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    Are there any additional implementation factors that need to be considered?
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    Please let us know of any other ongoing studies with the technologies to include in table 1
The content on this page is not current guidance and is only for the purposes of the consultation process.

5 Implementation considerations

The following considerations around implementing the evidence generation process have been identified through working with system partners:

  • Companies should provide training for staff to support use of the technologies.

  • Practitioners and therapists need time for training and supervision, and to get a thorough understanding of the digital content. Supervision would include monitoring and responding to alerts, and escalating care if needed.

  • The technologies may not be suitable for everyone. For example, people without access to, or who cannot use, a smartphone or computer, or if paranoia or delusions are triggered or worsened by using digital technology. Also, digital technologies may be difficult to use if a person's psychosis symptoms worsen.

  • Evidence generation should be overseen by a steering group including researchers, commissioners, practitioners, and people with lived experience.

  • The evidence generation process is most likely to succeed with dedicated research staff to reduce the burden on NHS staff, and by using suitable real-world data to collect information when possible.

  • There is wide variation in standard care for people with psychosis in the NHS. Contributing sites and services should be chosen to maximise the comparability and generalisability of evidence generated, both in terms of the populations covered and the standard care delivered.

  • Careful planning of the approach to information governance is vital. Implementers should ensure that appropriate structures and policies are in place to ensure that the data is handled in a confidential and secure manner and to appropriate ethical and quality standards.

ISBN: [to be added at publication]