NHS Oldham CCG

Local Transformation Plan Refresh Statement - Children and Young Peoples Mental Health, November 2017 

 

Local Transformation Plans (LTP) should be viewed as ‘living’ documents, which needs to be refreshed annually and delivered through action plans for the 5 year life span of the programme (2015/16-20/21). 

In order to provide greater synergy with devolved health and social care planning across Greater Manchester all 10 CCGs will be publishing a refreshed Children and Young People’s LTP in March 2018.  All LTPs were refreshed in March 2017 and plans remain current.

The refresh of the LTP is seen by NSHE as the evidence that progress is being made, that the funding is being spent as intended and will provide evidence on how local services are being transformed.  At the same time LTPs should be seen as part of the Sustainability and Transformation Plans (STPs).

Our CCG is committed to the ongoing transformation of children and young persons’ mental health services and we are committed to improve access to quality services for children and young people and  those who care for them.

We will work with Greater Manchester Health and Social Care Partnership and Greater Manchester’s 10 Local Authorities and 9 CCGs to commission and deliver services where populations and needs require a wider implementation than at single CCG locality area.

Developments we will support and collaborate to implement include:

  • From April 2018 the implementation of a single pan Greater Manchester service specification and outcomes framework for all of Greater Manchester’s  specialist providers of children and young persons’ mental health services.
  • From January 2018 the implementation of a Greater Manchester THRIVE training and development Hub and team that will increase capacity to enhance and extend the development of locally developed THRIVE informed care pathways. Under the umbrella of the THRIVE training Hub there will be increased awareness raising of the impact of Adverse Childhood Experiences and more informed trauma sensitive interventions
  • From January 2018 the phased implementation of a Greater Manchester Crisis Care Pathway for children and young people, that will involve the recruitment of 4 crisis resolution and home intervention teams,  additional short stay beds and two safe zone areas to be used as an alternative to hospital admission for children and young people who present in mental health crisis. This will be a four year development programme supported by a 7 day per week access offer provided by specialist CYP mental health services (CAMHS). Along with 9 other  GM CCGs we will via CCG LTP funding enhance staffing within our specialist CYP mental health services .
  • From January 2018 we will work collaboratively with key stakeholders and the GM inpatient mental health providers alliance to develop a Greater Manchester  focused inpatient mental health offer, ensuring “Greater Manchester beds for Greater Manchester’s Young People”
  • From April 2018 the implementation of a Greater Manchester workforce development strategy that will support both the recruitment and retention of the GM children and young persons’ workforce, and greater flexibility of staff deployment across provider organisations.
  • Utilising our LTP funding we will continue to fund staff to access a range of Increased Access to Psychological Therapies (CYP IAPT) training opportunities.
  • From January 2018 introducing a mental health support offer for Greater Manchester’s education settings that will enhance and extend developments that our CCG has already commissioned or developed in partnership with our Local Authority and education settings.
  • From January 2018 with the 9 other CCGs we will begin planning a consistent GM approach to transitions from CYP mental health to adult mental health services.   
  • From January 2018 we will work with GM/s LAs and CCGs to develop recommendations for a more equitable and consistent mental health offer for all of Greater Manchester’s Looked After Children population, and for those involved with the Youth Justice System.
  • From January 2018 drawing upon our local experiences of effective children and young persons’ participation we will support the development of a Greater Manchester CYP mental health reference group.

 

From January 2018 working collaboratively with our LA and the 9 other GM CCGs we will begin planning the development and implementation of an Early Attachment Service that will be a locally delivered  component of Greater Manchester’s Perinatal and Infant Mental Health Service 

Child and Adolescent Mental Health Services (CAMHS) Transformational Plan Refresh (2017)

Oldham CCG recognises the requirement to refresh its CAMHS Transformational Plan and for this to be published by 31 March 2017 (and included on its website).  The work to refresh it has commenced with a draft plan drawn together – a ‘snapshot’ of the executive summary is included below.  There is a requirement for the plan to receive formal ratification from Oldham’s Health and Wellbeing Board (or for that Board to provide delegated authority to another forum for ‘sign off’).  Once this formal procedure is complete, the CCG will be in a position to publish its refreshed plan.

 

Executive Summary

This CAMHS Transformation Plan has been compiled by the CCG in association with its partners.  It builds upon the ambition identified within the previous CAMHS Transformational Plan (produced October 2015) for children and young people in Oldham requiring emotional wellbeing and mental health support and, as such, should not be read in isolation.  This plan has a particular focus on the changes that the additional CAMHS Transformational Plan investment has brought about over the course of the last eighteen months.

 

The Plan is split into a number of sections and has been written in a format that is concise, easily understood and (where possible) jargon free (following feedback from the young people themselves).  The sections include:

Strategic context (including across Greater Manchester and in Oldham itself); the development of a local Integrated Provider Hub (IPH) which will be a new approach for how mental health services will be commissioned locally

Demographic need which provides an oversight into the population of the children and young people in to Oldham, which provides the necessary information to plan services

The engagement section outlines the importance of continually including children and young people in the designing of services and includes an example of a pilot that is currently being undertaken

The local priorities section details the investment in each area and the progress that has been made to date

Services provided in Oldham to children and young people to support their emotional wellbeing and mental health, which includes the funding available to support them.  It also lists the involvement from the voluntary sector

The latter sections of the plan focus on who oversees the implementation of the plan; the groups in place to monitor its implementation and the benefits such services have brought to our local children and young people.

 

The Plan has been bolstered following the review by the Education Policy Institute to address the following areas: ambition, early intervention and governance.  In addition, the ‘transparency’ and ‘challenges sections have been strengthened.