are presented below.

Theme 1: Feedback on specific statements

Some respondents provided feedback on specific statements in Outcome 4 that they could be amended, reworded, reframed, enhanced, and/or further strengthened in some way. This feedback in part reflects calls from respondents for more detail, specification and/or greater clarity on these statements, including terms used.

More detail is provided in Appendix D, however, a selected example is that:

• some service providers felt that “will reduce” in Statement 4.3 should be amended to “will aim to reduce” as there can be no guarantee of harm risk reduction, especially for people in forensic setting

Theme 2: A repeat of key themes that emerged from the consultation

A few respondents repeated points that they had made earlier - see Chapter 2 for more detail. For example:

• further action may be required to build workforce capacity – for example, increased funding and workforce development
• call for terms used with the Outcome 4 statements to be clear, concise, appropriately defined, and easy to understand – for example “trauma-informed” and “responsibility framework”

Theme 3: Greater knowledge and awareness of rights

While respondents commented positively on the wording “equal partners” within Outcome 4 statements, a few respondents felt that implementation could be constrained by the fact that some people may be unaware of their rights when they seek to access psychological care.

Theme 4: A human-rights based approach

A few organisations highlighted the importance of ensuring that every person is treated with respect and dignity, and their human rights are upheld in line with the Equalities Act 2010. A wider point raised was that a human-rights based approach should be adopted across health and social care.

Theme 5: Importance of informed consent and care planning

A few respondents stated that it was critical that informed consent and care planning should be an ongoing discussion between professionals and the person with lived experience at each stage of process.