Agenda item

To receive a presentation regarding the Mental Health Transformation Plan.

10.30am – Lucy Baker – 30 minutes

The Board received a presentation from Lucy Baker, Director of Planning and Transformational Programmes, BSW CCG, regarding the mental health transformation plan.

The presentation covered the following issues:

·  The current position.

·  A listening event has been held to understand the views of people, families, carers, supporters and staff.  The key messages from this event were outlined.

·  Understanding demand and capacity.

·  Working in partnership in B&NES.  Including work with:

o  Wellbeing House

o  Breathing Space

o  Intensive Outreach Support and Third Sector Mental Health Discharge Allocation in B&NES

o  Crisis Alternatives funding – Bath Mind outreach in B&NES

o  Community Wellbeing Hub

o  B&NES Council

·  Co-designing the future

·  Next steps

·  Community framework

·  Implementing the Community Services Framework in B&NES

·  CAMHS (Child and Adolescent Mental Health Services) transformation

·  People at the heart of transformation

·  Perspective of the current lived experience compared to the new model lived experience

The following issues were discussed:

·  The challenges involved in adopting a different mindset were highlighted along with the importance of supporting and developing people.  Lucy Baker acknowledged that any cultural change is difficult and stated that it will be important to develop local connections to bring people together without professional boundaries.  Some organisational development posts will be created to assist with this change.

·  It was confirmed that outcome measures will be co-developed, and the important issue will be how people in the community feel about the new service.  The key outcome will be for people to feel supported, with fewer crisis interventions and knowing where to go when they need help.

·  There will be 95 new full-time equivalent roles, including new roles in the third sector.  People will be working in a new way.  There will be £10m of new resource (across the Bath, Swindon, and Wiltshire area) which is significant.  There will be greater integration than in the past.

·  There will be no thresholds to access the service and the core offer will be available 7 days a week.  Individuals will have contact details for their wellbeing practitioner who will be available out of hours.

·  The focus on young people was welcomed, and especially a focus on university students.  There has been a large increase in serious mental health concerns for students and the universities are keen to engage with the service.  Lucy Baker welcomed the opportunity to connect with the universities.  The B&NES Integrated Care Alliance will lead the implementation.

·  Feedback has been received regarding the “cliff edge” which can be met when people reach the age of 18 and transfer to adult mental health services.  The extension of the service to 25-year olds is welcome.  Additional help in schools was welcomed, along with additional funding.

·  Curo would like to be involved in how the service develops over time.  There are significant problems with mental health issues in the housing sector, 32% of Curo tenants have diagnosed mental health conditions.  Early intervention when there is a crisis is very important.  Lack of suitable housing can also be a barrier to hospital discharge.

·  It is important not to underestimate the cultural change and leadership required to implement the new service.  This must be owned and implemented at local level.

The Chair thanked Lucy Baker for her presentation and the Board noted the report.