Agenda item

Mental Health Update

To consider opportunities for the Health and Wellbeing Board to further promote positive mental health and wellbeing and improve local mental health outcomes for people of all ages.

 

10.35am – 40 minutes – Lesley Hutchinson

Minutes:

The Board received a report asking members to consider opportunities for the Health and Wellbeing Board to further promote positive mental health and wellbeing and to improve local mental health outcomes for people of all ages.

 

(a)  Presentation from Lucy Baker, Director of Service Delivery, B&NES, Swindon and Wiltshire (BSW) CCGs

 

The Board received a presentation from Lucy Baker covering the following matters:

 

·  Strategic journey so far.

·  The draft Strategy has been co-created with people with lived experience, their families, carers and supporters along with partners including the third sector and statutory organisations.

·  BSW strategic workstreams.

·  Draft “THRIVE” conceptual model.

·  Current BSW gaps.

·  Key strategic actions – a collaborative national bid for £700k has been successful.

·  BSW and AWP service reconfiguration

 

(b)  Presentation from Neil Manson, B&NES Senior Commissioning Manager, Mental Health

 

The Board received a presentation from Neil Manson covering the following matters:

 

·  B&NES mental health local update.

·  B&NES mental health update – mental health review.

·  Mental health collaborative forum.

 

(c)  Presentation from Margaret Fairbairn, B&NES Child Health Commissioning Project Manager

 

The Board received a presentation from Margaret Fairbairn giving an annual update of the Children and Adolescent Mental Health Services (CAMHS) Transformation Plan 2015-2020 which covered the following matters:

 

·  Overview – improving mental health services for children and young people (CYP) continues to be a national priority.

·  Local CAMHS transformation plans.

·  Summary of service developments.

·  Impact on national access targets.

·  Spend for 2019/2020

·  The outcomes of other funding streams for children’s mental health.

 

The presentation slides were included with the agenda papers for the meeting.

 

Bruce Laurence congratulated Officers on the work that has been carried out to produce the Strategy.  However, he felt that it was important to include details about the causes of poor mental health, ways to prevent this and how to increase resilience.

 

Lesley Hutchinson stated that intervention is an important part of the Strategy and confirmed that more work will be carried out to address this point before the Strategy is finalised.  Lucy Baker also confirmed that the THRIVE programme is focused on prevention but accepted that this could be strengthened.

 

Cllr Vic Pritchard raised the issue of the 111 service for mental health.  He queried the threshold for this service and asked how the public would be made aware of its existence.

 

Lucy Baker stated that the new 111 service had been launched this month.  Anyone who has concerns about their mental health can ring the service to speak to mental health professionals and clinical advisors who can offer support.  She confirmed that there will be a communications campaign to raise awareness of the service.  She explained that the service is currently a pilot which can be tweaked as necessary in due course.

 

Paul Harris welcomed the work that has been carried out to produce the strategy and commended the collaboration with neighbouring local authorities.  He stated that trauma was a key issue and hoped to see mention of this in the strategy.  He queried the statement that there is no association between poor mental health and neighbourhood deprivation.  He noted the increasing number of referrals to the service and asked whether there were plans to reduce caseloads.

 

Margaret Fairbairn explained that there are challenges due to high numbers on the waiting list and that recruitment of mental health professionals is difficult.  Patients are often very complex and there is no quick fix.

 

Mike Bowden drew attention to the Community Mental Health Services Review, details of which can be found using the following link:

 

https://www.bathandnortheastsomersetccg.nhs.uk/get-involved/project/mental-health-services-review

 

Dr Ian Orpen noted that there are some uniform themes across the different areas and felt that B&NES is in a good position compared to some other local authorities.  He stated that this has raised the profile of mental health issues and pointed out that housing and planning does impact on health and wellbeing.

 

Will Godfrey stated that it is very positive to see partners working together.  He was impressed by the level of service provision.  He stated that a great deal of information has been produced but felt that the following matters should also be considered:

 

·  Trends

·  Relative performance

·  Outcomes should be the focus rather than simply targets.

 

Cllr Kevin Guy welcomed the different organisations working together.  He felt there should be more focus on the causes of poor mental health and on early intervention for children.

 

Lucy Baker stated that work begins at the pre-conception stage as it is important to invest now for the future.  She agreed that more work could be carried out to focus on outcome measures although these are not always easy to identify.

 

Jo Scammell stated that it is important to identify the impact of specific programmes to ascertain whether these should continue to be funded or whether they should be replaced by new programmes.

 

Corinne Baker stated that it is important to reflect in the Strategy how staff who are working in the mental health sector are supported.

 

Cllr Vic Pritchard expressed concern that services could be diluted and stated that it is important to build resilience into communities so that support can be provided for those in greatest need.

 

Cllr Rob Appleyard highlighted the importance of a smooth transition from child to adult services.  Lucy Baker confirmed that work is being carried out to address any difficulties with the transition.

 

Laurel Penrose stated that the relationship between different organisations has flourished over the years and that she is enthusiastic about the transformation of this service.

 

Sara Gallagher stated that Bath Spa University has met with key stakeholders and commonality had been identified.  She looked forward to working in partnership with other organisations to address mental health issues.

 

RESOLVED:

 

(1)  To note the B&NES, Swindon and Wiltshire Mental Health update set out in Appendix 1 of the report.

 

(2)  To approve the CAMHS Local Transformation Plan set out in Appendices 2 and 3 of the report.

Supporting documents: