Agenda item

Local Child and Adolescent Mental Health Service (CAMHS) Transformation Plan 2018/19 Refresh

Minutes:

Report CS18179

 

The Board considered a report from Nazmin Mansuria, Senior Commissioning Manager, Bromley Clinical Commissioning Group on the local Child and Adolescent Mental Health Service (CAMHS) Transformation Plan 2018/19 refresh.

 

The refreshed local Child and Adolescent Mental Health Service Transformation Plan 2018/19 proposed a continuation of the key transformation aims and vision as set out in the initial Local CAMHS Transformation Plan 2015 that had been jointly developed with the Local Authority and delivery and sector partners, and confirmed in a subsequent Plan refresh in 2017.  The key areas of focus comprised building capacity across the system to cope with increasing demand, improving accessibility to services and the quality of the service offer across early intervention and specialist community CAMHS, and demonstrating a commitment to co-producing the future system and referral and care pathway design.  The Plan refresh for 2018 set out the changes and improvements achieved in transforming local emotional wellbeing and mental health services and also provided a range of evidence showing the impact made by the system by the allocations of Transformation Plan investments and oversight on improved outcomes and learning.  The local strategic ambitions within the plan continued from previous years and included to co-design and co-produce children and young people’s emotional wellbeing and mental health referral and care pathways to respond to need, to exceed the national target of 35% of those with mental health needs accessing appropriate evidence-based treatment and support at the right time and to ensure that waiting times were kept within clinically appropriate time frames.  Other aims included collaborating with schools, the voluntary sector and health providers to prevent need and support communities to keep well, and to develop a workforce capable of delivering planned new services.  The Senior Commissioning Manager, Bromley Clinical Commissioning Group reported that Bromley had been one of 40 areas invited to apply to participate in a Trailblazer programme to be launched in 2021, and that Bromley’s plan to develop a platform within schools to identify pupils with mental health needs and assist them in accessing appropriate support would be submitted for evaluation shortly. 

 

It was a requirement for the Bromley Clinical Commissioning Group and its partners to complete a local CAMHS Transformation Plan refresh for 2018/19 for submission for assurance purposes to NHS England.  The allocation of additional resources for the delivery of the CAMHS Transformation Plan in 2018/19 was dependent on the endorsement of the Health and Wellbeing Board.  As the submission date to NHS England was 31st October 2018, it was proposed that the Transformation Plan be approved via a Chairman’s action following full consideration by the Health and Wellbeing Board.

 

In considering the report, the Chairman noted that recent changes to the Bromley system, including to referral pathways, had driven an increase in the number of evidence-based treatment plans in place to support the individual mental health needs of children and young people.  In response to a question from a Member, the Senior Commissioning Manager, Bromley Clinical Commissioning Group confirmed that the local strategic ambition to exceed the national target of 35% of those with mental health needs to be accessing or having accessed appropriate evidence-based treatment and support at the right time and in the right place was designed to build on current performance and establish a realistic trajectory for improving service performance.  The need to ensure that all children and young people received the emotional wellbeing and mental health support they needed would be a key driver within the new referral and care pathways and had been reflected in Bromley’s submission to the Trailblazer programme which focused on prevention and early intervention.

 

A Member advised that the Bromley Safeguarding Adults Board was keen to engage with Child and Adolescent Mental Health Services on the planned future workstream to implement the new emotional wellbeing and mental health system for the 0-25 year age group.  Another Member noted how some mental health needs could be linked to the previously discussed topic of childhood obesity, and the Senior Commissioning Manager, Bromley Clinical Commissioning Group confirmed work to co-design and co-produce children and young people’s emotional wellbeing and mental health referral and care pathways would include key themes such as childhood obesity.  Should Bromley be successful in its bid to the Trailblazer programme, funding would be provided over a five year period to drive service transformation with the intention of establishing an effective and sustainable model.  The increased focus on early intervention was also expected to reduce escalation of need to higher tier services.

 

The Independent Chairman: Children's Service Improvement Governance Board emphasised that Child and Adolescent Mental Health Services had been an ongoing area of concern within Children’s Services, particularly relating to timescales.  The Senior Commissioning Manager, Bromley Clinical Commissioning Group responded that the service transformation plans included the delivery of increased capacity across the system to cope with demand and reduce timescales, and that this would be further supported if the bid to the Trailblazer programme was successful.

 

The Chairman requested that further updates on the bid to the Trailblazer programme be provided to the meetings of the Health and Wellbeing Board on 28th November 2018 and 31st January 2019.

 

RESOLVED that:

 

1)  Board Members’ comments on the Executive Summary be noted; and,

 

2)  Board Members note that the local Child and Adolescent Mental Health Service (CAMHS) Transformation Plan 2018/19 would be circulated for Board Members’ endorsement prior to the NHS England submission date.

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