A presentation will be given.

Contact: Steve Trenchard

Steve Trenchard the Programme Director for Mental Health gave a presentation and updated the Board in relation to the STP All-Age Mental Health Strategy. He informed the Board that in order to ensure the best value from the service, he was asking colleagues and patient groups etc to set out what their ambitions were for access to mental health support.  He therefore wished to ask the Board what its ambitions were and in getting to this ideal future he wished to find out the things that Members would most like to do to help them and their colleagues to achieve this goal.

Responses included the following:

·           Good communications and an understanding of what needs were and the services already being delivered;

·           To ensure professionals were well trained and informed;

·           A shared ambition to understand roles and responsibilities, where gaps were and how to bridge those gaps;

·           To work in an integrated way;

·           The reduction of stigma;

·           To ensure adequate resources applied to the greatest effect;

·           To ensure a preventative approach was taken across all ages of life;

·           To help people to understand the reality of mental wellbeing;

·           To use techniques to prevent/mitigate dementia;

·           For individuals with some form of mental health to be supported in the community;

·           Timely access to the level of service required when required and that crisis intervention be available when needed;

·           The right service at the right time and in the right place; 

·           A children’s graduated model with a wide range of different interventions, not one suits all;

·           Support to combat loneliness;

·           Resources and support for the voluntary sector to tap into to ensure services were safe and could be supported for longer;

·           A more holistic approach to prevention.

The Board welcomed the approach in terms of engagement and encouraged all organisations to engage in this.  The Director of Adult Services championed this important area of work and he set an ambition for joint commissioning opportunities and an opportunity to do something in the short to medium term. 

A report is attached.

Contact: Lisa Wickes, Head of Out of Hospital Commissioning and Redesign, Shropshire CCG

Steve Trenchard the Programme Director for Mental Health introduced and amplified his report (copy attached to the signed Minutes) which informed the Board of progress made in the first 18 months of the Bee U Children and Young Peoples Service (CYP) jointly commissioned by both CCGs and the two local authorities in Shropshire, Telford and Wrekin.

The Programme Director for Mental Health reported that following an Intensive Support Team visit four areas of concern had been identified, as follows:

·           Lack of capacity to develop pathways;

·           Commissioning governance;

·           Provider issues – access to info/data, meetings with partners re Action Plan;

·           A clear timeline of when to expect to see improvements being made.

The service was being re-procured as the current approach was predominately medically led which was not appropriate for some behaviours.

The Chairman was encouraged that the team was working on this to develop a greater understanding of the issues.  Karen Bradshaw, the Director of Children’s Services reported that the Local Authority were supportive of the move away from a medical model and drew attention to an issue around a small number of higher level needs and who would take responsibility for them.

The Director of Public Health drew attention to the Chancellor’s Statement which promised additional funding for mental health for children in schools.  He urged that the best use me made of these resources and noted that there would be an opportunity for review when the system refresh was undertaken.

RESOLVED:

1.     That the contents of this update and progress made be noted.

2.    That the Health and Wellbeing Board maintain CYP Mental Health as an issue of shared system concern, and that the 0-25 Service be kept under close review and that a further report on progress be presented to a future meeting.