The Choice and Partnership Approach (CAPA) is a continuous service improvement model that combines personalised care and collaborative practice when partnering with service users and their family/whānau. Benefits include enhanced effectiveness of service delivery, and improved demand and capacity management.
We want to reflect the essence of CAPA, putting the people we see at the centre of everything we do. This Māori CAPA framework was given to us by Rawiri Wharemate (Kaumātua at Werry Workforce Whāraurau in New Zealand). It is about the waka, the traditional Māori canoe. It is a metaphor of the journey of life and those that travel with us. The CAPA link is that we join their waka to help them steer to their destination. This whakatauki (proverb) speaks to us, and we hope it speaks to you too...
"Anake, kihai koe e hoe te waka
Ki te mahia te neketanga o te moana, he maha nga Kaihoe."
"You do not paddle the waka alone
it takes many paddlers to make the waters shift."
By focusing on the service user and their family/whānau, CAPA helps develop client-centred services that are accessible and outcome-focused. It provides opportunities for young people and families/whānau to be involved in each stage of their care. Utilising 11 key mechanisms, clinicians shift from being seen as an ‘expert with power’ to a ‘facilitator with expertise’.
CAPA brings together:
- The active involvement of the young person and their whānau throughout the clinical process – assessment, treatment planning and outcomes
- Demand and Capacity ideas
- Methods for increasing service capacity
- A new approach to clinical skills and job planning
Services can then:
- Reduce waiting periods and DNAs
- Offer focused service delivery accessing clinicians with the appropriate clinical skills
- Function in a more efficient, timely manner.
CAPA is a model that offers a consistent yet flexible and adaptable approach to care with clear pathways. Services can benefit from being able to demonstrate what they are doing and with whom. Using CAPA provides services with easily accessible data on their capacity and activity. This data can then be used to assist planning and funding decisions. When implementing the Choice and Partnership Approach it can be useful for services to refer to resources that have worked well for other services.
These resources include templates, guidelines and care bundles for clinicians and useful information pamphlets for consumers used by CAPA services.
Contact: Megan Grimwood firstname.lastname@example.org 09 923 4298
Please return to these pages regularly for updates including fresh resources and new guidance for CAPA.