Agenda item - Chair's Communications
navigation and tools
Find it
You are here - Home : Council and Democracy : Councillors and Committees : Agenda item
Agenda item
Chair's Communications
The Chair of the Board will start the meeting with a short update on recent developments on health and wellbeing.
Minutes:
36.1 The Chair stated:
“There is a long list of items and these will all make up part of the minutes.
Joint Health & Wellbeing Strategy update
As the Board is aware we will be having the city’s Joint Health & Wellbeing Strategy presented at the March Board.
The Strategy is now out on the consultation portal for comments and views and there was an engagement event on 28th January. The consultation portal closes on 31st January - Thursday 31st March.
http://consult.brighton-hove.gov.uk/public/nhs/health/jhws/joint_health_and_wellbeing_strategy_1
The Policy Panel have been meeting to support this work and will have their final meeting to review the engagement responses and findings prior to the final report coming to the Board.
Kendal Court
As the Board is aware there was a review of Kendal Court. The Housing and New Homes committee received their report on 16th January 2019. I will ask that the link to this comprehensive report is attached here for information.
Children and Young People’s Mental Health – briefing for Health and Wellbeing Board
Purpose
For the Chair of the Health and Wellbeing Board to brief members on:
1. The Brighton and Hove Children and Young People’s Local Transformation Plan refresh (vision, progress since last year and future plans); and
2. Brighton and Hove Trailblazer opportunity - Transforming Children and Young People’s Mental Health Provision: A Green Paper (2017) 2019-2024
(1) Local Transformation Plan (LTP) 2018 refresh
Following the publication of Future in Mind (2015) which highlighted difficulties in access to mental health support to children and young people, all CCG’s are required to produce an annual Children and Young People’s Mental Health Local Transformation Plan (LTP) refresh.
The Brighton and Hove Health and Wellbeing Board approved the Brighton and Hove (LTP) in October 2015, the refresh in October 2016 and October 2017.
An Executive Summary can be found in Appendix A.
The CCG refreshed and republished their 2018 LTP in October 2018 and can be found here: http://www.brightonandhoveccg.nhs.uk/plans
There are several elements to the draft LTP refresh for 2017/18:
a) An update and progress on children and young people’s mental health services vision and how the refreshed LTP will enable that to succeed;
b) The LTP plans for 2017/18 onwards in the context of the Five Year Forward View for Mental Health and developments within our Sustainability and Transformation Partnership (STP) and Commissioning Alliance; and
c) An update on 2017/18 (spend and activity).
Our progress and achievements so far and on-going challenges are:
“Our vision isto provide more responsive support for children and young people when they experience poor mental health or are in crisis. We will givethem opportunities to build theirown resilience and recognise theirneedearlier, encouraging them to support and confide in one another. They canaccess services when,where and howthey choose, embracing digital and social media.Serviceswill work closely together so thatcriteria andthresholdsare less importantthan addressing holistic needin a timely way, generating good outcomes.”
The changes have been developed around:
1. Infrastructure in place for successful change:
a) AMBIT training (health and social care)
b) Training for hospital staff in mental health awareness
c) Training in Mental Health First Aid in schools
d) Self-harm needs assessment
e) The FindGetGive website
2. Building capacity at an early stage:
a) Community Wellbeing Service
b) Schools Wellbeing Service
c) Developing a workforce strategy
d) Achieving the national children’s mental health access target
3. Targeted support:
a) Specialist CAMHS redesign
b) Mental health support for Looked After Children in social care pods
c) Family Eating Disorder service
Benefits realisation
The impact of this investment and strategic improvement is able to be measured through various criteria:
a) More children accessing mental health services – 34% in 18/19 (17% 17/18);
b) Specialist CAMHS access – 92% first treatment within 8 weeks in 18/19 (compared to 100% first treatment within 18 weeks in 17/18); and
c) Schools Wellbeing – 309 treatments with 66% significantly improved after intervention (April-June 2018).
We recognise that we need to develop a more robust method of measuring the impact on quality, safety and outcomes of services as well as access and activity.
