detailed action plan for 2018-19 (Appendix 4). Table 7: Progress against the original case for change Stage Description Dates RAG Establishing the baseline Getting the detail about how things currently work – marking out what we want to change and what we don’t and why the system should transform April – July 2015 Pre-Consultation/Listening Taking a summary of the current services to the community – service users, children and young people, parents and carers, families, providers and commissioners – and listening to what we hear Aug 2015 – Jan 2016 Co-producing a new model of emotional wellbeing care and support Working together to build on the views shared in the listening phase and designing a new approach that enables people to thrive through prevention and early intervention, and when necessary specialised support Feb – May 2016 Engaging with communities about the new approach Sharing the outcome of the co-production phase and engaging with our communities about the new proposed approach. Continuation of targeted engagement activities June – April 2017 Implementing single point of access Meeting with existing providers to discuss the learning and new approach to service delivery. To enable modification to current service provision and undertake proof of concept piece of work. Establish future contracts and commissioning intentions. December 2017 – December 2018 Workforce analysis and strategy development To ensure that we have a workforce that is skilled to deliver the new model September 2018 – April 2019 Implementing new model of delivery Commence new specification see Appendix 4. January - April 2019 Sustainability & Transformation Partnerships (STP’s) and working with other LTPs 21.1 As a Sustainability & Transformation Partnership (STP) footprint we are aware of the clear gaps across health and wellbeing and care and quality
Appendix 1 – Action Plan Action Plan 2017-2019 updated October 2018 Area Transformation Priority Objective Any update Lead Timescale RAG 1 Expanding Minds, Improving Lives Implementation of new whole system approach: Getting Help inc single point of access and Getting More Help services Scope position to extend up to age 25 years. Lead provider shadow working January 2019 CCG NTW Jan 2019 – March 2020 October 2019 Incorporate multi-media access for SPOA NTW scoping options NTW March 2019 Evaluation phase by phase of Getting Help inc single point of access and Getting More Help services CCG/NTW March 2019 Incorporate peer support into new model spec All secondary schools developed peer support model. Added to spec – not yet agreed by providers CCG May 2018 Include priority assessments for vulnerable groups into spec including LAC In new spec CCG March 2018 Ensure all requirements are Agreement by CCG April 2018
captured within the financial plan. February 18 – link to NHSE Planning Guidance and MHIS Develop performance framework and incorporate recommendations from Childrens Commissioner Childrens Mental Health in England indicators (Oct 2017), KPI’s and agreed outcome measures Draft shared with NTW and STFT to be agreed May 18. Embedded as part of the lead provider model CCG May 2018 Review demand and waiting times for CAMHS service Quarterly updates - standing item CCG Ongoing To review activity/demand on VCS services NTW VCS March 2019 Review full pathways which specifically include pathways relating to: services within VCS inpatient CHYP MHS pathway including specialised commissioning mental health and Timeline to be developed CCG October 2019
Adopt better use of technology within CYP MH services Increase the use of texts, emails and skype etc. for appts. This work should be informed by CHYP and Families. Young Commissioners project to be refreshed to lead this NTW to incorporate NTW/CCG October 2019 Develop support pathways for children and young people and for parents/carers who have alcohol problems Gateshead Council Newcastle City Council Sept 2018 June 2019 CHYP supported to develop mental health and wellbeing APP promoting self-care. Explore any development of apps for schools with Young Commissioners Many Apps in existence, review from CHYP to establish if another still required and/or which Apps we promote/support for NG. Part of school exclusions action plan CCG Gateshead Council Newcastle City Council July 2018
children and young people who are not supported by the existing programme 5 Early Intervention and Prevention Implement and monitor Getting Help model which includes greater emphasis on prevention and early intervention. CCG March 2019 Evaluate the impact of early intervention and prevention through the health visitor, family nurse partnership and school nurse new specification and contract (Gateshead) In service spec contract start date July 2018 Gateshead Council October 2019 Pilot mindfulness in Gateshead schools x3 (Gateshead) Staff training commenced Gateshead Council June 2018 Incorporate mental health and wellbeing in schools via 0-19 contract (Gateshead) In service spec contract start date July 2018 Gateshead Council July 2018 Promote CYP mental health and wellbeing opportunities via early help social care model (Gateshead) Service changes underway Gateshead Council April 2018 Early help Newcastle Newcastle City October 2018
Council Submit DfE bid for mental health in schools programme for Gateshead and Newcastle Workshops commence March 2018 with AFF. 43 schools in Gateshead and 20 schools in Newcastle CCG Gateshead Council Newcastle City Council June 2018 6 The Right Coordinated Response to Crisis Continue to implement interim improvement plan developing options for early intervention crisis response based on a 24/7 model of care and provided in their local communities ensuring care is provided as close to home as possible or within their own homes. Develop the model for intensive home treatment for children and young people with complex needs. Workshop planned Feb 20th. Need to review the offer for residents outside Newcastle and Gateshead. Update at the next mtg re PLT and EIP service for YP CCG NTW NTW December 2018 April 2019 April 2019
focus around the SEND agenda. 10 Autism Scope local need and service development to deliver assessment and treatment compliant with national and local standards for children and young people with learning disability, autistic spectrum disorder, attention deficit and hyperactivity disorder, to improve access and intervention Workforce development including parental/carer training programme for diagnostic and post diagnostic support. Needs assessment done in Gateshead, JY developing the strategy. Spec needs to link to schools. Strengthen mainstream school/setting offer for supporting CYP with communication and interaction needs (autism/SLCN) through development of a specialist teacher team. Develop post diagnostic support offer for parents of Gateshead LA December 2018 Spring 2019
STRATEGIC/ OPERATIONAL RISK (or both) RISK IDENTIFIED & POTENTIAL IMPACT RAG ACTION PLAN LEAD OFFICER(S) Strategic/Operational Risk Non-engagement of staff System partners already well engaged in the process and service development to date and ongoing mechanism in place. Risk reviewed 5YFVMH Imp Group All partners Strategic/Operational Risk Data sharing and performance metrics not yet agreed Performance metrics to be agreed with relevant organisations and mechanisms for reporting All partners Strategic/Operational Risk Disruption/confusion in the system Phased approach accompanied by communication plan aimed to minimise/eliminate disruption/confusion. NTW and STFT Operational Risk Workforce/appropriately trained staff to deliver evidence-based interventions does that workforce exists Workforce analysis already underway. Further links to be identified within STP LWAB and LWAG All partners Operational Risk Lack of clarity re voluntary sector involvement CCG to advise/confirm agreed arrangement with voluntary sector. CCG Strategic/Operational Risk Activity increase exceeds resource allocation based on current activity levels with no further resource identified Phased approach and review/agreement before proceeding to next phase identified in mobilisation. CCG and providers Operational Risk Increased referrals to Children's Services CCG to confirm appropriate plan to support. CCG and Local Authorities Operational Risk Capacity/availability of staff within current system not meeting required staffing Staffing structure and training needs to be reviewed as part of the workforce plan to ensure workforce meets capacity and capability. All partners