Tim
Miller, Joint Assistant Director for Vulnerable Adults and Children
for Haringey Council and NHS Haringey CCG, introduced the report
for this item, noting that the Cabinet had recently given approval
to proceed with this development. The Canning Crescent site was
previously built as a mental health community centre and had been
occupied by Barnet, Enfield and Haringey Mental Health Trust. The
Council acquired the site in 2019 and now has approval to develop
it into a community mental health recovery centre with partners.
The development will include a new home for Clarendon Recovery
College, the Council’s directly-provided education-based day
opportunities service for adult mental health. It will also provide
a new Safe Haven (or “crisis café”) which is an
out of hours, non-clinical service for people who may be
experiencing a mental health crisis. The third element is a
Recovery House, which is currently run from a Council-run building
in Fortis Green and provides six rooms of short-stay accommodation
for people who may be experiencing a mental health crisis providing
non-clinical support and respite. Moving this service to Canning
Crescent would provide an opportunity to expand and redesign the
provision. There had originally been an aspiration to provide a
supported living scheme on the site but this was not found to be
the best option. However, there is a still a commitment to deliver
the scheme so alternative sites were being looked at including at
the Fortis Green building.
Tim
Miller then responded to questions from the Panel.
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Asked for further details about the ‘recovery
college’ approach, he said that for a long time service users
had been sent to day centres which helped to reduce social
isolation but did not always make progress with other issues. The
recovery colleges take an educational approach to health and
well-being and provide a range of courses focused on mental health
which are taught by professionals, family carers and people with
lived experience of mental health conditions.
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On how the local community had been involved in the
project, he said that people who had previously used the Clarendon
had been involved in the design. A group of service users had been
working with the Mental Health Trust on the Recovery House redesign
project and there had been some focus groups with people at the
Recovery College. There had also been some discussion with
organisations in the Wood Green area but it has not been in-depth
so far as the project had not been approved until very recently. A
key principle of the project in that it is embedded in the
community and is a resource for the community. It should also be
noted that the site was already used as a mental health facility
prior to the project being approved. Asked whether he could provide
an update in future about how the local community was being
involved in the design now that the project had been approved, he
confirmed that he would be happy to do so. (ACTION)
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Asked about oversight and service user engagement
after the service is operational, he said that the approach goes
beyond engagement. The Mental Health Trust are doing particularly
well in their peer-support worker employment programmes and their
vision for the Recovery House is that it is a peer-led service
supported by non-peer professionals and, behind them, supported by
experienced clinicians. The Mental Health Trust now have a
well-established training and induction programme for their peer
support workers.
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Asked about access criteria to the Crisis
Café, he said that the design work on this is ongoing.
However, the feedback from engagement sessions with professionals
and people with lived experience so far had been that the Crisis
Café should be open access.
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Asked about the finances for the project, he said
that there is a Section 75 partnership agreement between the
Council and the CCG that brings together the investment into a
single agreement and a single vision.
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On whether this could generate savings for the NHS
through innovative improvements, he said that the direction of
integrated health and social care is the recognition of the
interdependencies between the two and that this is a financial
issue as well as a clinical issue.