Agenda item

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

The Board considered a report of Matt Gilks, Director of Commissioning and Chair of the Children and Young People Mental Health and Wellbeing Board, Coventry and Rugby CCG, on the Child and Adolescent Mental Health Services (CAMHS) Local Transformation Plan: Year 4 Refresh. A copy of the refreshed plan was set out at an appendix to the report. The report sought feedback on the plan which was to be submitted to the next Board meeting in March 2020 for final sign off. Particular reference was made to the revised priorities from 1 November 2019 to 31 October 2020. Chris Evans, Coventry and Warwickshire Partnership Trust, attended the meeting for the consideration of this item.

The report indicated that this is the fourth year of the CAMHS Transformation Plan refresh which highlighted progress against the priorities for 2018/19 and further progress planned for 2019/20. The refresh process was led by Coventry and Rugby CCG with the refreshed plan being signed off by NHS England. There was a requirement for the plans to be developed collaboratively with key partners. Consequently, the refresh process was managed through the multi-agency Coventry and Warwickshire CYP Mental Health and Wellbeing Partnership Board.

Key highlights of the achievements in the past year included:

·  Population Health Management Group – this was a NHSE pilot project involving a system wide approach around data collection and analysis to help understand growing trends of population health and wellbeing needs

·  Trailblazer Funding – in July 2019 additional funding was secured from NHSE to implement Mental Health Support Teams within schools. The project was in its early stages with teams being implemented within 8 schools from January. The project was aimed to be fully operational by December 2020 reaching out to around 40 schools in the city

·  Tier 2 Recommissioning – a commissioning review had commenced to understand what services were required moving forward

·  Crisis Support – significant work had been undertaken to expand mental health crises care for children and young people with the Acute Liaison Team expanding from 5 days to 7 days  a week and the implementation of a new 7 day service which incorporated crisis response and home treatment.

The Board were informed that the Transformation Operational Group (TOG) had been refreshed to strengthen multi-agency operational involvement and oversight of the CAMHS system. TOG and the Partnership Board had developed the following priority areas for 2019/20:

a) Strengthen approaches to resilience, early help and prevention through work both with schools and family hubs and community partnerships

b) Improve the breadth of access, timeliness and effectiveness of emotional well-being and mental health support available to children and young people aged 0 - 25

c) Continue to develop the eating disorder pathway and service

d) Continue to strengthen the multi-agency approach to children and young people experiencing mental health crisis

e) Further develop the digital offer to increase access to services and support for children and young people

f) Strengthen support for vulnerable children and young people, particularly Looked After Children and Care Leavers

g) Strengthen the approach to data collection and analysis to strengthen intelligence-led decisions-making

h) Ensure that the voices of children and young people were embedded in service developments.

Members acknowledged the challenges still to be faced including the pressure of demand across services and workforce challenges. Discussion centred on the length of waiting times for initial assessment, for referral to treatment and for autism. The link to the One Coventry approach was highlighted.     

RESOLVED that, having reviewed the Coventry and Warwickshire (CAMHS) Local Transformation Plan refresh for year 4, the plan and the proposed priorities for 2019/20 be supported.