(2) Wave One Trailblazer (Green Paper) expression of interest – bid was submitted 17th Sept 2018
As well as investment following Future in Mind the government has committed to £215m additional funding to implement the recommendations in the Transforming Children and Young People’s Mental Health Provision: A Green Paper (2017) 2019-2024. The emphasis is on increasing mental health support in schools through Mental Health Support Teams (MHSTs) as well as piloting 4 weeks to treatment for CAMHS. The key elements are:
• Increase resource to schools – more evidence based interventions and whole school approach, additional roles and training opportunities;
• Includes vulnerable CYP/ PRUs (inequalities) and independent schools;
• At least 2 MH Support Teams per CCG
Ø (7.5 WTE per 8000 pupils/ 20 schools – 500 interventions (evidence based CYP IAPT)
Ø Funding of £326K per MHST (no capital)
• Integrated whole system, referral process, collaborative working;
• Designated School Leads – one required in every school – strategic leads (training & support from DfE);
• Clear pathway to Specialist CAMHS and supervision;
• Tracked and evaluated via MHSDS;
• 4 week waiting time to treatment pilot (Specialist CAMHS); and
• Project resource funding available if required.
Brighton and Hove CCG has been advised that we are highly likely to be in Wave Two (summer 2019) so that we can align training with Sussex University becoming a provider of the appropriate courses from that time.
The CCG commissioner for children’s mental health is happy to attend any future Health and Wellbeing Board meetings to provide more detail on anything that is outlined in this briefing.
Author: Gill Brooks, Commissioning Manager for Children and Young People’s mental Health and Wellbeing, Brighton and Hove CCG. gill.brooks1@nhs.net
(2) Wave One Trailblazer (Green Paper) expression of interest – bid was submitted 17th Sept 2018
As well as investment following Future in Mind the government has committed to £215m additional funding to implement the recommendations in the Transforming Children and Young People’s Mental Health Provision: A Green Paper (2017) 2019-2024. The emphasis is on increasing mental health support in schools through Mental Health Support Teams (MHSTs) as well as piloting 4 weeks to treatment for CAMHS. The key elements include:
• Increase resource to schools – more evidence based interventions and whole school approach, additional roles and training opportunities;
• Integrated whole system, referral process, collaborative working;
• Designated School Leads – one required in every school – strategic leads (training & support from DfE);
• Clear pathway to Specialist CAMHS and supervision;
• 4 week waiting time to treatment pilot (Specialist CAMHS).
Brighton and Hove CCG has been advised that we are highly likely to be in Wave Two (summer 2019) so that we can align training with Sussex University becoming a provider of the appropriate courses from that time.
The CCG commissioner for children’s mental health, Gill Brooks, is happy to attend any future Health and Wellbeing Board meetings to provide more detail on anything that is outlined in this briefing.
Final version of the Brighton & Hove Food Partnership Food Strategy
The Board will remember we had a presentation of the Food Strategy in July 2018 with the DRAFT action plan. The action plan is now finalised and again the link will be added to the communications.
Carers Rights day and our Great Carers Tea Party
Carers Rights Day aims to recognise the vital role that unpaid carers provide, and to raise awareness about local support available to them.
As part of the celebrations for Day on Friday 30 November, Adult Social Care team held a number of events to support the huge number of carers in our city. One of these events was the Carers Tea Party.
We want to make Brighton and Hove a ‘Carer Friendly City’ - one that supports carers to look after their family and friends, and recognises them as individuals with needs of their own.
CQC ratings for Brighton & Sussex University Hospitals
CQC have recently announced the ratings for the local hospitals. The full letter will be added to the minutes. Both the Royal Sussex County Hospital in Brighton and the Princess Royal Hospital in Haywards Heath were also rated as ‘Good’ overall. In addition, NHS Improvement has confirmed the trust is no longer in any form of special measures.
Update on Walk-In Centre
The CCG can confirm that we have no plans to change the current commissioning arrangements for the Brighton Station Walk-In Centre (Queens Road) for the contract year 2019-20 and are currently finalising the contractual details with Care UK. The exception to this is to comply with the national mandate for the term ‘Walk-In Centre’ to be removed from NHS terminology by December 2019. This will not involve removal of the service but will require using different terminology in the future.
We do know, based on conversations with the public and our providers, that same day urgent care services do not always appear to be integrated, and delivered, at the best place and time for patients. This includes the current Walk-In Centre provision. We are currently working with all providers, in primary, community, and secondary care, to agree how these services can best be provided, according to the best available evidence, in the city.
Following approval by the CCG Governing Body, the CCG will share it’s draft plans with key health and care partners and the public to ensure they are appropriate and able to meet the needs of patients for the foreseeable future.
New Chief Executive Officer appointed for Sussex and East Surrey Clinical Commissioning Groups
The Alliance of CCGs that work across the whole of Sussex formally appointed Adam Doyle as the new Chief Executive Officer for the Clinical Commissioning Groups across Sussex and East Surrey.
Adam has been working across the eight organisations as Accountable Officer on an interim basis for the last three months and his leadership role has now been made substantive following a robust interview process. The job title has changed to a CEO as this better reflects the significant leadership responsibilities that the position holds. The appointment is fully supported by all the CCG Governing Bodies and has been endorsed by NHS England.
Allied Healthcare
As the Board is aware at the last meeting in chairs communications we informed the Board about concerns with Allied Healthcare. These concerns were about the future viability of Allied Healthcare, CQC have been reassured with the financial plan put in place by CRG, (Health Care Resourcing Group, trading as CRG). On the back of this reassurance the officers were able to make the decision to confirm with the request by Allied Healthcare to novate it contract over to CRG.
Allied Healthcare confirmed that on 1st December 2018, the sale was successfully agreed of all Allied Healthcare’s care and support service contracts in England, Scotland and Wales to CRG.
The Brighton branch of Allied Healthcare was able to sustain business continuity over the festive period. Officers felt adequately assured before the festive period to be able to lift the suspension on Allied Healthcare receiving referrals for new care packages. It is understood that referrals have subsequently been made and have been accepted by Allied Healthcare.
GP surgery at Old Steine and Palace Place
Since 2016 the council and its health partners have been working with the CCG to progress plans for a new GPs surgery at 62/63 Old Steine and 3 Palace Place for the relocation of Ardingly surgery.
The GP practice and the CCG obtained grant funding from NHS England as the practice was identified as the highest priority for the City and most in need of investment.
The CCG has now decided to withdraw from the project which is incredibly disappointing for everyone who has worked to progress this scheme and to the all the stakeholders involved, not least the people living in the area, but ultimately this is a decision which is the CCG’s to make.
The council is committed to improving healthcare for its residents and continues to work with the CCG and health partners on other projects in the city to deliver a health hub at Preston Barracks and the disposal of Oxford Street Car Park to provide the combined St Peters and North Laine surgery.
Fizz Free February 2019
Fizzy drinks are the largest single source of sugar for children aged 11-18, and they provide an average of 29% of daily sugar intake. Cutting out fizzy drinks is an easy way to reduce your sugar intake. There is a new campaign focused on making it a Fizz Free February.
As many people may remember Brighton & Hove were very much at the forefront of the sugar smart campaign, which Fizz Free is part of. The link in the papers will take people to more information if you wish to get involved.
https://www.sugarsmartuk.org/news/fizz_free_february_2019/
That is the end of Chairs communications. However I did ask at the pre meeting of this Board if a short update could be provided for the Board on Winter demands particularly focused on our acute hospital and I am grateful that to officers who have supplied the following short slide which I have asked them to take us through as part of our communications”
PRESENTATION
36.2 The Chair stated that the Executive Director- Adult & Social Care and the Deputy Managing Director of Brighton and Hove CCG would give a presentation on the Update of Winter Demands.
36.3 In response to Councillor Page questioning whether the health service could cope with worse winter conditions with the existing measures, the Deputy Managing Director of Brighton and Hove CCG stated that they would and the impact of capacity in a crisis would rest on those who were scheduled for routine surgeries.
36.4 The Board agreed that in response to Councillor Page, the CCG would gather more ongoing information regarding the GP surgery at Old Steine and Palace Place to report back.
36.5 The Chair stated that it would be useful to have more information on how winter planning affects acute care on impacts, challenges and internal actions they were taking and the Board agreed that a more detailed report should go to the next Health Overview and Scrutiny Committee (HOSC).
36.6 Dr David Supple stated that the CCG was working on a same-day urgent care strategy with BSUH, the voluntary sector, mental health, primary care to explore ways to ensure patients are going to the right place quickly and to refrain from visiting A&E. He stated that a recent trend of teenagers attending A&E with viral illnesses had risen where the reasons where unknown as they could be looked after safely in a different facility.
36.7 In response to Councillor O’Quinn who stated that she believed the low uptake of flu vaccines this year was due to the vaccines arriving too late in the winter season, the Deputy Managing Director of Brighton and Hove CCG stated that the key reason was that the supply and the messaging the media gave sent conflicting information.