HealthTech NHS Community Mental Health Digital Platform — NHSEI

CPA

formal care coordination for people with complex mental health needs.

CPA workflow

referral → assessment (comprehensive mental health assessment — risk, diagnosis, care needs) → CPA care plan (goals, interventions, care coordinator, crisis plan) → regular review (quarterly minimum) → discharge or step-down.

Digital CPA

structured assessment forms (PHQ-9, GAD-7, WEMWBS — Warwick Edinburgh Mental Wellbeing Scale), care plan document (shared with service user and GP), crisis plan (shared with service user — accessible 24/7 via patient portal), and review scheduling workflow.

NHS MHSDS Reporting Automation

NHS MHSDS (Mental Health Services Data Set): monthly national submission to NHS England.

MHSDS tables

care contacts (appointment type, duration, attended/DNA), care plans (CPA formal/informal), referrals, diagnoses (SNOMED CT codes — ICD-10 equivalent), and service users (demographics, care coordinator).

Automated MHSDS

clinical record entry → MHSDS data pipeline (Lambda ETL) → MHSDS XML (SNOMED CT coded) → NHS MHSDS API submission.

Data quality

automated validation (MHSDS rules — date consistency, mandatory fields) before submission — reduces MHSDS rejection rate.

Mental health risk assessment

structured risk assessment tools (HCR-20 — Historical Clinical Risk Management, Columbia Suicide Severity Rating Scale C-SSRS).

Risk stratification

high risk → urgent review within 2 working days (alert to care coordinator and duty psychiatrist), medium risk → review within 4 weeks, low risk → standard review schedule.

Crisis plan

• service user co-produced crisis plan (what helps, what doesn't help, emergency contacts, out-of-hours support, A&amp
• E avoidance steps) — accessible via NHS App and printed copy for service user.

DCB0129

high-risk patient not reviewed within timeline is the primary clinical safety hazard.

Service user portal

access their own care plan, crisis plan, appointment schedule, and care coordinator contact details.

NHS Login

OIDC authentication (NHS number + date of birth).

Messaging

• secure message to care coordinator (GOV.UK Notify back-end).
• Self-referral: online self-referral form for Community Mental Health Team (CMHT) — reduces GP referral burden.

NHS App integration

care plan and appointments accessible via NHS App (FHIR R4 CarePlan and Appointment resources).

Accessibility

mental health service users include people with cognitive difficulties — WCAG 2.1 AA with additional plain English and large text defaults.