Administrative Band 8a – Senior Manager 1.0 Band 4 – Admin and Clerical 2.80 Band 3 – Admin and Clerical 7.43 Band 2 – Admin and Clerical 2.10 Total Administrative Staff 13.33 Total Workforce 72.82 Teesside Community Eating Disorder Service data Hartlepool and Stockton on-Tees CCG and South Tees CCG Referrals 2013/14 2014/15 2015/16 Apr – Sept 2016 2016-17 Total referrals 52 52 293 38 41 Accepted referrals 47 42 293 36 38 Non-accepted (re-directed) 5 (9.6%) 10 (19.2%) 0 2 3 (7.3%) Tees-wide Community Eating Disorder Service - Waiting times Q1 15/16 Q2 17/18 Percentage of children and young people seen within 4 weeks for a first appointment 100% 100% Direct Contacts (Tees-wide Community Eating Disorder Service) 2015/16 Apr – Sept 16 Apr- Aug 17 Number of face-to-face (direct) contacts 2,267 1,500 941 Tees ) Workforce (Tees-wide Community Eating Disorder Service) Team Staff - whole time equivalent (wte) Clinical Staff Consultant 0.20 increased to 0.60 Band 8c – Psychologist 0.10 Band 8a – Psychologist 0.40 increased to 2.30 Band 7- Psychologist 1.00 Band 7 – Manager 1.0 Band 7 – Dietician 0.60 increased to 0.70 Band 6 – Qualified Nurse 1.0 increased to 3.0 Band 6 – Dietician 0.20 increased to 0.80 Band 5- Qualified Nurse 0.00 Increased to 1.00 Band 4 – Unqualified Nurse 1.0 Band 3 – Unqualified Nurse 1.0 reduced to 0.00 Total Clinical Staff 5.5 increased to 11.5
CRISIS CBT - 1 1 REDCAR Parenting (Incredible Years) - 2 Family Therapy (FT) - 1 1 Parenting (Incredible Years) – 1 CBT - 1 1 currently completing CBT – 1 currently completing CBT - 1 CBT – 1 currently completing MIDDLESBROUGH CBT - 1 Family Therapy – 1 currently completing 1 1 – currently completing Parenting (Incredible Years) - 1 CBT – 1 currently completing 1 Parenting (Incredible Years) - 1 CBT –1 currently completing Community Eating Disorder Team SFP – SFP – CBT –1 currently completing 1 Adolescent Forensic Service SFP – 1 Tier 4 (In-patient) SFP – 1 CBT –1 currently completing 11 Analysis of Need, Gaps and Issues 11.1 Completion of the self-assessment tool, although a subjective exercise, has provided a picture of how ready partners across South Tees are to deliver recommendations detailed within Future in Mind.
Implement access and waiting time standards for children and young people with eating disorders More children and young people will access to the Community Eating Disorder Service Implementation of waiting time standards Reduced potential for admission Additional funding has been made available to community services to enhance the current service offer Include pathways and standards in Redcar and Cleveland pathway to ensure system wide approach Ensure access to mental health crisis support and intervention, in line with principles within the Crisis Care Concordat The most vulnerable people are supported and receive emergency intervention when required Comprehensive assessment for children and people in crisis within 4 hours of referral Young people receive community based support as close to home as possible Positive impact on hospital admissions (unintentional and deliberate injuries; mental health) A review to be undertaken to evaluate its effectiveness alongside Intensive home treatment pilot Include Redcar and Cleveland in pathway development to ensure system wide approach Review need and impact of intensive home treatment and explore most effective model of service delivery (potentially linked with the crisis service model) for children and young people with complex needs Care in settings that is acceptable to individual and their parent/carer Admission avoidance (when appropriate) Intensive support and continuity of care post discharge from inpatient treatment to other services (facilitate stepped care) Application submitted and has been successful to develop an intensive home treatment service. IHT delivered and review required Phase 1 and phase 2 of new models of Care reviewing the inpatient beds and developing community model including outreach Include pathways and standards in Redcar and Cleveland pathway to ensure system wide approach Care for the most vulnerable Improve the experience and outcomes for the most vulnerable and disadvantaged children, ensuring they are adequately supported at key transition points Proactive of children, young people or their parents who do not attend (DNA) appointments Reduced percentage of children and people who Do Not Attend in CAMHS A checklist of actions has been developed by TEWV when an appointment isn’t attended TEWV reviews DNAs as part of Redcar and Cleveland pathway includes “did not bring” policy which includes follow up instead of issue of DNA
22.1 The level of investment by all local partners commissioning children and young people’s mental health services for the period April 2014 to March 2017 is shown below. It is acknowledged that there are a number of commissioned services that will contribute to children and young people’s mental health and wellbeing. However, unless commissioned solely for that purpose, they have been excluded from that shown in the table. Partner organisation Description 2014/15 2015/16 Spend 2016/17 Additional information NHS England Specialised services (Tier 4) for children and young people Not available Not available TEWV to add Services are commissioned on a regional basis not at a CCG level Health and Justice – CAMHS Secure Children’s Homes; Diversion and Liaison Not available Not available Spec comms to add Services are commissioned on a regional basis not at a CCG level NHS South Tees CCG CAMHS £5,384,263 TBC £6,463,489 Includes EIP Intermittent care Community ED recurrently funded from baseline budget. Separate to FIM monies CAMHS - LD £684,123 TBC £437,948 NHS South Tees CCG Peri Natal Adult £171,870 Middlesbrough Borough Council Mental health for new parents £18,889 This initiative is now complete This is now complete and no additional funding required Schools based initiative using a preventative and early intervention approach to support parents with symptoms of low mood and anxiety, focusing on antenatal and postnatal depression sub-
Health and emotional health wellbeing in early years and schools £80,000 £53,000 Awaiting information from Middlesbrough to be added once received Healthy Schools coordination and school readiness posts Youth Mental Health First Aide £25,000 £25,000 Awaiting information from Middlesbrough to be once received PH contribution to the Tees MH training hub which offers bespoke mental health training including Youth Mental Health First Aid Young ISVA £20,000 £20,000 £20,000 Bernardo's sexual violence support Middlesbrough Achieve Partnership The Bungalow Project £115,000 Project now ended Project now ended no additional funding Costs for 2013/14 were £85,779 and 2014/15 incurred the balance of £115,000; total spend is £200,779 Public health funding allocation £600,000 £600,000 Awaiting information from Middlesbrough to be once received The Reach (Mind) £65,386.51 Not available Awaiting information from Middlesbrough to be added once received Reach (Link CLC) £12,810 Not available Awaiting information from Middlesbrough to be added once received Middlesbrough Education Not available Not available Awaiting information from Middlesbrough to be added once received Individual settings invest where children identified for SEND ; additional services commissioned by individual settings e.g. counselling unknown Redcar & Cleveland Borough Council Therapeutic service for children and families affected by Domestic Abuse £100,000 £100,000 £100,000
Appendix 3 Executive Action Plan 2015/16-2016/17- 2017-2018 Identified local priority Brief description Costs (full year effect) Lead Partners Outcomes Timescale Additional information CCG wide schemes ST1 Improve access to perinatal mental health care Community perinatal mental health service; business case available South Tees CCG contribution £170,870 excluding CQUIN payment South Tees CCG Hartlepool & CCG TEWV Access to advice and information; deliver a timely service; support women in their own community safety and effectively avoiding unnecessary admission 2017/18 Service commissioned collaboratively with Hartlepool and Stockton-On-Tees CCG Will need to benchmark against new guidance once published Link to Better births five year forward view ST2 Implement access and waiting time standards for children and people with eating disorders Enhancement of existing service to be evidence compliant Additional £163,005 South Tees CCG Hartlepool & CCG TEWV Improved waiting and access, improved outcomes, reduced admissions to Tier 4 Meeting KPI for waiting times for initial appointment Monitored through Contact management and performance 2016/ 17 Will continue to work collaboratively with Hartlepool and Stockton-on Tees CCG Eating Disorder funding was used to increase availability of intensive home treatment services operating between tiers 3 and 4. Eating Disorders services will work jointly with the Acute Liaison service
