Agenda item

To review and endorse the Haringey CAMHS Transformation Plan final draft.

The Board received a report which provided information on the CAMHS Transformation Plan (Refresh for 19/20 and 20/21) as set out at pages 63-84 of the agenda pack. The report was introduced by Charlotte Pomery, Assistant Director of Commissioning. It was highlighted that the CAMHS Transformation Plan linked with the Health and Wellbeing Strategy in terms of the emotional, mental health and wellbeing of children and young people in the Borough by adopting the THRIVE framework. The THRIVE framework was a community-based approach to help improve the mental health and wellbeing of children and young people. It was noted that it was important that crisis services, particularly clinical services, were involved in the implementation of the framework as the findings of the 2015 CAMHS Review showed that there was inequity in terms of access to CAMHS, for example there were fewer referrals from GPs in the east of the Borough, and there were long waits for some services which affected the level of attendance for mental health services.It was highlighted that the focus needed to be about ensuring that issues affecting mental health and wellbeing were identified and responded to early and in ways which were non-stigmatising.It was noted that the positive outcomes of the CAMHS Transformation work was that it attracted greater investment into the Borough and developed partnership work which involved the CCG, the voluntary community sector, council and school.

The following was noted in discussion of this item:

1. The Cabinet Member for Communities and Equalities was pleased that the CAMHS Transformation Plan made reference to ethnic disparities in the Borough; however, accepted that more needed to be done, and would provide a written response to the Chief Operating Officer of the CCG. to the. The Cabinet Member highlighted that, firstly, he was glad to see reference made to the Young People at Risk Strategy; however, noted that it was important that individuals understood the Strategy, particularly around the findings of the Godwin Lawson Foundation regarding the level of disconnect and level of apathy among young people in the Borough. The Cabinet Member welcomed the Trailblazer programme but recognised the resource pressure faced by local schools. Lastly, the Cabinet Member welcomed the reference to the Alternative Provision Review. In response, the Assistant Director of Commissioning stated that she is aware that the issue posed by youth violence and noted meeting with a group of clinicians across the voluntary sector and the NHS who highlighted the issues surrounding around youth violence.
2. Regarding the Trailblazer programme for schools, it was queried whether a similar programme could be implemented for the wider community. In response, the Assistant Director of Commissioning noted that the service were continuing to seek additional investments. It was highlighted that part of the Trailblazer programme entailed community engagement, such as the Wellbeing Café at Tiverton Primary school which involved discussions with parents on health and wellbeing 
3. The Director of Children’s Services noted that there was a change of discourse in the media which had enabled individuals to better identify their needs. The Director of Children’s Services acknowledged that more needed to be done moving forward; however, she supported the direction of the Transformation Plan. 
4. The Chair recognised the difficult environment for school due to resource cuts and also welcomed the CAMHS Transformation Plan for recognising the issues impacting the health and wellbeing of children and young people. 

RESOLVED that

1. The Board reviewed and endorsed the Haringey CAMHS Transformation Plan final draft.