Acute Perinatal and Infant Mental Health Workstream Groups. (Metro Auckland) - Terms of Reference

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1 1 Purpose & Brief Purpose The Acute Perinatal Infant Mental Health Group ToR is to provide a framework and direction to ensure the timely response to the planning and delivery of the agreed service developments Scope These Terms of Reference describe the purpose, composition and reporting structure of the five Workstreams representing the services that have been identified for development across the Northern Region. The five Workstream groups and group leads are; Model of Care Dr. Peter Watson (CMDHB) Inpatient Services Sarah Wallbank (ADHB) Community Support Services (NGO Provision) Sonja Russell (CMDHB) Workforce Helen Wood (WDHB) Northland Services Trish Palmer (NDHB) Service development is specific to that area and does not require co-design planning across several DHBs. Linkages to that development will be made at Steering group and regional planning levels. This current program of service development has a very specific focus and is part of a wider regional plan to enhance provision for mothers, fathers and infants. (Ref Regional Plan published Jan113). It is recognised that there is a wider continuum of care across Perinatal and Infant Mental Health. The agreed Service Specifications for this specifically funded development define Acute Perinatal and Infant Mental Health Services as offering maternal support from the period of the 2 nd trimester of pregnancy through to 12 months post birth. While infants are considered to be aged between 0 and 3 years, the focus of the acute interventions will be on the first 12 months. Context In January 2012 the Ministry of Health published "Healthy Beginnings: Developing Perinatal and Infant Mental Health Services in New Zealand". This publication was developed as a guide to DHBs and describes the continuum of care and the service linkages required to effectively address the mental health and alcohol and other drug (AOD) needs of mothers and infants. In response to the publication of Healthy Beginnings the four Northern Region DHB s commissioned a joint project (Perinatal and Infant Mental Health Project) aimed at undertaking a high level review to compare the current level of service provision across the region, with the continuum of services outlined in Healthy Beginnings. The service Stocktake and report was completed in early Post Budget 2013, the Minister of Health announced new funding being made available to expand the continuum of acute mental health services available for mothers and babies in the Northern region. The Ministry of Health (MoH) subsequently confirmed that this funding would commence from and the MoH held expectations that some of the new services will be in place by early 2014 and that they would all be fully operational by mid (Deputy Director General letter 19th June). In order to meet these timeframes the region was requested to develop agreements with the MoH by 31 August 2013 on the details regarding the acute perinatal and infant mental health service mix, volumes, funding levels and timeframes for implementation. Authorised by Helen Wood (GM MHS WDHB/ADHB) Review Period Page Page 1 of 5

2 Regional Services Planning Group for Mental Health & Addiction (RSP) convened a cross sector planning group with senior clinical, service management, and planner/funder representation from mental health & women s health. The wider stakeholder group for previous perinatal and infant mental health planning project (2012) informed the scope of acute and intensive options for consideration in this process. To ensure the timely delivery of agreed services a structure has been developed to identify Workstream priorities. Authorised by Helen Wood (GM MHS WDHB/ADHB) Review Period Page Page 2 of 5

3 Brief / Responsibilities General The role of each Workstream Group is to carry out the delegated tasks in each work plan. These include: To ensure the timely set up to go live stage or as appropriate, of the agreed new acute services for mothers, infants fathers in the metro Auckland area, within the timelines advised by the Steering group. To ensure timely responses and recommendations are provided to the Acute Perinatal and Infant Mental Health Steering Group. Ensure that there are effective communication pathways across the Workstream groups. Facilitate a culture of continuous improvement to service delivery that is consumer focused, based on evidence and best practice and adopts a multi-disciplinary team approach. To develop the established Perinatal and Infant Mental Health continuum of care, ensuring a family centred approach which also reflects the diversity of cultures within the metro Auckland region. Communicate, consult and collaborate with stakeholders Identify specific workforce training needs Identify opportunities for Perinatal and Infant Mental Health promotion, prevention, evaluation and research Specific Model of Care An agreed model of care with easily understood clinical pathways is described for the Metro Auckland acute continuum. The model of care will be evidence informed to assist in delivery best possible outcomes for people/families, with clear direction on how this needs to be implemented across the 3 DHB and NGO provision. The model of care is the core mechanism to deliver the MoH Service specifications In-Patient services Oversee and drive the facility development and operational requirements to have the 3 specific acute beds in Child and Family unit ready for use by Aug/September All relevant building, health and safety, workforce and clinical requirements /regulations where they exist are met Ensure linkages (clinical pathways and relationships) exist in terms of the interface between Community Support Oversee and drive RFP and contracting process s for the Community respite and packages of care contracts. To link with the Model of Care workstream to ensure that there is a coordinated approach to the development of community services within and across the continuum of care Workforce To develop clear timelines, job descriptions and interview process s for the regional (Auckland Metro) recruitment of new staff To identify the training and skills mix needed in order to support the development a specialised workforce Accountability The Acute PIMH Workstream Groups are accountable to the PIMH Steering Group. The Acute PIMH Steering group comprises of: Authorised by Helen Wood (GM MHS WDHB/ADHB) Review Period Page Page 3 of 5

4 Name Helen Wood Michelle Ball Dr. Peter Watson Sonya Russell Linda Harun Sarah Wallbank Iain Nicholson Emma Farmer Sue Fleming Aaron Culver Audrey Bancroft Role GM, MHS, WDHB Project Coordinator CD, Mental Health, CMDHB Senior Portfolio Manager, Mental Health, CMDHB GM, Child and Womens Health, WDHB Service Manager, ADHB Portfolio Manager, NRA Head of Midwifery, WDHB Director Womens Health, ADHB Consumer Leader Maori Health Services Pacific Health Services MoH MoH 2 Structure Membership / Composition The Capability Workstream Groups are comprised of: A Workstream Sponsor and Clinical Lead A representative from each of the DHB s across the Maternity, Midwifery, Maternal Mental Health and Infant, child mental health and Cultural services. Consumer representative Cultural representation Any/all other critical service development links Acute PIMH Project Coordinator MoH Representation Each representative: Should have relevant expertise and skills in areas relating to organisational leadership, clinical leadership, and/or cultural and consumer specific experience. Should be able and committed to attending the scheduled meetings. Exceptional meetings may be called if required. Act as a vocal and visible project champion throughout their representative areas; Communicates about programme and project progress according to lines of communication within one s WDHB role; Appointment & Term of Office The work streams are accountable to and monitored by the Northern Region Acute PIMH Steering Group. Progress of the work streams is reviewed on a Fortnightly basis with a full report being submitted monthly. The Northern Region Acute PIMH Steering Group may request updates between the meetings, where necessary. If a representative cannot attend and wish to nominate a substitute, these nominations must first be discussed and approved by the Workstream chair. Expert or Stakeholder knowledge/ advice may be sought as part of a consultation process. Authorised by Helen Wood (GM MHS WDHB/ADHB) Review Period Page Page 4 of 5

5 3 Workstream Meetings Chair Workstream Sponsor / Clinical Lead & Project Coordinator Quorum To be no less than 5 members Frequency Fortnightly Sub Committee Sub-committees may be established for specific aspects of the project (as necessary) to ensure efficient progress. Minutes & Agenda The agenda will be co-ordinated by the Project Coordinator and Sponsor The agenda will be circulated no less that 3 days prior to meetings. Notes of the meeting will be recorded and circulated as a record of the meeting and tasks to be completed. Minutes will be circulated no later than a week following the meeting date. Venue To be determined by each Workstream. Reporting Monthly reporting to the Northern Region (Auckland Metro) Acute PIMH Steering Group Sponsored by Northern Region Acute PIMH Steering Group 3.1 Member Requirements Members are required to attend the Workstream meetings, agree to undertake the actions generated from the meetings, liaise with the clinical teams and provide feedback to the Workstream meetings. Expert or Stakeholder knowledge/ advice may be sought as part of a consultation process. Conflict of interest must be declared. 3.2 Decision Making / Escalation The Workstream group is directly responsible to the Northern Region Acute PIMH Steering Group and therefore appropriate decision making and escalation would be progressed through the fortnightly forums. If agreement cannot be reached within the Workstream Group, then this will be taken to the Steering group forum for a final outcome. Authorised by Helen Wood (GM MHS WDHB/ADHB) Review Period Page Page 5 of 5