2017/2018 where necessary to facilitate discharge. Specification requires review. Review required to assess impact of enhanced service against waiting time standards and outcomes ST3 Ensure access to mental health crisis support and intervention, in line with principles within the Crisis Care Concordat 24/7 CAMHS Crisis and Liaison Service Additional £50,000 to existing CCG contribution £388,000 excluding CQUIN South Tees CCG Hartlepool & CCG TEWV Improved access and waiting times, children are treated at the right place, in the right timeframe as close to home as possible; improved outcomes, reduced admissions to paediatric wards in Acute Hospitals 2015/16 Service commissioned collaboratively with Hartlepool and Stockton-On-Tees CCG as commissioning intention in 2014/15 Current service with on-call arrangements overnight. We are gathering data on utilisation during the on-call to determine the most effective model for delivering care at times of low demand. As well as Transformation funding, we are planning to invest Liaison funding in the CAMHS Liaison part of the service, which will increase capacity
2016/2018 to respond to crisis 24/7 Service commenced on a 24/7 basis in July 2016, monitoring needs to be undertaken to understand the impact this is having. New specification needs to finalised and varied into existing contract. ST4 Review impact of pilot of intensive home treatment and explore most effective model of service delivery (potentially linked with the crisis service model) for children and young people with complex needs Development and implementation of Intensive Home treatment Pilot. Specification to be developed and varied into contract Evaluation to be undertaken across Intensive Home Treatment and Crisis and Liaison to review effectiveness to inform development of integrated service model. The model is for the delivery of intensive home treatments to children and young people with complex needs; reduction in in-patient admissions; choice; care closer to home £215,675.50. £0 South Tees CCG Hartlepool & CCG TEWV Increased Number of children assessed Improved Routine Outcome measures Reduction in A&E attendances Reduction in inpatient admissions Reduced length of stay when admitted 2016/17 2017/18 be dependent on collaboration with Hartlepool and Stockton-On-Tees CCG Monies from Vanguard and not CAMHS allocation Review delayed to due CCG priorities. Now commencing. Funding to continue service from NHSE phase 1 Tier 4 bed reduction and reconfiguration as part of New models of Care
workforce in those settings. ST7 Autism Spectrum Disorder ( ASD) waiting lists across Tees are increasing and lack of coordinated post diagnostic support and OT assessments for children with sensory needs Tees wide ASD steering group established and CI previously completed to reduce waiting times for children and young people Recognised that ASD multi agency and whole system change required £80,000 No additional investment 2017-18 South Tees CCG Middlesbrough Council; Redcar and Cleveland Council; Education; TEWV; Acute Trust; To appoint project manager to dedicate time to ASD for South Tees and Link with HAST as undertaken similar approach To review current pathway and undertake value mapping, undertake 3P event to redesign pathway and to develop new ASD specification for potential procurement in partnership with local authority and education 2017/2018 2016-17 monies Linked to the development of an all- age ASD strategy Job description and service specification developed Post to be hosted by Redcar and Cleveland Council. With HR for recruitment processes ST8 Training programme in Primary Care and other settings; development of Young People Mental Health and Wellbeing ‘champions’ Trainer costs; backfill £80,000 South Tees CCG Practices TEWV VCS PH HAST CCG Increased awareness amongst working in Primary Care, other settings; named champions – which would be able to offer support to peers in regard to children’s mental health and wellbeing 2015/16 16/17 To be completed as part of the Conduct disorder scoping and training pilot No additional monies within 17-18 required
ST9 Embedding principles of the CYP IAPT programme Backfill arrangements to allow training Wave 7 funding 17-18 £146,000 £81,750 Tees-wide Board TEWV VCS HAST CCG Improved skill set of the workforce; professionals working with children and young people are able to respond to a broader range of needs; workforce with right skills and competencies to complement existing experience Ongoing Monies identified from Waiting list initiative to ensure greater number of with evidence based practice skills to ensure 2nd appointment wait times reduced To enhance roll out to non TEWV staff ST10 Project coordination to ensure CCG deliverable To coordinate steering group and CCG priorities To ensure engagement with children and young people to move towards tier less model £40,000 No additional investment 2017/18 South Tees CCG Middlesbrough Council and Redcar and Cleveland council Part time project coordinator to drive the CCG priorities and to support both leads from each local authority to deliver schemes and agree priorities for 17/18 16/17 16-17 monies Redcar council to host post Job description service specification developed and with HR for recruitment ST 11 Develop improved with VCS and TEWV Named link worker in TEWV CAHMS to work with VSC providers and schools £99,975 South Tees CCG Middlesbrough Council and Redcar and Cleveland Council. VCS TEWV Increase capacity within VSC Reduce demands if TEWV Improved early intervention in schools 17/18 Promoting resilience , prevention and early intervention
