Identify new roles introduced to secondary mental health services (Phase 1)
Generate national overview of new roles implemented, using adapted typology of skill-mix change (Phase 2)
Identify the cultural, service and professional contexts in which roles are implemented and how these affect the wider functioning of the service (Phase 2)
Identify and describe the boundary work that occurs in practice as a result of the introduction of new roles into the mental healthcare workforce (Phase 3)
Examine the effects of the new roles on (i) service users, (ii) professionals in new roles and (iii) professionals in existing roles bordering the new roles (Phase 3)
Use the findings to produce both generic and role-/context-specific guidance on how to effectively implement new professional roles in NHS mental healthcare services (Phase 4)
The new knowledge generated by this project provides guidance to facilitate more effective skill-mix change in mental health and in other healthcare settings, to the benefit of service users and both new and existing staff.
The study findings have helped refine models of skill-mix change and generated rich evidence on forms of “boundary work”, helping us to understand how professionals interact when they work together across boundaries between different spheres of activity, and the conditions which lead to more constructive or indeed more destructive forms of behaviour.
At the beginning of the project we interviewed key stakeholders of our research. We asked them why this research is critical in helping NHS services to respond to the ongoing workforce crisis in mental health. They identified some of the key issues they hope the research will help address.
Watch these short videos to find out more.
Findings are being disseminated in varied formats. So far this has included focused briefing documents and an interactive online workshop.
Our outputs explain skill-mix change in practice and offer structured guidance to multiple stakeholders leading or affected by workforce transformation in mental health services.