Agenda item

Report of Matt Gilks, Director of Commissioning, Coventry and Rugby Clinical Commissioning Group (CCG)

Andrea Green, Coventry and Rugby CCG, Simon Gilby, Coventry and Warwickshire Partnership Trust and John Gregg, Director of Children’s Services will report at the meeting

The Board considered a report of Matt Gilks, Coventry and Rugby CCG which sought endorsement for the refreshed Child and Adolescent Mental Health Services (CAMHS) Transformation Plan. John Gregg, Director of Children’s Services, attended the meeting for the consideration of this item. A copy of the updated plan was set out at an appendix to the report.

The report indicated that there was a requirement from NHS England (NHSE) for Clinical Commissioning Groups (CCGs) to develop a CAMHS Transformation Plan, working with their local partners to set out a strategic vision for delivering improvements in children and young people’s mental health, and wellbeing over a five-year period from 2015 to 2020. The CAMHS Transformation Plan was submitted to NHSE in 2015, and CCGs were required to refresh the plan annually, to demonstrate progress and outline priorities for the forthcoming year.

This was the third year of the CAMHS Transformation Plan refresh, highlighting progress against the priorities for 2017/18, and further progress planned for 2018/19. The refresh process was led by Coventry and Rugby CCG, and refreshed plans were signed off by NHSE. Final sign off was now awaited from NHSE. The refresh process was managed through the multi-agency CAMHS Transformation Board.

An additional appendix to the report outlined the key progress against the Transformation Plan for 2017/18, and identified priorities for 2018/19. The CAMHS Transformation Board had rolled forward the priorities from 2017/18, on the basis that there was further progress to be made against these. Accompanying the priorities for 2018/19 was an action plan. The action plan set out the strategic work required alongside deadlines and named individuals to ensure accountability. The plan would be monitored monthly by the Transformation Operational Group. The key priorities were:

•  Mapping tiers of provision with funding associated within each tier

•  Review the early intervention offer including remodelling tier 2 provision

•  Tier 3.5 service – CRISIS / Ward 14

•  Strengthening governance structures

•  Data analysis

•  Digital solutions (such as Dimensions Tool)

•  ASD Pathway / Transforming Care

The report detailed the governance structure to provide accountability to ensure the delivery of the actions to meet the priorities.

John Gregg reported on the Children and Young People’s Partnership Board’s consideration of the CAMHS Local Transformation Plan. The challenge from the Board was to understand the impact of the Plan on outcomes for individual children. There was a willingness amongst partners to come together to address challenges in the system and a view that the potential of early help hubs to intervene at an earlier stage should be maximised.

Members discussed the barriers to making improvements in the system, with workforce and funding identified as key barriers.

There were a high number of children escalating to specialist services in Coventry and Warwickshire and the reasons for this were being actively investigated as part of the clinical risk review. Professor Meyer offered support from Warwick University in relation to research undertaken around early intervention and predictors of emotional wellbeing issues in young people.

RESOLVED that the Coventry and Warwickshire Children and Adolescent Mental Health Services Local Transformation Plan refresh for year three be endorsed.