against which is being co-ordinated and monitored by the Children’s Emotional Well Being Strategic Partnership Group Learning Disability Joint Commissioning Group Reporting to the Childrens’ Trust Joint Commissioning Group This data will set the direction for the context and actions for the concordat Early indicators point towards links to deprivation and rural isolation being refreshed. In addition recent reviews children and adults autism provision. These have informed the Suffolk Child and Adolescent Mental Health Transformation Plan. 2013 Needs Assessment refresh to be completed in November 2015 by Public Health to inform planning and prioritisation process 1 in 10 CYP display mental health disorder with larger number with behavioural issues especially among boys, self-harming & suicide prevalent among older young people 1.2 Collection of data and monitoring for section 136 and 135 The police can use section 136 of the Mental Health Act to take you to a of safety when you are in a public place. They can do this if they think you have a mental illness and are in need of care. The collection of data in the use of these powers will help agencies to monitoring their use, resources involved and outcomes and understand the wider picture of mental health crises. March 2015 (LB)Suffolk Constabulary Insp Galley Reporting to Suffolk Mental Health and Learning Disability Joint Commissioning Group British Transport Police Joint s136 protocol from April 04/14 Joint detention records enable NSFT to maintain records Police currently exploring adoption of national data set form Multi agency meetings to review/monitor S136 There is an audit being undertaken to ensure procedures are continually improved upon Police currently exploring adoption of national data set form and how this can be integrated into new Police information system “Athena”. This will include uses of s135 and s136.
1.4 Improve local delivery data of people who are receiving local services and gaining knowledge of those experiencing mental health crisis Reference group membership including local Healthwatch, NSFT, commissioners, Suffolk user Forum, Family Carers, Suffolk service users, Feedback for GYW and those experiencing a mental health crisis Ongoing (LB)Customer Voice – Liz Whitby, Jason Joseph and Sharon Jarrett Mental Health Conversations People participation in service review commissioning and development Development of co-production to ensure we are delivering services with service user experience at the core Delivery of Mental Health Conversations – An open space workshop to allow service users, commissioners and providers to inform strategies and tell us their stories Look to harmonise information and feedback processes and structures across organisations where possible Investigate the use of information sharing protocols to allow for continuity of care between providers Young people contribute directly to the Children’s Emotional Wellbeing Strategic Partnership Group and Strategy Action Plan working groups Co-production continues including local attendance at national learning set. Integrated Mental Health Strategy completed including five year action plan demonstrating commitment to and development of shared data sets etc. Joint appointment of MH Commissioner; pooled Fund Manager and LD programme Manager across Suffolk CCG’s and SCC. Information Sharing Protocols in place Suffolk Child and Adolescent Mental Health Transformation Plan has on-going communication plan to support and delivery. Immediate area of focus Children and Young Peoples Community Eating Disorder Service and consultation with CYP in schools and colleges. 1.5 Analysis of gap between current provision and concordat vision to inform actions 2015 (LB) Public Health Provide clarity about the use of data collected from the See
Worker from Great Yarmouth and Waveney Mind To help address disproportionate representation of BME groups To inform and help plan for service improvement. Use Joint Commissioning Panel for Mental health (JCPMH) guidance on commissioning mental health services for people from Black and Minority Ethnic Communities Ongoing (LB)NSFT Ravi Seenan IESCCG, WSCCG, GYWCCG To help NSFT and commissioners implement Values based commissioning (VBC) which will lead to more culturally sensitive services. VBC is based on three pillars whereby scientific enquiry/evidence, clinical expertise as well as patients experience are valued equally. No update provided To establish and develop a BME service user group. April 2016 (LB) Suffolk County Council NSFT SUF Healthwatch Yarmouth and Waveney Mind To meaningfully involve BME service users by empowering them and valuing their experiences through enabling people to have a voice and influencing change in the local mental health services. To have a better understanding of mental health needs of the local BME communities and to provide a more culturally sensitive and person centred service into crisis and subsequent service. No update provided
Development of Cultural competency training including awareness training of vulnerability and needs of people from LGB&T community. April 2016 All partners (LB)Suffolk LBGT (Lesbian, Bisexual, Gay and transsexual) network Rhys To provide a more sensitive mental health service to members of the transgender community. No update provided Investigation of translation services and sensory disability (sensing change) support workers with sensory deprivation Ongoing (LB) Voiceability Sharon Lee To ensure that people have access to translation services when needed in a crisis or when receiving follow up support. Recognising the diversity of language in Suffolk No update provided Independent Mental Health Advocacy to monitored on the impact it has on the protected characteristic group Quarterly (LB)Voiceability Sharon Lee SCC (customer rights) Care Act advocates Ensure that people are represented by IMHA both in the community and in our supported housing environments Develop the offer of informal advocacy to allow it be recognised No update provided Ensuring the right numbers of high quality staff 1.16 Future workforce for mental health including partner organisations Ongoing (LBs)Suffolk Mental Health and Learning Disability Joint Group, NSFT and LETB Mental Health Voluntary and Contractual monitoring through CCGs Development of specific pathways to support mental and emotional wellbeing of acute in and outpatient with dementia, diabetes, respiratory and gastro in IHT Suffolk Child and Adolescent Mental Health Transformation Plan approved by NHS England. This is a cross system plan for transforming the provision of support and care for children and young people presenting with behavioural difficulties that disrupt family relationships and impair their ability to attend and learn - this includes challenging behaviour, conduct disorder and 4 3
No Action Timescale Led by Outcomes 2.0 Develop a programme of work to support primary care to work collaboratively with secondary services. April 2016 (LB) IESCCG and WSCCG GYWCCG NSFT GPs Community care providers service model enhance offer /access to timely and specialist support for GPs in dealing with mental health crisis NSFT to share crisis plans with GPs including follow up and audit Flow chart produced to capture flow of preferred flow of communication through primary care to secondary care No update provided 2.1 Improve support for families parental mental health problems are compromising their capacity to look after their children safely and effectively Ongoing (LB) CCGs, SCC The ACCORD Protocol is used to ensure parents with mental health difficulties receive interventions and support from all relevant services to enable them to parent effectively. Suffolk Child and Adolescent Mental Health Transformation Plan to deliver services that consider the family context and work with the whole family wherever practical. 2.2 Improve GP and other mental health professionals knowledge and experience of management of people who may be risk of suicide 2015 (LB) IESCCG and WSCCG GYWCCG Led by John Hague and David Scriven SUF NSFT British Transport police IESCCG to use training events to deliver training on mental health crisis care and suicide risk Developing co-produced leaflet for suicide for primary care Produce 1 page of services in a time of crisis for services Promotion to primary care of BTP Suicide Prevention Hotline On-going Suffolk Child and Adolescent Mental Health Transformation Plan will work with third sector to identify and bid for non-recurrent schemes to support emotional health and wellbeing Improve access to and experience of mental health services
East Clinical Group / West Suffolk Clinical Group Michelle Paterson Investigation on the gap in services Liaise with commissioners to provide data that bridges substance misuse and mental health 3.Urgent and emergency access to crisis care Improve emergency response to mental health crisis 3.1 Review Urgent and Emergency Care, including specific reference to national models of care that work for people in mental health crisis October 2015 (LB) MH&LDJCG (including Clinical executive and SCC) CCGs will engage with NHS England accordingly. “Crisis to be picked up as a key theme in the Suffolk Commissioning strategy Re-commissioning of 111 (Suffolk Only) Specification of urgent care in Suffolk ensuring it’s aligned with Suffolk Strategy For Psychiatric Liaison please see 3.2 GYW CCG to continue to audit, monitor and review the mental health pathway in 111 in conjunction with NSFT Crisis is identified as one of three key themes in new Integrated Mnetal Health Commissioning Strategy for Suffolk. See document above No update provided No update provided 3.2 Embed Psychiatric liaison in acute hospital to plan for future iteration 2015 (LB) NSFT Ipswich and East CCG 2014/15 commissioning for Quality and Innovation psychiatric liaison evaluation WSCCG and I&ESCCG working with psychiatric liaison services to identify a programme of workforce training to
West Suffolk CCG Yarmouth and Waveney CCG completed. Consideration underway about future commissioning arrangements Following the pilot of enhanced psychiatric liaison at JPUH, look for ways to implement on a permanent basis. enhance the core offer by broadening the skill base of the teams No update provided 3.3 Out of Hours crisis response for under 18s Improve joint working between children’s social care services, mental health and acute hospital services for young people presenting with suicide / suicide attempt Prevent admission to acute hospital or Tier provision wherever possible. 2016 (LB) NSFT, CYP and YMCA Established community based provision of short term 24 hour supported care and mental health interventions for under 18s to facilitate joint assessment and planning of ongoing care by clinicians and social care Protocol for joint work between services is developed for young people presenting with acute need at Ipswich Hospital. Suffolk Child and Adolescent Mental Health Transformation Plan key priority to develop an outreach response to Crisis to address the gaps and enhance community provision to avoid unnecessary admissions to inpatient care so that young people can remain within their home communities where possible avoiding secondary care admission 3.4 Implement a pilot Crisis line for specific target group alongside VCS 2015 (LB)Suffolk Mind NSFT MH&LDJCG Deliver support for people with Personality disorder through access to a direct line telephone- co-located with NSFT MIND commissioned to deliver new crisis line; operational evaluation underway; Grant received to extend funding to five years. To consider extending pilot to include other patient groups. 3.5 Increase provision of Admission prevention service ( alternative to admission 72 hour bed) March 2015 (LB)Julian Housing (LB)Stonham Homes Deliver greater capacity for hospital avoidance and allow people to have an alternative to hospital admission Children and Young People - Department for Education (DfE) innovation grant, for the Belhaven project is exploring how to prevent the need for out of county residential placement for young people in crisis but not requiring clinical tier 4
Inspector Chris Galley Ambulance Trust NSFT Suffolk County Council Protocol introduced and reflected in joint multiagency 136 protocol from 1/4/14.Sets out agreed responses to s136 detentions County Steering Group in existence to identify operational issues and find resolutions where required. Local multi agency meeting take place at s136 suites to identify local delivery issues and opportunities for joint problem solving. each organisation to ensure lawful and appropriate use of the power in line with Mental Health Act and Codes of Practice 3.9 Working closely with Suffolk Adult Safeguarding board to ensure their strategy clearly reflects the aims and objectives of this action plan Ongoing (LB)Suffolk Adult Safeguarding board Mental Health and Learning disability board Thurston Group Invite regular dialogue between “the Thurston group” and the safeguarding board. Ensure the strategies are aligned including mental capacity act and deprivation of liberty No update provided Review Suffolk’s position on local Mental Health Act Protocols on mental disorder and intoxication from alcohol and to include guidance for emergency services April 16 (LB) Suffolk Constabulary T/ACC Skevington NSFT Dual Diagnosis network Constantly review protocol in line with national developments NSFT Dual Diagnosis (substance misuse and mental health) policy in place - review of network to No update provided