Appendix 1: Action Plan 2017-18 Area Transformation Priority Objective Any update Lead Timescale RAG 1 Expanding Improving Lives Implementation of new whole system approach: Getting Help inc single point of access and Getting More Help services CCG Dec 2017 – Sept 2018 Incorporate access for SPOA CCG 2018 Evaluation phase by phase of Getting Help inc single point of access and Getting More Help services CCG January 2018 – October 2018 Implementation of new system approach: New model CCG April 2018 Incorporate peer support into new model spec CCG 2018 Evaluation new CCG April 2019 Ensure all requirements are captured within the financial plan. CCG 2018 Develop performance framework and incorporate recommendations from Childrens Commissioner Childrens Mental Health in England indicators (Oct 2017), KPI’s and agreed outcome measures CCG December 2017
Review demand and waiting times for CAMHS service CCG December 2017 To review activity/demand on VCS services Sector December 2017 Review full pathways specifically include pathways relating to: services within VCS inpatient CHYP MHS pathway including specialised commissioning mental health and behavioural support for CHYP in contact with the Justice System perpetrators and / or victims of crime, including sexual assault and those in the welfare system and on the edge of care. those requiring bereavement support including support after suicide. CCG Jan – May 2018 better use of technology within CAMHS CCG September 2018
Undertake scoping re extension of the current CYP IAPT programme to train to meet the needs of children and young people who are not supported by the existing programme 5 Intervention and Prevention Implement improved intervention and prevention arrangements. CCG April 2018 Deliver intervention and prevention through the health visitor, family nurse partnership and school nurse new specification and contract In service spec contract start date July 2018 LA July 2018 Pilot mindfulness in Gateshead schools x3 Staff training commenced LA June 2018 Incorporate mental health and wellbeing in schools via 0-19 contract In service spec contract date July 2018 LA July 2018 Promote CYP mental health and wellbeing opportunities via early help social care model Service changes underway LA April 2018 Submit DfE bid for mental health in schools programme for Gateshead and Newcastle Submitted 19/10/17 LA October 2017
Appendix 1a Risk Log 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
Appendix 2: Action Plan Outline 2015-2020 (Review October 2017) Transformation Priority 2015/16 2016/17 2017/2018 2018/19 Expanding Minds, Improving Lives Launch transformation project Complete transformation project, formal consultation and commence implementation Implementation of new whole system approach Workforce Development Plan Review existing workforce including FTEs and skill mix and setting out training needs. Begin implementation of workforce development plan – aligning Expanding Minds, Improving Lives Continue implementation of workforce development plan. Fully trained workforce within transformed new whole system approach. Eating Disorders Review existing provision, consult with existing service users and providers, explore best practice, and develop an interim improvement plan. implementation of interim improvement plan – aligning to Expanding Minds, Improving Lives. Able to demonstrate improvements to intervention and avoidable hospital admissions. Continue implementation of improvement plan. Fully implemented improved model of care. CYP IAPT Gateshead review partnership of delivery. Newcastle review arrangements for clinical Gateshead develop arrangements for clinical supervision and reporting infrastructure. Develop under 5 CYP IAPT CYP IAPT is compliant with national guidelines and fit for purpose locally.
supervision and reporting infrastructure. Training to support under 5s CYP IAPT Early Intervention and Prevention Review, develop and expand the use of primary mental health workers. Review integrated working arrangements. Review schools model for increased early intervention and prevention. Develop interim improvement plan Implement interim improvement plan – aligning to Expanding Improving Lives. Implement improved early intervention and prevention arrangements. New whole system approach in place. The Right Coordinated Response to Crisis Explore integrated crisis team linking to other local Begin to implement interim improvement plan – aligning to Expanding minds, Improving Lives. Continue to implement interim improvement plan New whole system approach in place
developments, and one access point for all. Develop interim improvement plan Review data collected related to crisis to inform an improved data system to support the Crisis Care Concordant. Begin to implement new ways of working, and improved data collection. Reducing Inequalities Identify priority areas for improvement linked to the NFNA and the GHD JSNA, and the Expanding Minds, Improving Lives Case for Change. Explore ways to provide more effective support Begin implementation of interim improvement plan – aligning to Expanding Minds, Improving Lives. Monitor new arrangements and continue improvement activities. Monitor new arrangements and continue improvement activities.
People at Risk of Developing Personality Disorders Review services available for young people at risk of developing personality disorders. Begin to implement interim improvement plan – aligning to Expanding Minds, Improving Lives. Monitor and review new arrangements. Appendix 3 Expanding Minds Improving Lives Case for Change Appendix 4 Workforce Development Strategy and Data Collection Tool Appendix 5 LTP Finance Plan