A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Council and councillors

Agenda item

CHILDREN'S MENTAL HEALTH/CAMHS

To receive a presentation from Mel Thwaites, Associate Director: Children and Families, Leicester City Clinical Commissioning Group and Adam McKeown, Head of Service for Specialised Children’s Services and Learning Disability Services, Leicestershire Partnership NHS Trust.

Minutes:

Presentations were received from Elaine Egan Morriss, Future in Mind – Children and Young Peoples Mental Health and Wellbeing Transformation Programme Manager, Leicester City Clinical Commissioning Group; and Adam McKeown, Head of Service for Specialised Children’s Services and Learning Disability Services, Leicestershire Partnership NHS Trust (LPT) and Mark Roberts, Assistant Director, Child and Adolescent Mental Health Service (CAMHS).

 

Copies of the presentations are attached.

 

During discussion the following points were noted:

 

Following the Future In Mind presentation:

 

i)                 That the Early Help support in Rutland was good.

ii)               All earmarked funds, Leicester, Leicestershire and Rutland (LLR), released when expected.  The Director for People, Dr O’Neill undertook that a written summary document would be provided indicating how the funds had been spent.

iii)              Regular reports on outcomes, in a RAG format to allow Members to concentrate on any areas of concern, would be welcomed by the Panel.

iv)             Focused on looking from prevention through to eating disorders.

v)               Looking to build resilience in schools; building a culture around mental and emotional wellbeing.

vi)             Team 0 – 18 years worked with schools.

vii)            Stakeholder events had been held to enable teachers to have an understanding of the pathway. 

viii)           All schools had a key person within the resilience programme.

ix)             That it was vital to recognise early symptoms within the school environment.

x)               That children and young people were evaluating the service and Healthwatch would be delivering a survey of the whole programme.

xi)             Online counselling service – Rutland contacts proportionally quite high (126 of 541).  Members were advised that the data was being looked at to give an understanding of why this was the case and why there was a huge difference percentage wise between girls and boys (boys being very low).  Mrs Egan Morriss undertook to report back the outcome.

xii)            The programme was aware of the drop in pastoral care at the transition point between primary and secondary school.

 

Following the Child and Adolescent Mental Health Service presentation:

 

xiii)           0 – 18 service commissioned.  Recognised nationally that transition to Community Mental Health Teams in adult directorate not good. National commissioning policy where cohort 17 years+; for CAMHS to link effectively a multi-disciplinary handover of care to adult services or the PCT needed to begin at 17 ½ years.

xiv)          CAMHS were advocating for 0 – 25 year service to allow for a more cohesive pathway.

xv)           CAMHS was working to the Thrive model, a conceptual framework, with the Tavistock and Portman NHS Foundation Trust.

xvi)          Currently exploring the possibility of a new CAMHS site at the Glenfield site; no plans for a unit in Rutland.  It was acknowledged that LLR was a large area to cover.

xvii)         Members were assured that if a bed was needed it would be found to make sure a child was placed.

xviii)       Following the 2016 CQC report a robust system for the recording and updating of risk assessments and care plans had been implemented; and the IT system had been regularised across the organisation.

xix)          The Director for People, Dr O’Neill, advised that the LPT had attended a meeting of the Chief Officer Group to describe the potential for a different way of delivering the service whilst continuing to recognise children with greater needs.

xx)           Report on future milestones and communication to be an agenda item – Spring 2018.