ST12 Ensuring mental Health Services Data set ( MHSDS) is completed Training guidance and support to VCS organisations to facilitate change to processes, allowing them to collect and submit data fir the NHSDS data set £60,000 Tees CCG The Junction, the Link and Mind Ensuring Accountability and Transparency in data collection Meeting key targets for submissions 17/18 £20,000 per organisation ST13 Communication for children and young people at risk or in touch with Youth offending services Provide training and support for professionals working directly with young offenders to help them identify signs of speech, language and communication difficulties’. We propose to train the YOT’s and widen the remit in order to prevent young people choosing the criminal justice route by training up other teams who come into contact with potentially vulnerable young people £17,000 South Tees CCG HASTCCG Darlington CCG UHNT YOS, PRU, anti-social behaviour, diversion and liaison, Spec Heath & Justice; PCC; YOS; Increased number of front line staff trained Increased number of Champions created Agreed number of young people where a SALT intervention is delivered Monitoring of number of people who are referred to a specialist SALT service Increased number of young people who are complying with their statutory orders Improved young person’s service satisfaction Improved staff satisfaction Increased number of young people who are prevented from being Each CCG awarded £17,000 so total monies £51,000. Monies additional monies from NHS to focus on Youth Justice. Potential for additional monies for 18/19 to further develop
excluded due to a SALT intervention Increased number of young people being able to return to main stream school following a SALT intervention ST14 Workforce Development Review current workforce plan to identify training needs £0 South Tees CCG Middlesbrough Council and Redcar and Cleveland Council. VCS TEWV HAST CCG Increased early intervention Improved mix All contracted service include commitment for CPD 17/18 To be developed as part of wider workforce development across 025 linked with SEND and Learning Disability Transforming Care ST14 Workforce capacity to deliver Thrive Review of current staffing and contacts and previous to forecast requirements for 2020 £0 South Tees CCG Middlesbrough Council and Redcar and Cleveland Council. VCS TEWV Business Intelligence Identify staffing and skill mix requirements to deliver FIM 2017-2020
ST15 Respond to the recommendation from South Tess health Needs of Care leavers Partnership Following development of a health needs assessment for care leavers, the multiagency partnership will make recommendations to commission organisations to better meet the health needs of people who have been in care £0 South Tees CCG Middlesbrough Council, Redcar and Cleveland Council and Cleveland authority care leavers association Improved health outcomes for care leavers Services better able to support the needs of care leavers to be developed July 2017 National project supported by the Care Leavers Association Middlesbrough schemes M1 Building capacity of Headstart programme team to coordinate and strengthen system wide children and young people’s emotional wellbeing service delivery Project Management To manage coordinate and support the design, delivery and evaluation of a single pathway of emotional well-being and mental health support fro children and young people 0-19 age range £56,250 MBC CCG Headstart board Successful implementation of the HeadStart programme Effective financial and project management 2015-2020 As a result families, children and people will receive services which are accessible appropriate and timely HeadStart a programme manager and programme officer in post M2 Improve identification of perinatal/ parental mental health by promoting early intervention to reduce the impact of maternal depression Parental mental health has a significant impact on bonding, attachment and parenting skills. Implement and monitoring attachment, attunement training programmes for midwives, health visitors and early years workers as part of the wider workforce development strategy and attachment to be given priority as an integral family approach. £37,500 £0 No CCG funding attached to this scheme in 17-18 Public Health CCG Primary schools Delivered within targeted primary schools: Linthorpe Community Primary, Lane Primary Academy, Newham Bridge Primary, Easterside Academy and Park End Primary. Provider appointed and recruiting frontline staff for the training sessions. 12 professional per cohort from a range of disciplines including midwives, health 2015/16 Early words together programme supports changes in the home learning environment leading to parents displaying increased confidence in identifying supporting their child’s early literacy 25 families engaged in each school: Newham Bridge, Green lane, Easter Side, Linthorpe and Park End at a
