Agenda item

Mental Health Review - RULE 15

This document sets out the case for Bath and North East Somerset Clinical Commissioning Group (the CCG) and Bath & North East Somerset Council (the Council) to implement a new model of Mental Health provision.

 

The decision is being made in accordance with Rule 15 of the Council’s constitution.  It would generally to be an ordinary Health and Care Board decision though due to the need to make the decision before end of March 2019 due to contract expiry it is necessary to use the Council’s urgency procedure.

Minutes:

Dr Ian Orpen informed the meeting that the decision would be made in accordance with Rule 15 of the Council’s Constitution.  Dr Orpen noted it would generally be an ordinary Health and Care Board decision, although due to the need to make the decision before end of March 2019 (due to contract expiry) it was necessary to use the Council’s urgency procedure and as such the decision would not be a subject of Call In.

 

Councillor Eleanor Jackson made her statement by saying that this would be one of the most important decisions made by the Council and CCG.  Councillor Jackson also said that people should receive better access to Mental Health services and quoted statistics set out on pages 47 and 71 of the report.  Depression and mental health illness are higher in deprived areas, such as Radstock and Westfield, and Councillor Jackson suggested that the lack of youth services in those areas did put an additional pressure on Mental Health services.  Councillor Jackson welcomed the strategy and the work with other agencies and added that social media was one of the biggest causes of depression in young people.  Councillor Jackson concluded her statement by thanking the Board for the comprehensive Mental Health Review report and suggested regular monitoring of this matter, whether by the Board or other bodies in the Council and/or CCG.

 

Councillor Vic Pritchard thanked Councillor Eleanor Jackson for her statement and introduced the report by saying that the Mental Health Review has started in 2017.  Councillor Pritchard also thanked the Health and Wellbeing Select Committee for their contribution to this review. There would be more preventative services to stop people falling in crisis.  The Thrive model of care would start in 2019/20 and is already in use in children and adolescent mental health service.  The Thrive model would support the provision of mental health services using a whole-system, population-based approach which would focus on the mental health wellbeing and mental illness needs of different groups of people as well as the needs of individuals.  It supports  integration across health, education, social care and voluntary sector, with a central focus on delivering improved outcomes for people.  The implementation of the Thrive model would also allow for more effective links to place initiatives such as GP Primary Care Networks and would ensure mental health is embedded across all sectors of provision.

 

Councillor Vic Pritchard moved the recommendations.

 

Lisa Harvey seconded the motion by saying that this was a new model for Bath and North East Somerset and that other areas in the country were looking to adopt the same model. The CCG and the Council have recognised that the creation of a new model of mental health provision was a bold and transformational step.  However, mental health services could not continue to be delivered in the same way because, in the long term, it would be unaffordable, unsustainable and, most importantly, it would not deliver the preventative, collaborative and personalised service that local people and professionals have asked for.

 

Councillor Tim Warren welcomed the proposals by highlighting the influence of social media on an increase of stress and anxiety.  The Council and CCG wanted to take the responsibility and help the community by introducing the model which would deliver better services for people who need help.

 

Councillor Charles Gerrish also welcomed the proposals by saying that the Three Ways School in Bath have already seen benefits of using Thrive model.

 

The Board invited Caroline Holmes and Sue Blackman to take the Members through the report.

 

Suzannah Power also welcomed the proposal and thanked the officers on explaining some parts of the report.  Suzannah Power also thanked the whole team for engaging the public into the review.

 

The Chair thanked the officers for the report and welcomed the approach for using the Thrive model of Mental Health provision in Bath and North East Somerset.

 

RESOLVED (unanimously) that the Health and Care Board agreed that the Clinical and Commissioning Group and the Council work with existing system leaders to deliver the new Thrive model of Mental Health provision in B&NES.

Supporting documents: