To receive Report No.41/2019 from Elaine Egan-Morris, CAMHS Comissioner and Future in Minds Transformation Lead and Chris West, Director of Nursing and Quality, NHS Leicester City CCG.

Elaine Egan-Morriss, CAMHS Commissioner and Future In Minds Transformation Lead and Chris West, Director of Nursing and Quality, NHS Leicester City CCG introduced the report, the purpose of which was to detail the progress of the Future In Mind Transformation Programme against the local transformation plan and achieving the vision of “improving access for children and young people (C&YP) to gain the right care to meet their needs”.

During discussion the following points were noted:

·         A provider network had been put in place to encourage all services to work together to remove barriers so that children were able to access the right care.

·         Across the Leicester, Leicestershire and Rutland (LLR) area, local events had been held in order to engage with residents.

·         The Early Intervention Service was receiving almost double the number of referrals that it was originally commissioned to receive. GPs had been encouraged to refer directly into the service because children were getting stuck in the CAMHS system and this was reflected in the increase shown in October to December of table 2 of the report.

·         The 10 year plan set out that services should be available from 0-25years in future.

·         There were seasonal variations to the amount of registrations for the online counselling service. Exam season was probably the reason for the surge shown in Quarter 1 of table 3 of the report.

·         The Resilience in Schools team would be encouraging more schools to sign up to the programme.

·         Members queried whether schools from the Rutland Learning Alliance and Peterborough Diocese Education trusts had not signed up to Resilience in Schools because they had their own programmes in place.

·         There was a shift in culture towards children’s emotional wellbeing which meant services that helped with emotional resilience were being more widely promoted. It was hoped that the new Triage and Navigation service, when operational, would refer to the most appropriate service and lessen referrals to CAMHS.

·         Relate had been contracted to offer intervention and counselling services and sessions were being held in Rutland.

·         Resilient Rutland services would be available to all children who attended a Rutland school regardless of where they lived whereas referrals to LLR C&YP services would only be for those children registered with a Rutland GP.

·         There was an outcomes dashboard which showed that less children were attending A&E and referrals to CAMHS had been reduced by 30-50%.

·         All of the services did routine outcome measures; children were asked a series of questions when they entered the service and again at the end of the treatment. These questionnaires were then compared and evaluated and data from these would be available by the end of March.

·         Feedback from parents on the early intervention and crisis at home services had been very positive.

·         Healthwatch Rutland would be setting up Young Healthwatch which would enable them to do some evaluation of the services offered to children and young people.

·         Board members felt that, as a parent, it was confusing to know where the first port of call should be if you had mental health concerns for your child and whether this should be the school, the GP or directly to one of the services discussed.

·         The forthcoming triage and navigation service would address this issue but in the meanwhile any parent who had urgent concerns and needed direction should call the 111 service.

·         Online services were closely monitored so that children asking worrying questions could be contacted.

·         Spire Homes would welcome a directory of services that could be distributed to their housing officers so that they knew where to direct tenants to.

·         The directory was being developed to include more information on the care that was available and the pathways to access care.

·         Early Help was available to families in Rutland to support children and young people.

AGREED:

The Board NOTED:

1.    the progress of the Future In Mind (FIM) and Children and Young People (C&YP) Transformation Programme in promoting and improving our children and young people’s mental health and wellbeing

2.    the new and enhanced services that have been developed through the FIM funding

3.    the partnership working across health, social care and voluntary sector organisations to deliver a system wide pathway of services

4.    the increase in C&YP who are able to access services within 2-4 weeks of referral into Early Intervention

5.    the number of C&YP having immediate access to on-line counselling and support

6.    the work of commissioners to ensure that the FIM programme is aligned to the 10 year plan