Commissioning Children and Young P eoples Mental Health Services - - PowerPoint PPT Presentation

Commissioning Children and Young People’s Mental Health Services

Angela Caulder, CAMHS Joint Commissioning Manager West London, Central London and H & F CCG’s Royal Borough of Kensington and Chelsea Westminster City Council London Borough of Hammersmith and Fulham

Future in Mind:

Transforming Children and Young People’s Mental Health

• No health without good mental health
• Mental health is everyone’s business

Transformation of

Children and Young People’s Mental Health Increasing needs Increasing

demands

Limited budgets in each Borough and CCG

Schools and others commissioning wider emotional well being services

National Picture of Children and Young People’s Mental health

CAMHS (Child and Adolescent Mental Health Services)

Local Picture of CAMHS

 Existing Funding:  CCG (Clinical Commissioning Group)*: £2,132,698  RBKC Local Authority: £ 426,385  New funding: Eating Disorder new service: £116,621 Transformation funding: £369,509 * CCG includes part of Westminster’s Queens Park and Paddington GP areas

Local CAMHS and Mental Health Services New Local Transformation Funding

49

Future in Mind Recommendations: 6 Themes

Promoting Resilience Care for the Most Vulnerable Accountability & Transparency Training the Workforce Making it Happen Improving Access

 Final report of an independent taskforce set up by NHS England to build consensus on how to improve services for people of all ages.  Highlighting that one in four people will experience a mental health problem in their lifetime  The cost of mental ill health to society is £105bn a year  Proposes a three-pronged approach for improvements: prevention, the expansion of seven day access in a crisis, and integrated physical and mental health care.

Five Year Forward View For Mental Health Feb 2016 Main recommendations

North West London Approach

Transforming Pathways and Re-design:

• New Model
• Transitions
• More joined

up with social care/vol sector Eating Disorders:

• New Service
• Self referrals
• 1 week wait

for urgent cases

• 4 week wait

for others Crisis and Urgent Care:

• New Out of

Hours Service

• Review of

pathways

• In hours

Learning Disabilities and Neuro- developmental disorders:

• Review of

pathways/ma pping

• Reduce waits
• Pilot

ASD/complex needs

Shared Future in Mind Priorities

 Rethink:

• 1. Training schools, commissioners, providers
• 2. Young people’s MH conference
• 3. Review of services

Co-Production

 Pooling our assessment information across NW London to show patterns of need across a larger population, bringing

• pportunities for a response to common issues

 Identification of the skill mix required to deliver a preventative programme of support  Anna Freud have been commissioned to carry out this review, training and workforce analysis and pathways review  Consultation with partners on recommendations

Needs Assessment

Aim is to think differently about how we commission across education, social care and health Questions?

 Is transition age right? Could we extend the age of young people’s service to 25 years? - Pilot  What does ‘no-wrong door’ really mean? - MAP’s/SPA’s  How do we work differently with partners in schools? – MIND/Rethink  Building Capacity and Access – training/joined up delivery  A Tierless system -Thrive

Redesigning CAMHS

Improve pathways and networks of support

1. Children and young people access assessment and treatment for LD and ND in a timely manner.

• 2. Children and young people with LD or ND achieve improved

health and educational outcomes.

• 3. Children, young people and parents report an improved

experience of engaging with LD or ND services.

How?

• 1. Bring down waiting times/joint clinics
• 2. Training/school delivery
• 3. Early intervention (online help/parenting)
• 4. Vol. Sector new pilot?

Enhanced support for learning disabilities and neurodevelopmental disorders

 New CCG funded specialist CAMHS OOHS service to provide: a) Out of Hours hospital based mental health advice and support to all children and young people (0-18th bday)

b) Crisis assessment and treatment, operational at St Mary’s and Chelsea and Westminster hospitals from 4.30pm – 7.00am with one contact number and walk in services, evenings, weekends and bank holidays.

c) A reduction in the number of children and young people admitted to inpatient beds out of hours. d) Swift transfer of care to in hours CAMHS services.

Crisis and Urgent Care

 A new, evidence-based, eating disorders service specifically for children and young people with seamless referral routes, including self referral to ensure quick, easy access to early intervention by specialist clinicians.  Full implementation was on 1 April 2016  It offers assessment and treatment for young people up to 18th b’day who have a suspected or confirmed eating disorder diagnosis of: anorexia nervosa, bulimia nervosa,

• r atypical eating disorder

 CNWL provides a Hub and Spoke model across RBKC, Westminster, Hillingdon, Harrow and Brent. The Hub is at Vincent Square, Chelsea and Westminster Hospital.

Specialist Children and Young People’s Eating Disorders Service

 Providing direct training for professionals in Schools, Early Years Settings and Children’s Centres around building resilience and basic mental health awareness – Healthy Schools/Rethink/Mind  Educational Psychologists and teachers delivering specific ELSA, mindfulness and nurture group training for staff in schools in RBKC.  CNWL delivering support directly in schools, additional new pilot planned in 2016-17  Sustainable MH Training programme online and bookable for all April 2017

Workforce Development and Training

 Questions?

Transformation

 Angela Caulder; CAMHS Joint Commissioning Manager; NW London Collaborative of CCG’s angela.caulder@nw.london.nhs.uk 020 3350 4324

Further information and Contacts