The Care Programme Approach (CPA) is used by Sheffield Care Trust mental health services.  It is designed to ensure that users of mental health services have: an assessment and care plan to help them meet their needs, reflecting the wishes and involvement of the users and carers, where appropriate; a care coordinator to work with the user to see that the plan is carried out and to liaise with other workers involved; regular reviews and assessments of the plan to ensure that it remains relevant to the users needs.  The Care Programme Approach Managers role is to ensure that the Care Programme Approach is properly implemented, involving: developing approaches to needs assessment; formulating joint policies and procedures with social services and other agencies; developing and delivering training for workers in health, social services and the independent sector; liaison with users and carers and their respective organisations to ensure that their views are incorporated into the development of the Care Approach Programme; regular audit and review of the Care Approach Programme as part of a local and national process.  Also liaises with mental health and other services, such as the criminal justice system, outside Sheffield to ensure continuity of service provision for clients moving in and out of Sheffield.