Agenda item

Presentation by Rachel Clark, Programme Lead, Children and Young People’s Mental Health, Public Health and Nottingham and Nottinghamshire ICB, and

Elayne Walker Service Manager Nottingham City Targeted CAMHS d,

Rachel Clark, Elayne Walker, Maddi Popoola, Oliver Godfrey and Sarah Bonney delivered a presentation highlighting the following:

(a)  a refreshed JSNA chapter around the emotional and mental health needs of children and young people was published on Nottingham Insight in 2022. This included key recommendations including a review of inequalities in access to services, development of 0-25 services, support for parents, and access to mental health support in schools;

(b)  the THRIVE Framework provides a set of principles for creating coherent and resource efficient communities of mental health and wellbeing support for children, young people and families. This supports pathway mapping and helps to identify and address gaps in services. Partners have committed to use this model to support change across the system;

(c)  the local Transformation Plan for Children and Young People’s Mental Health is informed by the NHS Long Term Plan 2019 which include increasing access to services, improving waiting times, alignment with other areas, crisis provision. The ICB and partners within the local transformation plan are committed to achieving the mental health investment standards detailed in the NHS Plan;

(d)  governance is provided by the Children and Young People’s Mental Health Executive Group which meets 4 times a year, covering Nottingham and Nottinghamshire. They are responsible for delivery of the local Transformation Plan. The group includes representatives from the ICB, local authorities, education, public health, NHS and non-NHS providers;

(e)  all of the engagement work is underpinned by co-production with children and young people, and since 2017 this has been done with the young people’s group MH2k to support transformation across CAMHS including eating disorders, crisis, support in schools, transition and involvement;

Targeted city CAMHS provision

(f)  presence on social media had been increased following the pandemic. Have Your Say captures feedback and is used to make observable changes to work practice. Videos on Youtube explain services available to access through CAMHS, and what to expect at appointments;

(g)   Single Session Therapy training has been delivered for the Nottingham City Council and Nottinghamshire Healthcare Trust workforce;

(h)  a Health Inequalities Improvement Forum has been established which meets regularly on a monthly basis. This group hears the voices of seldom heard groups and challenges processes within the organisation to become more inclusive and informed;

(i)  the Healthy Little Minds parent/infant relationship team, currently funded by Small Steps Big Changes, will be expanded across the city thanks to Family Hub and Start for Life funding. Only 26% of CAMHS services nationally offer this provision;

(j)  the team regularly attends the Nottingham City Dynamic Support Register meetings, which are an important forum for children with very complex needs to be prioritised and provided with a comprehensive package of care;

(k)  a workforce modernisation plan is underway, with the intention of increasing resilience in leadership by including the Head of Service to the CAMHS structure, and enhancing clinical supervision for high and low intensity trained therapists. The THRIVE Model has been embedded by developing a Single Point of Access team which will enhance early intervention. Professional development and progression within CAMHS has been improved by having IAPT qualified positions available, and embedding clear objectives and roles within the workforce proposal;

Mental Health Support Teams (MHSTs) in Schools

(l)  MHSTs are in each locality in Nottingham City, equating to approximately 80 schools. They are made up of a range of staff and practitioners including Education Mental Health practitioners, children’s wellbeing practitioners, systemic family practitioners, and therapists;

(m)the teams generally work in schools for around one day per week, working on three core functions: delivering evidence based early interventions, supporting schools to develop their whole school approach to mental health, and helping children with more severe needs to access the right support;

(n)  the MHST rollout will achieve around 75% coverage in Nottingham City by 2024. An offer to SEND specialist schools is being developed through a pilot project;

(o)  MHSTs have also worked with wider education colleagues on development of the award winning NottAlone website and NottAlone live event. This is a ‘one-stop’ website and communication tool for users to access information, guidance, advice and signposting to relevant services based on age and location. This is also being widened to adults

Be U Notts

(p)  launched in 2022, Be U Notts is a free mental health and emotional wellbeing service for children and young people in Nottingham City and Nottinghamshire. The service delivers a range of emotional interventions to children and young people aged 0-25;

(q)  the next phase of work will include more group therapy to support young people around exam stress, transition from year 6 to year 7. A group therapy session is also aimed at children who have arrived from Ukraine;

(r)  Be U Notts continues to offer one to one counselling support. There is a challenge with the volume of young people requiring this following the pandemic.

Urgent and crisis care

(s)  24/7 crisis telephone support is available from a mental health practitioner. The community support offer has been enhanced to offer a robust alternative to acute inpatient care for mental health issues;

(t)  Nottinghamshire Healthcare Trust are the provider of the CAMHS specialist eating disorder service. The service has worked with MH:2K to develop the pathway and improve access and communication. Following increased investment 100% of urgent referrals start treatment within 4 weeks.