Agendas, Meetings and Minutes - Agenda and minutes

Agenda and minutes

Venue: County Hall, Worcester

Contact: Emma James / Jo Weston  Overview and Scrutiny Officers

Items
No. Item

894.

Apologies and Welcome

Minutes:

The Chairman welcomed new Redditch Borough Council Member, Mr M Chalk and invited Mrs J Potter to the table as a Member of the Children and Families Overview and Scrutiny Panel.

 

Apologies had been received from Mr C Bloore, Mr P Grove, Mrs F Smith and Mr P Tomlinson.

895.

Declarations of Interest and of any Party Whip

Minutes:

None.

896.

Public Participation

Members of the public wishing to take part should notify the Head of Legal and Democratic Services in writing or by email indicating the nature and content of their proposed participation no later than 9.00am on the working day before the meeting (in this case 18 September 2018). Enquiries can be made through the telephone number/email address below.

Minutes:

None.

897.

Confirmation of the Minutes of the Previous Meeting

Previously circulated

Minutes:

The Minutes of the Meetings held on 5 and 20 July 2018 were agreed as a correct record and signed by the Chairman.

898.

Child and Adolescent Mental Health Service and Wellbeing Work pdf icon PDF 86 KB

Additional documents:

Minutes:

Attending for this Item were:

 

Worcestershire Health and Care NHS Trust (Provider)

Sue Harris, Director of Strategy and STP Communications and Engagement Lead

Sally-Anne Osborne, Service Delivery Unit Lead

Stephanie Andrews CAMHS Service Manager

 

Worcestershire County Council (Commissioner)

Philippa Coleman, Lead Commissioner – Early Health

 

By way of introduction, it was reported that the Child and Adolescent Mental Health Service (CAMHS) and emotional wellbeing was part of Priority 4: Establishing clinically and financially sustainable services of the Sustainability and Transformation Partnership (STP) and in particular Programme 4a: Improving mental health and learning disability.

 

Historically, the Committee was told that the service was Psychiatric Consultant led, but started to involve wider disciplines following a 2002 Health of the Nation report which recommended a 4 tiered model of mental health for children and young people.

 

There was no further transformation until 2015, when the Government published 'Future in Mind' a Paper which set out to create a system that brought together services and set out a plan to tackle problems together across all stakeholders including schools, social care, the NHS, the voluntary sector, parents and children.  It promised improved access to effective support, care for the most vulnerable, accountability and transparency and development of the workforce.  In addition, it would build resilience and increase the work on prevention and early help.

 

In 2018, a Government Green Paper on 'Transforming Children and Young People's Mental Health' introduced the concept of senior leads within Schools and improved access with shorter waiting times.

 

As a result of this recent focus, alongside the report that around 30,000 young people were suffering with anxiety in the UK, there had been significant investment, with new pathways and different ways of working.

 

Within CAMHS there were a number of pathways, which included:

·       Eating Disorders

·       Looked After Children

·       KOOTH (a web based resource)

·       CAST (tools for professionals)

·       Reach 4 Wellbeing (NHS face to face emotional support)

·       Learning Disability

·       CAMHS Tier 3+

 

Reach 4 Wellbeing was highlighted as a pathway providing support for 5 – 19 year olds experiencing emotional difficulties, specifically anxiety, low mood and self-harm.  Of 752 referrals, 495 children were accepted for short term group support and 302 had been seen, of which 264 were seen in groups and 38 on a one to one basis. 

 

CAST (Consultation, Advice, Support and Training) was highlighted as a pathway specifically for school staff and other professionals (such as GPs and school nurses) to understand their role in supporting the mental health of a child or young person.

 

KOOTH was described as online counselling and online self help resources for emotional well-being.  Counsellors were available to talk to Monday to Friday from 12 noon to 10pm and on Saturday and Sunday from 6pm to 10pm and the resource was very well received.  It was reported that the greatest demand was out of hours.

 

Tier 3+ and Eating Disorders was a pathway involving 0 to 18 year olds with significant mental health needs, including mood disorders, significant anxiety, psychosis for example.

 

Reference  ...  view the full minutes text for item 898.

899.

Health Overview and Scrutiny Round-up pdf icon PDF 78 KB

Minutes:

The Chairman reported that he had met informally with representatives from both Worcestershire Health and Care NHS Trust and the Worcestershire Clinical Commissioning Groups.

 

Earlier in the meeting the Chairman also referred to the announcement of the resignation of Michelle Mckay as Chief Executive of Worcestershire Acute Hospitals Trust.