Agenda item

This report provides updates in relation to: (a) the Joint Mental Health and Wellbeing Framework in Haringey, and (b) the recommendations made by the Adults and Health Scrutiny Panel, in March 2015, concerning Transition from Child Mental Health Services to Adult Mental Health Services.

The Chair welcomed Shelly Shenker, Assistant Director, Mental Health Commissioning, Haringey CCG, and Tamara Djuretic, Assistant Director of Public Health, to the meeting.

The panel was informed that Haringey’s Overview and Scrutiny Committee had commissioned a series of reviews on mental health and wellbeing over the last two years. It was noted that recommendations from completed reviews had informed the priorities and the implementation plan for the Haringey CCG and Haringey Council Joint Mental Health and Wellbeing Framework that had been published in March 2015.

The panel was informed that the report, attached at agenda item 9, provided an update on the progress that had been made under each priority.

The progress made in relation to Priority 1: Promoting mental health and wellbeing and preventing mental ill health across all ages, was noted. The panel was informed that:

-       Contracts aimed at improving mental health and wellbeing had been retendered.

-       Four contracts including mental health and wellbeing education for all schools, mental health awareness training for frontline staff, Time Bank model and Thinking Space contracts had started in September.

-       Suicide rates in Haringey had significantly decreased over the last few years. The work carried out by the borough wide suicide prevention group was noted.        

The progress made in relation to Priority 2: 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 was noted. The panel was informed that a Haringey CAMHS Transformation Board was being set up across the whole system partnership to lead the transformation of local CAMHS services.

The following points were noted:

-       Haringey’s CAMHS Transformation Plan had been completed in September 2015 and submitted to NHS England for validation in October 2015.

-       Approval of the plan would release funds of £500k per annum for five years (including 2015/16).

-       Haringey’s CAMHS Review Board had overseen an in-depth CAMHS review that had recently concluded.  

-       The CAHMS review had identified a number of areas that would require a project group. Transition was one of these areas  and would be picked up by a subgroup of the Haringey CAMHS Transformation Board. It was noted that the subgroup would incorporate recommendations from the scrutiny review on CAMHS transition.

-       The interim progress report, attached at Appendix A, that provided a high level summary on progress against each of the recommendations put forward, by the Adults and Health Scrutiny Panel in March 2015, as part of their scrutiny review on CAHMS transition.

-       The CCG had been successful in two bids for £150k worth of monies to develop schools initiatives to support children with poor mental health.  

Following discussion, the panel agreed that a more detailed update, specifically related to Priority 2 and the Overview and Scrutiny CAHMS transition review recommendations, should be prioritised in the panel’s future work programme (for March 2016).  

The progress made in relation to Priority 3: Improving mental health outcomes of adults and older people by focusing on three main areas was noted. The panel was informed actions under this priority would ensure the needs of people with a severe mental illness were addressed.

The progress made in relation to Priority 4: Commissioning and delivering an integrated enablement model which uses individuals, families and communities’ assets as an approach to support those living with mental illness to fund fulfilling lives, was noted. During the discussion, reference was made to the following:

-       The fact that the enablement strand of the framework had formally been launched on 14 July at an event attended by a wide range of stakeholders including service users and clinicians.

-       A local steering group, chaired by the Head of Housing Commissioning, had drafted an accommodation pathway for people with mental health needs. It was also noted that the council was piloting a new accommodation pathway for people with very complex needs called “Housing First”. The panel was informed that this model would be evaluated to determine effectiveness. 

AGREED:

(a)  That the overall progress on the implementation of the Mental Health and Wellbeing Framework be noted.

(b)   That a more detailed update, specifically related to Priority 2 and the Overview and Scrutiny CAHMS transition review recommendations, be prioritised in the panel’s future work programme (for March 2016) and discussed further under item 10 on the agenda – Work Programme Update.