Agenda item

The briefing paper for the Transforming Care Programme was written by Sonia Colwill, Director of Quality and Governance from Bromley CCG; the update to the Board at the meeting was provided by Dr Angela Bhan (CCG Chief Officer and Consultant in Public Health).

The aim of the report was to provide an introduction to the Transforming Care Programme that was being developed by the Government and by NHS England. The Programme had been initiated subsequent to the events at Winterbourne View, and set out in the subsequent concordat. Dr Bhan informed the Board that there were a number of patients in long term care, and consideration was being applied as to how each person could be moved into a community setting to improve their lives—as this was one of the purposes of the Programme. Dr Bhan reiterated that a joint report would be presented at the next meeting.

It was noted that the briefing paper was coming to the HWB to follow best practice guidance from NHS England. The report was not directly related to the JSNA, but was in alignment with its strategic aims. 

Attached to the report was a template action plan that outlined a suggested pathway of actions to enable the delivery of the shared goals that constituted the Mental Health Crisis Care Concordat. Most of the recommended actions had been initiated from April 2015.

In April 2015, Bromley CCG led on a mapping exercise to gain a better understanding of system pressures, and then GAP analysis was undertaken to examine the disparity between current provision and the concordat vision. (GAP analysis aids in identifying the gap between a current situation and the future state that you want to reach, along with the tasks that are needed to complete to close the gap.) From this analysis, local protocols were developed and the needs of individuals with learning difficulties and mental health issues were further considered. It was also the case that a review of the pathways in place for frequent attenders with mental health issues at A&E Departments would be initiated in April 2015. 

Also in April 2015, work was undertaken by Bromley CCG and Oxleas to ensure that there was an adequate liaison and psychiatry service that was accessible in A&E departments. In June 2015, the CCG reviewed out of hour’s access for the range of mental health services in the locality. 

The Board heard that in December 2014, a new Child and Adolescent Mental Health Services, (CAMHS) Wellbeing Service had been set up; this was a partnership venture involving LBB, the CCG and Oxleas. It was also the case that a review had taken place in May 2015 of the IAPT (Improving Access to Psychological Therapies) service model to ensure that adequate support was being provided into primary care. 

The Board heard that in June 2015, Oxleas and LBB drafted a recruitment plan to recruit Approved Mental Health Professionals; it was now the case that all services were appropriately staffed. The Board were briefed that in June 2015, a programme was initiated to enhance awareness amongst clinical staff of the benefits of family interventions in both the EIP (Early Intervention in Psychosis) programmes, and the Home Treatment Teams (HTT) programmes. 

In September 2015 Bromley CCG undertook work to ensure that locally agreed pathways and protocols were rolled out to all staff in services to improve responsiveness. The Board noted that 136 Protocols were being regularly reviewed and monitored to try and ensure that appropriate places of safety were used in a time of crisis, as opposed to the use of police stations. 

Similarly the Board were informed of the Community Mental Health re-configuration that had taken place in October 2015. This had resulted in a new service model being in place locally, which provided improved responsiveness to individuals in crisis; this project had been led by Bromley CCG and Oxleas.

It was anticipated that by March 2016, service pathways and resources would be clearly identified to support meeting the standard waiting time for Early Intervention in Psychosis (EIP). Also in March 2016 it was anticipated that the role of the mental health link worker would be clarified and reviewed. This would be undertaken as part of the Service Development and Improvement Plan. 

RESOLVED:

(1) that the briefing paper be noted

(2) that the Joint Paper being developed by LBB and the CCG on the Transforming Care Programme be presented to the HWB in April 2016