Through Words Together families are supported by training community volunteers to provide peer support TEWV NHS Northern School of Child and adolescent Psychotherapy visitors, school nurses and teachers Evaluation of training e.g. increased learners knowledge, future training needs Increase in numbers of mothers referred into IAPT ( talking therapies) Increase in numbers of Mother completing IAPT cost of £4272 ( £854 per school, £35 per child) Capacity available to deliver to all schools town wide over the 5 year period. More young children who are ready for school ( closing the gap with the UK average for the proportion of children achieving ‘good’ attainment at the end of Early Years Foundation Stage Joint work is being undertaken with R&C BC Ten week bespoke course in infant mental health addressing difficulties in the parent- infant relationship Improved resilience for parents who accessed IAPT services More families able to support their children effectively in achieving
positive outcomes ( meeting Government targets for Families Turned Around through the Troubled Families Programme) M3 Enhance the local peer support model and access to support for children and young people Designed through co- production with children, people and families Develop points of access where children and young people and families can access appropriate support inclusive of peer support, information and guidance Map existing peer support networks Enable MyPlace to with people and re-shape peer support programmes through existing services £18,750 £0 2017-18 MAP MBC Delivery continues through MyPlace Develop programme which will increase the number of children and young people involved in the local co-production of peer support Increased number of children and young people (CYP) accessing peer support through CYP friendly settings 2015/16 Fewer children with negative emotional wellbeing issues including self-harm, low self-esteem or being bullied Peer friendship group established with 3 primary schools during 2016/17 academic year. Evaluation has demonstrated a positive impact on the year 6 pupils supported through a therapy approach 2 further cohorts are currently in service for the academic year 2017/18 M4 Improve access to bereavement care for children and young people Enhance current bereavement support for children under five of age to offer Component 1 and have strategies in place for clients to access specialist Component 2 and 3 services £37,500 £0 2017 Public Health CCG VCS Cruse Bereavement commissioned and service commenced April 2016. Number of children under five supported through bereavement counselling services 2015/16 Reduction in waiting list for bereavement support Increase in numbers of under-five who access component 1,2 and 3
Increased capacity to deliver specialist Component 3 support services A gap exists for the support of under-five children locally who require specialist bereavement interventions (Component 3) which include psychological support services, specialist counselling/ psychotherapy services or specialist palliative care services. M5 Support the development of Voluntary Community Sector (VCS) capacity to introduce a local model of preventative support Support the development of VCS capacity to introduce a local model of preventative support that will improve emotional wellbeing outcomes £75,000 £0 2017 MVDA Public health MVDA submitted their proposal which requires sign off agreement by Board Model developed and agreed; increase in the number of VCO’s providing preventative support; increase in the numbers of children and young people benefiting from preventative services 2015/16 Specific deliverables for the prevention elements suggested as priorities Update awaited from MHVD HVDA have appointed a worker
