The Strategic Director Children’s Services will present a report (Document “W”) that provides an update on progress to improve mental health support for children and young people.
The Committee is asked to note the update, highlight areas for consideration and attention and continue to support the System Review currently underway.
(Sasha Bhat – 01274 737537
The Strategic Director Children’s Services presented a report (Document “W”) that provided an update on progress to improve mental health support for children and young people.
The following questions were asked by members and answers provided:
· What were the outcomes from the Action Plan?
o 4 themes were identified that would be ratified by Leadership Team in the next 2 weeks.
· What is the timescale from assessment to treatment?
o 12 months for children from Keighley and 16 months for children from Bradford, each child on the waiting list had been written to offering them 6 sessions of counselling while they were on the waiting list.
· Spend per head at £48 per child was £11 below the national average despite an increase in 2017/18 which suggested an issue of local priorities rather than austerity.
o This highlights that Bradford is not spending the right amount. The Health and Wellbeing Board has accepted this and set CAMHS as a priority that investment rises with need.
· How do you triage cases?
o Previously the Care Trust did not differentiate between urgent and non urgent cases, now each case receives a response within 5 days.
· Why is the waiting time so long and what support is given to children and parents in the interim?
o There was a lack of investment in early intervention. Work was being undertaken with the Early Help Team to provide peer support networks and sign post self support and offering 6 sessions of counselling for all those on the waiting list.
· Why was counselling support not being accepted?
o A very small number have not accepted and the authority were working with them.
· Why are waiting times different in Keighley and Bradford?
o They are two different bases in the same service and this was being looked into
· What is done to remind people of appointments as the percentage of missed and cancelled appointments was of concern?
o The Care Trust had been asked to implement sending text reminders.
· The impact of Covid 19 had increased fragility in families and increase pressure on a fragile system. What is the timeline to achieve the model of support outlined in paragraph 4 page 80 of Document “W”
o A grief and loss pathway had been established with a wide range of providers and went live in July. Work was being undertaken with Public Health and £600,00 had been identified to work on financial support and welfare advice, wellbeing, mental health support, suicide prevention support, signposting and guidance, providing services via Freephone and befriending and carer support.
· What training had been provided for staff in schools?
o Training on early signs of mental health and first aid training would be in place in September.
· Concern was expressed about the issues regarding the fitness for purpose of SystemOne and members expressed the need to know how long before it would be working?
o It was noted that the issuers with SystemOne covered a wide range of services as well as mental health.
· Why were the number of referrals in Bradford lower than the national average, given the demographics of the District?
o Traditionally referrals would be made by school nurses and there were less school nurses. It was clear that children and young people were not being reached when they needed support.
· Could anything be done to increase the number of schools engaging with and identifying mental health champions from 50%?
o The number of schools had increased to 75% and work was in progress to increase this further.
That a progress report be presented to the Committee at the earliest opportunity that includes the Action Plan developed by the Children and Young People’s Mental Health Sub-group and issues of concern raised regarding System One.
ACTION: Strategic Director of Children’s Services