Care Programme Approach

The Care Programme Approach (CPA) is the national framework for mental health services assessment, care planning, review, care co-ordination, and service user and carer involvement focused on recovery.

The CPA framework includes arrangements for two types of support:

  • CPA for people who have more complex needs, are at most risk or have mental health problems compounded by disadvantage, and need support from multiple agencies
  • Lead Professional Care (LPC) for people who need secondary mental health services but have more straightforward needs involving contact with only one professional or one agency

This involves:

  • Working with service users and carers to build an assessment, establishing care and support needs
  • Developing a care plan in partnership with the service user and carers, setting out what will be done and who is involved - including plans for supporting recovery goals; treatment; activity, training or employment; safety; a personal budget if there is one; and support for carers
  • Identifying who is responsible for making sure the action agreed in the care plan is carried out  (for people on CPA, this is a care co-ordinator; for people on LPC, a lead professional)
  • Making sure the care plan is reviewed regularly to take account of any changes

The Trust reviews the operation of CPA procedures annually through a combination of service user and carer surveys, audits and reports from the database. 

Our approach is underpinned by service standards, and values and principles.