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

FUTURE IN MIND - CHILDREN AND YOUNG PEOPLE'S MENTAL HEALTH TRANSFORMATION PLAN

To receive Report No.157/2018 and a presentation from Chris West, Director of Nursing and Quality.

 

Minutes:

Report No.157/2018 was received from the Future In Mind project team.

 

Chris West, Director of Nursing and Quality, Leicester City Clinical Commissioning Group presented the report and delivered a presentation, the purpose of which was to note the progress made in relation to implementation of the Local Transformation Plan and to agree proposed next steps for 2019-21.

 

During discussion the following points were noted:

 

·         The Future in Mind team were seeking support for the revised Future in Mind transformation plan before it was submitted to NHS England in October.

·         The ambition was to establish a system-wide pathway and the team had worked more closely with partners to deliver this.

·         The Early Intervention Service was now up and running and working very effectively, currently significantly over-performing against the contract.

·         There was a need; however, to stop the ‘bouncing’ of children between services and partners have agreed to develop a triage and navigation centre to stop all children being referred and assessed via the enhanced CAMHS Access service and to ensure that they are signposted to an appropriate service. It would also facilitate self-referrals. The data suggested that 30% of children that came through to CAMHS did not require specialised services.

·         The triage and navigation service would be going out to procurement and should be established by summer next year.

·         East Leicestershire and Rutland CCG and West Leicestershire CCG had been invited to bid for money as part of the new mental health document to improve counselling in schools; the bid had been put together and submitted on behalf of STP.  The bid had been submitted on 17 September.

·         Healthwatch had previously conducted some engagement work with children which could be shared with the Board and wider engagement with children and young people had been undertaken to inform the plan and services.

·         Self-referral was not an option at the moment, other than for on-line counselling, but should be made easier by the triage and navigation service.

·         Board members were asked how confident they were, as a wider partnership, that waiting times for CAMHS were being reduced. The service had initially improved and reached the required 13 week standard but had then slipped again and since then been difficult to maintain. Children were being assessed but then going onto the waiting list as demand was so high. As evidence of this, the Early Intervention Service had only been commissioned to see 100 children but had in fact seen 225.

·         The number of Rutland users of the Kooth online counselling service had been rising which was seen as a positive measure as this indicated an increased resilience to and awareness of mental health issues.

·         Information was not yet available on escalation of issues and the impact on services but was expected to be more evident in the coming year.

·         The Strategic Director for People (DCS) requested that it be noted in the minutes that he was not confident that the existing CAMHS model worked. It was unacceptable that children who were at risk should be placed on a waiting list and therefore a new CAMHS model should be explored.

·         CAMHS were aware that children were not getting seen and that they may deteriorate during that time. The impact of delays in treatment was partially monitored by the number of children presenting at Accident and Emergency with self-harm, although there was a need to get clarity on this measure and identify whether they were on the CAMHS pathway.

·         Services were planned and based on the JSNA but it was a challenge to prove that they were making a difference.

·         It was questioned whether Rutland residents had equity of access to services.

 

AGREED:

 

1.    The Board NOTED the plans and proposed next steps for 2019-2021

 

The Board ENDORSED the implementation plan review October 2018 but noted that implicit in the report was that there was more work to be done.

Supporting documents: