Future in Mind was published in 2015 by the Department of Health’s Children and Young People’s Task Force. Local Systems were to develop and publish a five year system approach to transforming mental health services through collaboration around five areas of promoting prevention, improvement of care and access to good quality of services, development of the workforce and ensuring transparency.

The Strategic Director, Health and Wellbeing will submit Document “F” which  describes how the local health and care partnerships have reviewed the progress, achievements and refreshed the local transformation plan.

Recommended-

That the Board are invited to:

·         Reflect on the progress made to date.

·         Receive and provide feedback on the refreshed transformation plan.

·         Approve the refreshed transformation plan.

(Sasha Bhat – 01274 237537)

Future in Mind was published in 2015 by the Department of Health’s Children and Young People’s Task Force. Local Systems were to develop and publish a five year system approach to transforming mental health services through collaboration around five areas of promoting prevention, improvement of care and access to good quality of services, development of the workforce and ensuring transparency.

The Strategic Director, Health and Wellbeing submitted Document “F”  supported by a presentationwhich described how the local health and care partnerships had reviewed the progress, achievements and refreshed the local transformation plan.

It was reported that the Future in Mind Transformation Plan required an annual sign off by the Health and Wellbeing Board, the five themes being:

·         Promoting resilience, prevention and early intervention

·         Improving access to effective support: a system without tiers

·         Care for the most vulnerable

·         Accountability and transparency

·         Developing the workforce

Members were informed that the current governance arrangements included a Delivery Group overseen by the system wide Mental Health and Wellbeing Partnership Programme Board and reporting to the Health and Care Partnership Boards for Bradford and Airedale, Wharfedale and Craven.

It was reported that work being undertaken to improve mental health services for children and young people included:

·         Joining the system up – leadership, networking, partnership and co-production

·         Training, upskilling and expanding the workforce, apprentices and volunteers

·         Children and young people accessing a wider range of support, including peer led, which keep children at home, in school, ready to learn and reduce isolation.

·         Children and young people, families and care givers were aware and expressing their need for mental wellbeing support.

·         Nationally recognised for delivering interventions and engagement with children and families who had experienced trauma and were refugee and asylum seeking.

·         Making reductions in waiting times and the waiting lists for Child and Adolescent Mental Health Services, avoiding stays in care and hospital, and widening referral routes and pathways.

·         New models of care, linked to West Yorkshire and Harrogate work and local work to link to the First Response Service.

·         Digital connectivity – resources, tools and connectivity.

·         Established new specialist services for eating disorders and perinatal support.

The refresh of the Future in Mind Transformation included:

·         Clear vision: promoting, protecting and improving children and young people’s mental health and wellbeing

·         Co-produced with children, young people, families and services.

·         A focus of 13 priorities to deliver the 5 key theme areas, main highlights included:

-       Developing a district wide campaign to address the level of information, stigma and connectivity about mental wellbeing services

-       Expand the program in schools including the development of a “Schools Pack”

-       Baseline established and refresh of the Joint Strategic Needs Assessment to measure outcomes and a better focus on Special Educational Needs and Disability, infant mental health and Social and Emotional Mental Health.

-       Transform Child and  Adolescent Mental Health Services and continue to develop the specialist support via Early Intervention in Psychosis, Perinatal, Intensive Home Treatment Team, Eating disorders, Learning and Development and Ambulatory Care Experience trauma informed services – move away from a tier based service to one that was joined up to provide support

-       Workforce developments and influencing culture across the whole system

Front line Services and views of Mental Health School Champions, Youth in Mind, Youth Work Apprentice and New Models of Care were presented to the Board.

It was reported that the Future in Mind Transformation Plan had made good progress, the achievements and progress were highlighted on page 15 of the report.

Members were informed that the services worked closely with police teams and diversion work was being undertaken through the criminal justice system.

It was reported that young people had input into the Future in Mind Transformation Plan; over 40 schools now had over 100 Mental Health Champions.

Members were informed that work around schools was extremely important especially in getting children back into school and stopping children from missing school; focussed work in schools was a critical part of development and early intervention was crucial; looking to support more young people, last year supported 500 children this year wanted to support 800 children.

A Youth Service apprentice spoke about her work in schools and spoke about how youth apprentices could relate to young people and could pick up on early intervention work in schools.

Members emphasised the importance of partnership work.

It was reported that a new psychiatric intensive care facility was opening up in Leeds in 2022 which would offer a local service rather than transferring people to Manchester.

Members were informed that the West Yorkshire Mental Health Trusts had been able to work together to reduce the use of “out of area” placements, in order to improve quality, experience of services and free up £1m for investment into local services.

It was reported that the aim of the Future in Mind Transformation Plan was to support young people at home rather than them getting admitted into hospital.

Resolved-

(1)       That all those who attended the meeting in relation to this item be thanked for the work they undertake in this area.

(2)       That the impact of the Future in Mind programme be tracked through the Joint Health and Wellbeing logic models and specific measurable targets for deliverables are established, eg the number of schools participating in the programme and that mental health support for young people be provided to as many schools as possible.

(3)       That consideration be given to the transition from children to adults and the mental health support that is provided to them.

(4)       That the programme engages partners in the development of an exit plan and a plan for sustainability and additional investment in children’s mental health from local partners, in readiness for the end of the Future in Mind non-recurrent investment.

(5)       That the Board be provided with a case study demonstrating the way in which West Yorkshire mental health trusts have been able to work together to reduce the use of “out of area” placements, in order to improve quality, experience of services and to free up £1m for investment into local services.

(6)       That the refreshed Future in Mind Transformation Plan be approved.

Action:           Strategic Director, Health and Wellbeing