M6 Headstart Implementation Roll out the Headstart programme across all Middlesbrough schools, with resilience workers in school providing low-level support at the pre-CAMHS level. Also funds the Headstarters programme of young people’s involvement and coordination resource. £150,000 £0 2017 MBC Schools Promoting resilience, prevention and early intervention Improving access to effective support 2016/17 Completed- HeadStart Reach Key workers are in all mainstream schools in Middlesbrough. Workers provide a range of solution focussed therapy for pupils exhibiting the early signs of poor emotional health. Match funding from Public health will enable the service to continue until March 2018 M7 Pre-School Headstart Explore the development of a pre-school Headstart offer for 0-3 year olds that creates a seamless offer for parents, babies and infants in PVI nurseries. £35,000 £0 2017 MBC Promoting resilience, prevention and early intervention Improving access to effective support 2016/17 The pre-school Headstart offer is part of the Middlesbrough school readiness strategy. This is currently being implemented through the new Children’s Trust. A pilot scheme is proposed for public health priority communities
M8 Post 16 Headstart Explore the development of a post 16 Headstart offer that support young people aged 16-19 years old £20,000 £0 2017 MBC Promoting resilience, prevention and early intervention Improving access to effective support 2016/17 The post 16 offer is currently being targeted at further education establishments. Further work with training providers is planned M9 Workforce Development Implementation of a workforce development programme for the early intervention and prevention of mental health £30,000 £0 2017 MBC Upskill and development of the workforce 2016/17 The training pathway has been tested with school based staff. The offer is currently being extended to the wider workforce M10 CYP IAPT – Developing the Workforce Workforce development opportunities in respect of IAPT £10,000 £0 2017 R&C BC MBC TEWV Development of workforce opportunities Improving access to CYP IAPT 16/17 Working jointly with R&C BC to develop and coordinate a Tees wide approach
M11 HeadStarters/ Youth Engagement To co-ordinate, lead and support youth engagement in all aspects of co-production. To provide HeadStart accredited training to HeadStarters in schools and to support embedding within school practice £26,800 MBC Schools Headstart board Development of a comprehensive co production for young people Young people supported to participate through a specified training pathway Increase in the number of HeadStarters Number of young people achieving accreditation Number of schools participating 2017-2020 Promoting resilience, prevention and intervention M12 Transition- year 6 peer mentoring Roll out of peer mentoring project to all primary schools- in my place and secondary hubs £25,000 MBC Headstart Schools Reduction in levels of anxiety in year 6 pupils Numbers of pupils accessing peer support 2017- 2019 Promoting resilience, prevention and intervention M12 Parent Support Project Support to parents/ carers in obtaining necessary skills to improve the emotional well-being of their children £30,000 MBC MAP Parent/ evaluation- improved knowledge and skills Number of parents/ carers supported 2018-18 Promoting resilience, prevention and early intervention
M12 Pastoral Leadership Management and coordination of the Pastoral Leadership programme across all schools in Middlesbrough £18,000 Catholic Teaching Alliance NAPSE Participant evaluations. Action learning sets Staff accessing training Training modules included on pathway 2015-2020 Developing the Workforce M13 Neonatal Behavioural Observational Training To provide training to additional early year practitioners to promote and support early attunement £4,200 Harrogate and District Foundation Trust Number of positive parental evaluations Number of Health visitors accessing training 2017-19 Developing the Workforce M14 Clinical Supervision Develop and implement a supervision model for appropriate school staff £90,000 TEWV School Measures of staff Model of clinical supervision developed. Number of school based staff benefiting from supervision 2017-2019 Developing the workforce
M14 Increasing capacity Implementation of the HeadStart model within the community using test and learn approach £44,500 HeadStart Community Number of CYP accessing support Improvement in emotional wellbeing Promoting resilience, prevention and early intervention Redcar & Cleveland schemes RC1 Promoting attunement and attachment between mother/care and baby Implementation and monitoring attachment, attunement training programme for midwives, health visitors, social workers and early intervention workers. Training will be procured from external provider. Once trained, workers to provide identification of attunement problems, offer intervention (Video Interactive Guidance and other tools) thus preventing attachment disorders later in childhood. (Capacity in existing workforce to deliver intervention). This will form part of wider workforce development programme. 15/16 £60,000 16/17 £60,000 R&C BC MBC Increase in the number and range of professionals trained; evaluation of training e.g. increased learners knowledge 2016/17 Project completed and training delivered
