Agenda item

This report outlines the priorities and outcomes of the Joint Mental Health and Wellbeing Framework. It details the process for development of the Framework, summarises consultation feedback and highlights how the recommendations from Overview and Scrutiny reviews have been incorporated into the Framework. It also proposes a governance structure for delivering the Framework. The Panel are asked to consider the draft Framework prior to its publication.

(To be jointly considered with the Adults and Health Scrutiny Panel)

Tamara Djuretic, Assistant Director of Public Health, introduced the draft Joint Mental Health and Wellbeing Framework. The panel was informed the proposed framework had been developed with a range of stakeholders and experts across the local health and social care economy. It was noted that the framework set out a high level vision for mental health and wellbeing in Haringey.

The Panel was informed that the total spend on mental health in Haringey (including substance misuse) for 2013-14 was over £51 million. This equated to 11% of the total CCG budget and 6% of the Council’s. Tamara Djuretic noted the level of spend going to acute services versus community services was unsustainable moving forward.

The Panel discussed the aims of the framework and Tim Deeprose, Assistant Director, Mental Health Commissioning, Haringey CCG, advised that there were four priorities;

·         Promoting mental health and wellbeing and preventing mental ill health across all ages;

·         Improving the mental health outcomes of children and young people by commissioning and delivering effective, integrated interventions and treatments and by focusing on transition into adulthood;

·         Improving mental health outcomes of adults and older people by focusing on three main areas: meeting the needs of those most at risk; improving care for people in mental health crisis; improving the physical health of those with mental-ill health and vice versa;

·         Commissioning and delivering an integrated enablement model using individuals, families and communities’ assets as an approach to support those living with mental illness to lead fulfilling lives

Mr Deeprose commented that recommendations from previous scrutiny reviews relating to mental health had been incorporated into the overall framework. The priorities had been shaped in line with these scrutiny recommendations.

The Panel was asked to note that consultation feedback had been generally positive, although suggestions for improvement, set out in the report to the panel, had been received. During the discussion, reference was made to the following:

·         The national and local policy context;

·         The role of Haringey’s Mental Health and Wellbeing Framework Expert Reference Group;

·         The mental health needs of Haringey’s residents;

·         Timescales and governance arrangements for delivery of the framework;

·         Lord Bradley’s review (2009) of people with mental health problems or learning disabilities in the criminal justice system;

·         The mental health needs and the effectiveness of provision for young offenders in custody and in the community; Recent mental health inquiries conducted by Select Committees appointed by the House of Commons;

·         The importance of having a whole system approach to integration and enablement, including the need for effective pathways into employment and housing;

·         The impact of population growth and the sources of information that had been used to develop the framework,  including the local Joint Strategic Needs Assessment on mental health in children, young people, adults and older people; Mental Health HaringeyStat; Public Health England’s mental health profiles and the CCG’s and Council’s financial information;

·         The importance of ensuring mental health services were appropriate for Haringey’s diverse communities;

·         The redevelopment of the St Ann’s Hospital site;

·         The services available for looked after children;

·         The use of strength and difficulties questionnaires;

·         Recent articles in The Times newspaper (12 March, 2015) concerning child mental health;

·         Services provided by Tavistock Portman; and

·         The work being carried out by Catherine Swaile, Vulnerable Children’s Joint Commissioning Manger, Haringey CCG.

The Panel was informed that the framework would be finalised for the Health and Wellbeing Board meeting on 24 March 2015. The Panel agreed it would be useful to receive an update on the actions outlined in Appendix V of the framework in 6-12 months time.

The Chair thanked Tamara Djuretic, Tim Deeprose and Catherine Swaile for their attendance.

AGREED:

1.    That the report be noted.

2. That subject to further discussion with the Overview and Scrutiny Committee, the panel agreed an update on the Joint Mental Health and Well Framework, should be included in the scrutiny work programme for 2015/16.