Work to commence at a later date Behind timeframe, major issues Minor issues with mitigation All on target, no issues Key: NHS Warrington CCG: CCG Public Health: PH 5 Boroughs Partnership: 5BP Promotion and prevention plan: P & P plan LA: Warrington Borough Council WASCL: Warrington Association of School and College Leaders Warrington and Halton Hospital: WHH A. Resilience Prevention and Early Intervention Ref Joint Actions Outcome Lead Name Timeframe Comments/Update RAG A1 Promoting and driving established requirements and programmes of work on prevention and early intervention, including harnessing learning from the new 0-2 year old early intervention pilots. A2 A2a Monitor the delivery of the emotional health and wellbeing element of 0-19 integrated service incl Family Nurse Partnership (health visiting and school nursing) Ref 1.2 P&P plan Public Health to explore Youth Connect 5 training (Ref 1.4 and 1.5 P&P plan) Ongoing work by Warrington Youth Service to support young people's emotional health and wellbeing (Youth Café, risky behaviour programme, Warrington Youth Club group work, pop up cafes) Ref: 1.14 P&P plan resilience, PSHE and counselling services in schools. CCG, PH and WASCL to test out a strategic approach to joint commissioning with schools: training for school staff and whole school appproaches to supporting emotional health and wellbeing, initially within secondary schools (see separate plan) Warrington Future in Mind Action Plan 2016-2018 Please note: this plan will be reviewed and updated in light of engagement KPI's monitored quarterly incl School Nurse drop ins and solution focussed brief interventions Decide whether to roll out and if so no of trainers trained, number of courses delivered, number of parents,carers trained Local agreement on a schools workforce development plan and charter going forward, named contacts with each schools options for a sustainable plan going forward with shared investment and joint commissioning outlined Julia Carter/School Health March-17 Caroline May-17 Jenkins/Katie Donnelly/Julia Carter WYS and Matthew Pilling Chris Hunt, Jo Shaw, Claire Hammill, Julia Carter Jul-17 0-19 are going to do a presentation at next EHWB meeting around their offer across their service. A lot of information collated - can feedback number of things each quarter from KPIs - On going Training Dates - 13 and 14 February. Training professionals to deliver to parents to support children. Up to 20 being trained in Feb. Can take from quarterly reports Continuing to develop whole school approaches to promoting mental health and wellbeing, including building on the Department for Education s current work on character and Joint work with schools - separate schools action plan - progressing well. 3 different elements how to take forward. Staff taking this forward. Nov 16 On going. JC - feedback from training was good.
A3 A4 To support and deliver the development of the youth health champions programme, to support behaviour change in young people (Ref 1.7 P&P plan) No of new champions, number of session delivered, number of campaigns Nov 16 update - had 32 young people trained as Champions from St Gregorys and Culcheth - have delivered EHWB campaigns in their settings. Gone into Bridgewater to promote EH&WB - Got Bridgewater and Lymm partnering up and Great Sankey and Penketh. Champions going to go into a range of services including CAMHS. Have to build up portfolios to say how easy it is to access services and plan to show it around schools. Simon Lyon March-17?Consistent approach to online risks and bullying AND?PHSE Building on the success of the existing anti-stigma campaign led by Time to Change, and approaches piloted in 2014/15, to promote a broader national conversation about, and raise awareness of mental health issues for children and young people. Include emotional health and wellbeing within the Camapaign developed, increase in Simon 17-Mar youth health champion programme of work (Ref social media activity, No of setting Lyon/Joanna 1.8 P&P plan) taking part Shaw Local Make Time Campaign, Stamp out stigma, Time to Talk and CYP related campaigns as part of a wider campaign calendar (Ref P&P plan) World Mental Health Day to align with schools launch Various Ongoing On going. Enhancing existing maternal, perinatal and early years health services and parenting programmes to strengthen attachment between parent and child, avoid early trauma, build resilience and improve behaviour by ensuring parents have access to evidence- based programmes of intervention and support. Maternity pathways in place for peri-natal mental health WHHFT/5BP/ Yvette McKern Oct-16 To ensure that women are supported appropriately during pregnancy to minimise the risk of perinatal mental health issues. Improved relationships between WHHFT and 5BP with pathways in place for assessment and interventions Nov 16 - YM currently looking at the maternity perinatal pathway developed by SCN with Kate Alldred, Obstetrician. Midwives identify where there is a need and refer women to the perinatal mental health clinic run by Kate Alldred and a 5BP Psychiatric Liaison Nurse. WHHFT will be doing an audit of who has been through the clinic, this should be completed next year. Perinatal Mental Health Pathway Early identification and intervention pathway in place for mothers experiencing perinatal mental illness and to promote a positive early start in life for infants and to improve attachment and bonding?? Nov 16 - National bid on larger foorprint has been successful. Warrington to link in to this work across C&M as required. Develop a local community based infant mental health service Develop pathways for CAMHS to provide VIPP-SD intervention to parents with attachment and bonding issues with baby To improve attachment and bonding with infants where there are identified risks in bonding CCG/Yvette McKern 5BP/Yvette McKern Mar-17 Jan-17 Nov 16 - work underway to agree format of a pilot led by 5BP to deliver a specialist infant mental health service, planned to commence Jan 16 Training has been completed by CAMHS professionals
20 Health Visitors to be trained in NBO and 4 in NBAS. 1 CAMHS worker to be trained in NBAS (Ref 1.6 P&P plan) To promote a positive early start for infants and to support/improve mother-infant relationships to improve bonding and attachment. Bridgewater/5B P Dec-17 First stages of mums and babies having attachment difficulties. Nov 16 Training going on at moment starting in December - on track. Health visiting team to provide Time for Me for mothers experincing mild to moderate anxiety and depression with children upto the age of 2 Continue to develop the Familly Nurse Partnership Model Pilot a specialist parenting offer (12 months) from CAMHS building on skills staff have developed through the IAPT programme. Explore opportunities for CAMHS staff and Children's Service colleageus to work together to strengthen the support offer for vulnerable groups To support mothers experincing mild to moderate anxiety and depression and to promote a positive early start in life for infants and to improve attachment and bonding Improved relationships between 5BP and children's services that will support integrated approaches going forward, increased specialist parenting capacity, supported by a contract variation Bridgewater Ongoing Nov 16 - Had 2nd group - completed. One more group to go before end of year. JC - look at how to source funding before next financial year. Public Health Ongoing 2 staff members in post - out to advert for support worker. Plan agreed 12 month linking in with social care and what parenting provision can be done. Quarterly meetings to make sure linking in and parenting offer is connected and supporting each other. CCG/5BP/WBC Jul-17 Nov 16 - pilot underway, meeting planned for December to review progress A5 B1 Supporting self-care by incentivising the development of new apps and digital tools; and consider whether there is a need for a kitemarking scheme in order to guide young people and their parents in respect of the quality of the different offers. Ensuring appropriate apps are promoted e.g. via quality assured local website Run books on prescription scheme (shelf help) for young people (Ref: 1.10 P&P plan) Signposting those working with CYP and families to the Happy? OK? Sad? Website (ref 1.3, P&P plan) No of books loaned Hits to website Christine Everett Caroline Jenkins 17-Mar 17-Mar B. Improving access to effective support - a system without tiers Nov 16 - CAMHS to share a list of apps - explore including on happy?ok?sad? And/or Kooth Moving away from the current tiered system of mental health services to investigate other models of integrated service delivery based on existing best practice. Review current CAMHS services across 'the tiers' in Co-design of local CAMHS pathway Claire Hammill/ Mar-16 Nov 16 update - work well underway, collaboration with current provider, wider partners and service model, updated service Sheila McHale steering goup set up, design event planned and Halton CCG; explore alternative models, e.g. specification and quality schedule with 5BP, CPI for 7th Dec THRIVE with a view to re-design of pathways and a with meaningful KPI's and outcome and wider new service specification measures that can monitor quality, performance and outcomes partners
5BP to consider applying with NW mental health trusts to be part of NHS England 'Tertiary Mental Health New Models of Care' programme 5BP Jun-16 Around specialist end - pilot site for most severe testing before Tier beds. Take off plan. B2 Engagement plan to underpin review of services (see separate plan) Updated in-depth JSNA to support redesign/improvement and inform commissioning decisions Develop a whole system dashboard that will monitor how the system is performing on key measures and outcomes over time Pilot local eating disorder pathway (5BP and WHH) to increase capacity prior to the full service being commissioned Pilot self harm pathway Views of service users, the local community and wider partners will underpin redesign and improvement Chapter updated and used to inform re-design/commissioning Clearly defined measures agreed and being monitored Establish a baseline against the waiting time standards, increased workforce capcity to manage ED cases Establish a baseline of waiting times, increased workforce capacity to manage self harm cases Katie Lightfoot Sep-16 Nov 16 - initial phase complete with report published. Plans to continue to involve in the design process ongoing PH/CCG/ providers Oct-16 Claire Dec-16 Hammill/CCG/P H/5BP/WBC CCG (Claire Hammill)/5BP/ WHH CCG (Claire Hammill)/5BP Pilot health input into Youth Offending team SLT project and evaluation Bridgewater/ YOS and CCG Commission a specialist community based eating disorder service with neighbouring CCGs New service up and running in line with national guidance and reporting on key quality standards including waiting times Steve Tatham/Claire Hammill and mid-mersey CCGs Jun-16 Mar-16 Mar-16 Jan-17 Nov 16 - work well underwya and a comprehensive draft document expected before Christmas Nov 16 - first version of system level measures reviewed by data group and amends proposed, further consultation required Nov 16 - Very successful but will transition to new service following procurement. Nov 16 - lead commenced beginning of August. Got a plan for the year - linking in with schools around training and delivering specialist plan. 40% - 50% of CAMHS case load have an element of self harm. Skills training in November. IAPT money. Embed it into the EH&WB offer. - JC met around self harm policy workshop - 23 24 25 January - meeting with Kelly and Helen on 9th or 16th December. Nov 16 - Writing up evaluation of this which could be shared with group. Next steps report being looked at. 70% of youth offending population have issues with communication. Relationships with this and their emotional health and wellbeing. Will extend until March 2017. Need to review as part of THRIVE model and other drivers e.g. SEND requiremnts Nov 16 - procurement complete and contract awarded, successful bidder in process of mobilising to commence service Feb 17 Enabling single points of access and One-Stop-Shop services to increasingly become a key part of the local offer, harnessing the vital contribution of the voluntary sector.
Facilitate wider engagement and involvement from Increased representation at Claire the third sector in local partnership meetings partnership meetings and involvement in engagement work to inform service re-design Hammill/All Test the market through commissioning of Commissioners have increased additional support for vulnerable groups (12 month awareness of the scope and impact basis) of third sector or nan-statutory providers Single points of access and one-stop shop services Co-design of new pathways to be considered as part of the CAMHS review (see B1) and pathway re-design, to include consideration of schools as a venue Consider mapping of dual diagnosis for young Mapping and development of people ie people who present with both substance pathways misuse/mental health and to develop appropriate pathways for those who are deemed dual diagnosis Rick Howell (WBC)/Claire Hammill CCG/5BP and partners CCG/Public Health Ongoing Sep-16 Mar-16 Mar-17 Nov 16 - increased representation at EHWB meetings and through stakeholder events. Chief Exec of WVA to chair THRIVE steering groups with a nominated third sector rep to attend Nov 16 - Procurement completed, Successful organsiation is Core Assets - service went live October 2016. Jan Fogg to monitor contract Nov 16 - work well underway, design event 7.12.16 Nov 16 - Lynne Pender to link in with Cathy Fitzgerald. B3 Improving communications and referrals, for example, local mental health commissioners and providers should consider assigning a named point of contact in specialist children and young people s mental health services for schools and GP practices; and schools should consider assigning a named lead on mental health issues. Named contact from CAMHS for each school to be included in review and re-design of CAMHS Work with GP's, provider and other partners to review referral pathways (link with B1) Regular consultation between named contact and schools to be included in the new service specification/quality schedule Outcome and recommendations to feed into re-design CCG/5BP Mar-16 Nov 16 - underway Claire Mar-16 Hammill/Dr Ipsita Chatterjee/5BP Linking in with THRIVE work B4 Developing a joint training programme to support lead contacts in specialist children and young people s mental health services and schools. See A2 Consider evaluation and recommendations from national schools link pilot EHWB board 16-Dec Awaiting. B5 Strengthening the links between children s mental health and learning disabilities services and services for children and young people with special educational needs and disabilities (SEND). Pilot a mental health practitioner working into the neurodevelopmental pathway provided by Bridgewater (12 months) To provide emotional support to families and work with schools around transition processes and early identification Yvette McKern/5BP/ Bridgewater Sep-16 Nov 16 - Gone out to advert.
CAMHS and Community Paediatrics to begin holding case conferences Case conferences will allow for Bridgewater/ integrated working, discussions and 5BP joint working for children and young people who are known to both services Aug-16 Nov 16 - commenced but not yet happening consistently B7 Extending use of peer support networks for young people and parents based on comprehensive evaluation of what works, when and how.??identify current local networks and any examples of good practice nationally??third sector B9 Ensuring the support and intervention for young people being planned in the Mental Health Crisis Care Concordat are implemented. The items below are cross referenced in the crisis care concordat plan for Warrington Extend hours for crisis support by the CART team Speedier assessments for young at A&E, aligning with the liaison psychiatry service people that present in Warrington Hospital in mental health crisis, reduction in admissions to the paediatric ward Await national guidance (due later in 2016) on crisis response, review implications and update plans to refelct guidance Engage with partners to understand challenges in accessing urgent assessments, including consideration of local arrnagements for place of safety. Monitor use of police custody suites and in acute beds for containing those that require mental health assesment (see D7a) Improved readiness for delivering expected national waiting time standards Ensure current arrangements are appropriate Improved understanding of impact of service development and improvement Support responsiveness of services to meet need CCG's (Warrington and Halton) Jun-16 Nov 16 - post recruited to and service commenced Sept 16 CCG Dec-16 Nov 16 - Awaiting guidance - should be out iminently. Will have implications so need to review and consider. CCG Nov 16 - engagement work underway - new post at A&E should help with this, work underwya to understand those that repeat present in crisis, meeting Dec 16 Data group Ongoing Nov 16 - audit indicated no CYP with MH concerns kept in police custody during the previous year 5BP/WHH Ongoing Nov 16 - some challenges due to overlap of service times Joint working between the CART team and the adult liaison psychiatry team to enable skill sharing B10 Implementing clear evidence-based pathways for community-based care, including intensive home treatment where appropriate, to avoid unnecessary admissions to inpatient care. Explore options for intensive home treatement Partners have a shared CCG/partner Mar-16 Nov 16 - to be explored as part of THRIVE service and integrated crisis care planning as part understanding of the options CCG(s)/WBC/ model of the review of services (see B1) 5BP Monitor numbers of tier 4 admissions and readmissions (see D7a) Improved understanding of impact of service development and improvement CCG/partner CCG(s)/WBC/ 5BP Mar-16 Challenges in setting up regualr data flows from NHSE - being escalated as a risk B11 Include appropriate mental health and behavioural assessment in admission gateways for inpatient care for young people with learning disabilities and/or challenging behaviour.
Community CTR processes and risk register in place To ensure that children, young for children and young people with LD/ASD who people and their families have may require psychiatric inpatient stay access to the right support at the right time in order to prevent psychiatric inpatient admissions Yvette McKern/5BP/ Bridgewater Dec-16 Nov 16 Reviews are planned to prevent young people going into Psychiatric inpatient. CCGs are resposible to have a process in place - being looked at at the moment. B12 Promoting implementation of best practice in transition, including ending arbitrary cut- off dates based on a particular age. Transition Operational Group Consider as part of review of provision (see B1) Improved experience of transition for young people Improved experience of transition for young people, supported by updated service specifications CCG/WBC/5BP Ongoing Nov 16 - meetings ongoing CCG/WBC/5BP Mar-16 Mandated National CQUIN for CAMHS next year - driver for reviewing. B13 Improving communications, referrals and access to support through every area having named points of contact in specialist mental health services and schools, single points of access and one-stop-shop services, as a key part of any universal local offer. Consider as part of review of provision (see B1) Mar-16 B14 Putting in place a comprehensive set of access and waiting time standards that bring the same rigour to mental health as is seen in physical health services. Local Partners to work towards reporting against national recommendations, supported by commissioning Reduced waiting times 5BP/CCG Ongoing Nov 16 - eating disorder standards included in new service spec, additional standards to be incorporated into planning as required B15 Enabling clear and safe access to high quality information and online support for children, young people and parents/carers, for example through a national, branded web-based portal. Commission online access to support and early intervention and continue to monitor Review impact of the online counselling offer as part of a wider review of the CAMHS offer locally to inform re-design (see B1) Increasing numbers of young people will be able to access support from qualified practitioners readily including in the evenings and at weekends Evidence of impact and outcomes to Claire Hammill support re-design of local pathways and future commisisoning intentions Claire Hammill Mar-16 Nov 16 - Kooth in place with plans to extend the contract. Mar-17 C1 C. Care for the Most Vulnerable Making sure that children, young people or their parents who do not attend appointments are not discharged from services. Instead, their reasons for not attending should be actively followed up and they should be offered further support to help them to engage. This can apply to all children and young people. Consider as part of review of provision (see B1) CCG/WBC/5BP Mar-16
C2 Commissioners and providers across education, health, social care and youth justice sectors working together to develop appropriate and bespoke care pathways that incorporate models of effective, evidence-based interventions for vulnerable children and young people, ensuring that those with protected characteristics such as learning disabilities are not turned away. Consider as part of review of provision (see B1) CCG/WBC/5BP Mar-16 Identify young carers through adult social care No's identified and signposted 17-Jun assessments and signpost to support (Ref: 1.12 P&P plan) Adult social care prevention teams Amparo service commissioned - suicide liaison service Monitor service quarterly Katie Donnelly Ongoing Still commissioned for this financial year - unsure about next financial year. Papyrus prevention of young suicide (Ref P & P plan) HOPEline, local training Michelle Kelly 17-Mar C3 Making multi-agency teams available with flexible acceptance criteria for referrals concerning vulnerable children and young people. These should not be based only on clinical diagnosis, but on the presenting needs of the child or young person and the level of professional or family concern. Consider as part of review of provision (see B1) CCG/WBC/5BP Mar-16 C4 Mental health assessments should include sensitive enquiry about the possibility of neglect, violence and abuse, including child sexual abuse or exploitation and, for those aged 16 and above, routine enquiry, so that every young person is asked about violence and abuse. Evidence available from CQC Safeguarding report Consider as part of review of provision (see B1) CCG/WBC/5BP Mar-16 C5 Ensuring those who have been sexually abused and/or exploited receive a comprehensive assessment and referral to appropriate evidence-based services. Those who are found to be more symptomatic who are suffering from a mental health disorder should be referred to a specialist mental health service Currently assessment is carried out by the sexual assault and referral centre (SARC) - will consider pathways for follow up support as part of review of provision (see B1) CCG/WBC/5BP Mar-16 C7 Specialist services for children and young people s mental health should be actively represented on Multi-Agency Safeguarding Hubs to identify those at high risk who would This should be in place - monitor to ensure consistent invovlement 5BP/WBC/CCG Ongoing C8 For the most vulnerable young people with multiple and complex needs, strengthening the lead professional approach to co-ordinate support and services to prevent them falling between services.??la - Margaret Rowlands and Debbie Leadbetter
C9 Improving the skills of staff working with children and young people with mental health problems by working with the professional bodies, NHS England, PHE and HEE, to ensure that staff are more aware of the impact that trauma has on mental health and on the wider use of appropriate evidence-based interventions. Commissioners to support through continuation of Increase in wider workforce IAPT including funding for backfill as identified in accessing high quality training workforce planning. 5BP to continue to lead on IAPT partnership arrangements CCG/5BP/other IAPT partners Ongoing CCG now attending regular strategic IAPT meetings CCG to commission a time limited piece of work to develop a detailed whole system, workforce plan Deatiled report with clear recommendations and plans CCG and partners Dec-16 C10 Piloting the roll-out of teams specialising in supporting vulnerable children and young people such as those who are looked after and adopted, possibly on a sub-regional basis, and rolling these out if successful. Consider as part of review of provision (see B1) CCG/WBC/5BP Mar-16?link to intensive home treatement C11 Improving the care of children and young people who are most excluded from society, such as those involved in gangs, those who are homeless or sexually exploited, lookedafter children and/or those in contact with the youth justice system, by embedding mental health practitioners in services or teams working with them. Current tier 2 offer extended to increase capacity Commission additional counselling capacity for children in need or on the edge of care Increased access to support for young people that don't meet current thresholds for CAMHS tier CCG Ongoing To be reviewed in line with a non-tiered model Reduced waiting times CCG/WBC 16-Sep Completed - new service in place for 12 months - to be reviewed and considered as part of the review of services Consider as part of review of provision (see B1) CCG/WBC/5BP Mar-16 D1 D. Accountability and Transparency Having lead commissioning arrangements in every area for children and young people s mental health and wellbeing services with aligned or pooled budgets by developing a single integrated plan for child mental health services in each area, supported by a strong Joint Strategic Needs Assessment. CYP's emotional health and wellbeing JSNA to be updated in 2016 Single transformation plan submitted and fully assured in October 2015 Action plan to be updated and finalised following wider engagement Robust information will support local service development and commissioning decisions Draft to be available end of June 16, will be a working document to be updated regularly PH/CCG CCG/WBC Dec-16 Oct-15 CCG/WBC Sep-16 Action plan updated Nov 16. Progress on rerview of provision in line with THRIVE model moving forward which will likely require a project plan for delivery developing
D2 A multi-agency steering group has been set up for a time limited period to give oversight to the development of THRIVE model locally Lead commissioning arrangements in place for mental health services. Further work ongoing to align commisisoning through integrated plans. These discussions will be ongoing throughout the review proces A more joined up and integrated approach to commissioning will support clearer local pathways All partners Ongoing Nov 16 - first meeting held - dates planned in for January onwards CCG/WBC Dec-16 Nov 16 - discussions underway re aligning commissioning Health and Wellbeing Boards ensuring that both the Joint Strategic Needs Assessments and the Health and Wellbeing Strategies address the mental and physical health needs of children, young people and their families, effectively and comprehensively. Reporting arrangement from emotional health and wellbeing partnership board to HCYP board and the Health and Wellbeing Board to be established Clearer system wide oversight CCG/WBC 16-Sep LTP refresh approved at Health and Wellbeing Board Nov 16 D3 By co-commissioning community mental health and inpatient care between local areas and NHS England to ensure smooth care pathways to prevent inappropriate admission and facilitate safe and timely discharge. Greater local ownership to manage 5BP (with other providers) to apply to NHS England young people's needs up and down to be part of the new models of care programme the levels of need NHS Warrington CCG to work with NHS England Greater local ownership to manage over the coming year to explore co-commissioning young people's needs up and down arrangements the levels of need 5BP 16-Jun Unsuccessful CCG 16-Jun Nov 16 - unable to progress this due to no engagement from NHSE specialised commissioning. This has now been escalated and has been recorded on the risk register D4 Ensuring Quality Standards from the National Institute for Health and Care Excellence (NICE) inform and shape commissioning decisions Consider as part of review of provision (see B1) CCG/WBC/5BP Mar-16 Will feed into the new service specification D5 By Ofsted and CQC working together to consider how to monitor the implementation of the proposals from this report in the future. Safeguarding inspection recently completed. Commissioners and leads for safeguarding to work together to align action plans in light of receommendations Claire Hammill/ Pauline Owens 16-Sep This plan is reflected in the CQC action plan
D6 The Department of Health fulfilling its commitment to complete a prevalence survey for children and young people s mental health and wellbeing, and working with partner organisations to implement the Child and Adolescent Mental Health Services dataset within the currently defined timeframe. Mobilisation of 5BP to be compliant with requriements of the MHSDS Implementation of RIO (new IT system) that will support reporting incl to the MHSDS Consistent submissions 5BP Ongoing Nov 16-5BP have been asked to provide an assessment on current position in terms of reuirements to submit to MHSDS through contract meetings. To be reported at nexct contract meeting Consistent reporting 5BP Ongoing Nov 16 - RIO is now up and running and reporting is more consistent against current contract requirements, which will need to be reviewed and updated in light of review of current services D7 Developing and implementing a detailed and transparent set of measures covering access, waiting times and outcomes to allow benchmarking of local services at national level, in line with the vision set out in Achieving Better Access to Mental Health Services by 2020. D7a Development of a local data task and finish group to set up a local dashboard that aligns with emerging national requirements D7b Review of services (see B1) to consider key outcomes, quality standards and measures that will inform the development of a new service specification and future reporting requirements CCG/WBC/5BP Sep-16 Nov 16 - some system level measures have been developed and are being consulted on - work needed to consideer how a reporting system can be developed CCG/WBC/5BP Mar-16 Nov 16 - it has been agreed that a task and finish sub- group of the THRIVE steering group will look at outcomes/kpi's for a new specification D8 Monitoring access and wait measurement against pathway standards linked to outcome measures and the delivery of NICE-concordant treatment at every step. Baseline to be established for eating disorder waiting time standard (supported by a CQUIN) Quality schedule to be developed for new eating disorder service that is in process of being commissioned CCG/5BP Dec-16 Nov 16 - baseline reporting in plce CCG Jun-16 Nov 16 - quality schedule developed, procurement complete and contract awaarded, this will be monitored now via contract monitoring D9 Making the investment of those who commission children and young people s mental health services fully transparent. Publish investment with transformation plan updates on Warrington CCG website Transparency CCG/WBC/ other partners as appropriate Ongoing Published Oct 15, re-publish Oct 16. Nov 16 - LTP re-fresh uploaded onto CCG website
E1 E. Developing the Workforce Targeting the training of health and social care professionals and their continuous professional development to create a workforce with the appropriate skills, knowledge and values to deliver the full range of evidence-based treatments Continue to support roll out of IAPT (improving access to psychological therapies) CCG to ensure IAPT principles are reflected in development of service specifications, increased number of local staff to have accessed training All partners Ongoing 5 school staff have secured a place on the evidence based practice course E2 Peri-natal mental health - training of practitioners Link to schools plan (see A2a) Work with the promotion and prevention group and other partners to identify what training is available (Ref 1.1 P & P plan) Mapping and centralisation - training register and evaluation going forward Julia Carter/Katie Donnelly By continuing investment in commissioning capability and development through the national mental health commissioning capability development programme. 17-Mar CCG commissioner will access the national commissioner development programme Improved commissioing processes and decision making Claire Hammill 2017 Nov 16 - commence programme on 13.12.17 E3 Extending the CYP IAPT curricula and training programmes to train staff to meet the needs of children and young people who are currently not supported by the existing programmes. To be led nationally E4 Building on the success of the CYP IAPT transformation programme by rolling it out to the rest of the country and extending competencies based on the programme s principles to the mental wellbeing workforce, as well as providing training for staff in schools. To be led nationally E5 Developing a comprehensive workforce strategy, including an audit of skills, capabilities, age, gender and ethnic mix.
Develop a workforce task and finish group CCG 16-Oct Nov 16 - workforce group set up, some local skills auditing underway. This will feed into a Mid-Mersey wide workforce plan which the CCGs have commissioned as a separate piece of work, Currently red as NHSE required this to be completed by Oct 16, thought this was not a realistic timeframe