User groups will be Mothers and infants. Redcar and Cleveland workforce to be trained RC2 Develop and implement a for peer support with children and young people – Young Health Champions Mapping exercise re peer support networks for children and young people and parents; scope utilising existing networks, groups, local expertise Fund local provider to work with children and young people to design a navigator support programme through the services available £20,000 R&C BC Children and young people VCS Report produced of existing peer support networks across the borough; services designed through co- production with children and people and families; navigator peer support programme for young people 2015-2017 Completed RC3 Optimise emotional and mental health support for Children in Need (including those subject to a Child Protection Plan and Looked After Children, including those with complex behavioural and mental health needs), developing links with IAPT Improve access, capacity in specialist care and support for Looked after Children (LAC) and Child in Need (CiN) and those with complex behavioural needs Develop an appropriate care pathway, which incorporates effective evidence base interventions for LAC, CiN and those with behavioural needs 15-16 £110,000 16/17 £201,000 17/18 £233,000 R&C BC Middlesbrough Council, South Tees CCG, TEWV Reduced number of Out of Area Placements; reduced number of placements; reduced number of placement breakdowns Children prevented from coming into care Better emotional health in families An improvement in the emotional wellbeing and mental health of all children and young people March 2016 – March 2020 This project will inform development of commissioning plan for Looked After Children
progress? Implementation Developing the workforce Future in Mind Recommendations What are we doing? What needs to be developed? Timescales 40 Targeting and training of health and social care professionals Development of urgent and emergency care vanguard sites Schools pilots Hartlepool and Stockton Development of whole school approach to skills set and interventions offer universal and more specialists. Framework of training development. Integrated children’s hubs to develop an undertaking of roles and support and signposting. Perinatal mental health. Upskilling workface in supporting children with bereavement and in particular in under files. Development of the training to be developed for primary care. Mindfulness Family therapeutic support Conduct disorder ASD LD Transformation Eating Disorder Crisis and Liaison YOS Ensure effective are in place with the urgent and emergency care vanguard sites Development of workforce to establish perinatal in Durham/ Darlington Wave 2. Pilot and evaluate the impact of the training. Roll out across all school settings. Establish buy in from schools to continue building capacity. Identify staff within primary care to receive the training and monitor the effectiveness post training. To provide specific support to within settings that are supporting children and young people diagnosed with conduct disorder Increase capacity in eating disorder, crisis and liaison services, providing a skill mix Links with YOS to be developed Reference to Liaison service within LTP (Durham and Darlington) Primary care mental health workers (across If providers are requested to increase capacity of workforce, how as a commissioner are we ensuring this happens. In line with the LTP – 2015/16 – 2016/17 Individual project to be developed and agreed.
Review gaps in provision against national standards Universal training – including primary care Contract performance monitoring Named contact in Schools and CAMHS Linked to schools pilot 41 Implementing recommendations of Carter Review of Initial Teacher Training Developing knowledge and skills of teachers who are newly qualified on emotional health and wellbeing of children and how this can be managed in a school setting. Follow the recommendations of the Carter review to deliver training. Relevant to Hartlepool (Ruth to confirm) 42 Continued investment in commissioning capability and development Review of available data to inform commissioning intentions Development of performance frameworks Children and People’s Mental Health and Wellbeing Commissioners Development Programme – NHSE (1 year) Joint commissioning – sharing of resources JSNA Work in partnership to develop multi-agency pathways Joint commissioning strategy The development of robust governance arrangements, establish locality implementation groups; with clear lines of reporting and accountability Pooled funding in respect of workforce training