Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 19 November 2014.

The Minutes (copies of which had been circulated) of the meeting held on 19 November 2014 were approved as a correct record.

No declarations of interest were made.

The following officers have been invited to attend the Panel meeting to discuss issues relating to partnership working with Mental Health Services:-

·         Alison Caven – Joint Commissioning Manager, Children and Young People, NHS Stockport Clinical Commissioning Group.

·         Sarah Leah, Service Manager, Stockport CAMHS, Pennine Care NHS Foundation Trust.

Alison Caven (Joint Commissioning Manager, Stockport CCG) and Dr Libby Rouss (Pennine Care Foundation Trust) attended the meeting and made a presentation in respect to the transformation of Children and Young People’s Mental Health Services.

Alison explained that the Child and Adolescent Mental Health Services (CAMHS) are a specialist NHS children and young people’s mental health services. The service offers assessment and treatment when children and young people have emotional, behavioural or mental health difficulties. They also help parents and carers to understand their child’s behaviour. She reported that:-

·         It was estimated that there were 4,000 children and young people aged 5-16 in Stockport with a mental health disorder and that 40% of young people who are NEET have had symptoms of mental ill health. The prevalence of mental health disorder in Looked After Children is around 45%

·         Referrals to CAMHS have increased by 36% in the last 2 years.

·         The Stockport CAMHS services is currently organised into different provisions for different levels of need know as Tiers, ranging from tier 1 which consists of advice, information and guided self-help to tier 4 where children are treated in highly specialised units including inpatient facilities.

·         All tier 2 and 3 services are accessed through a single point of entry which is managed by the Pennine Care NHS Foundation Trust.

·         There are a number of non-statutory mental health service providers for children and young people in Stockport which receive charitable grants and some funding directly from schools including Relate, Beacon and Self Help Services.

·         In April 2014 the Health and Wellbeing Scrutiny Review of CAMHS has recommended The Council and the CCG are recommended to jointly commission future Tier 2 and Tier 3 CAMHS services through an integrated service delivery model to ensure a more flexible and responsive service that is better equipped to meet growing need at the same time as responding to challenges in reducing resources.

·         There were a number of issues which needed to be addressed to achieve this integrated service delivery model. There was fragmentation of budgets between the CCG and the Council – officers were working towards further integration through a single specification based on those budgets available.

·         The further alignment and possible pooling of budgets to ensure sufficient co-ordiantion of services would enable identification of cost savings and efficiencies whilst allowing for the alignment of investment with priorities.

·         Integration would reduce the risk of single service or single agency reductions having an adverse impact on particular groups or pathways – for instance Looked After Children and school pupils.

·         Collaborative working was already taking place notably the single point of entry managed by Pennine Care. The introduction of a Stepped Care Model of provision allowed for earlier intervention and for step down – the moving of resources down the pathway to improve the offer to universal & early help professionals.

Alison further outlined the future vision and aspirations for CAMHS which included:

·         CAMHS would be part of a multi-agency pathway for specific conditions such as self-harm, depression and sleeping difficulties.

·         New ways of working with the Integrated Children’s Service (ICS), schools and colleges would be explored. Schools were in a unique position to promote well-being and identify potential problems.

·         A pilot was being undertaken of a locality approach with CAMHS link workers being placed in ICS locality teams.

·         Enhanced collaboration with the voluntary sector and improvement to self-help support, online information and e-resources

RESOLED – That Alison Caven and Dr Libby Rous be thanked for their attendance and presentation and that issues raised during the course of the meeting be fed into the draft final report and recommendations

The Scrutiny Panel are requested to confirm the dates for future meetings as follows:-

· Wednesday 11 February 2015 at 6.00pm – Presentation in relation to partnership working with schools.

· Wednesday 16 March 2015 at 6.00pm – Consideration of draft final report and recommendations.

RESOLVED – That the next meeting be held 11 February 2015 – presentation in relation to partnership working with schools.