Agenda item

Purpose of the report:  The purpose of this report is to review the final outcomes of the three year joint commissioning strategy on delivering the ‘Promoting emotional wellbeing and mental health’ priority action plan.

Witnesses:

Diane Woods, Mental Health Collaborative Commissioning on behalf of Surrey Heartlands and East Surrey CCG MH Collaborative and Blackwater Mental Health CCG Alliance

Key points of discussion:

1.    Witnesses explained the background of the Emotional Wellbeing and Adult Mental Health Strategy approved by the Board in 2014 and highlighted the achievements undertaken as a result. It was explicitly noted that Section 136 persons in custody had reduced significantly. It was highlighted that the service was pleased with developments and achievements.

2.    It was noted by witnesses that access standards had increased to Priority One: Promotion, Prevention and Early Intervention and that the priority actions had all been met for year three.

3.    It was explained by witnesses that there was a gap in provision for perinatal mental health provision, but stressed that the service was working to improve this working in partnership with STPs. It was explained that a bid to commission perinatal mental health community services had been prepared for submission to Surrey Heartlands STP and Surrey Health CCG after successful implementation in East Surrey.

4.    It was noted by witnesses that there had been significant work undertaken with regard to suicide prevention and that a multi-agency prevention plan was in place. It was stressed that work was underway to further develop the plan and that there was a need to engage more with STPs to help alleviate the issue.

5.    Work on "Priority Two: Working Better Together" was outlined by witnesses, noting that there were significant challenges to delivery and that the service needed to work more in order to achieve its stated goal. However, it was noted that this issue was not isolated to Surrey and that it was a national trend. It was noted that there was a strong adult mental health movement in Surrey which could be engaged with better, but noted that independent care networks had improved involvement.

6.    It was noted that the effectiveness of crisis care was rated as good, as noted in Priority Five.

7.    Witnesses noted that there was a gap in provision relating to autism and challenging behaviour, but that the service was working to raise awareness of the issue with training for secondary care staff with Surrey and Borders Partnership NHS Trust.

8.    Witnesses noted and explained the success of the implementation of the GP Education for Mental Health Advanced Diploma. Members questioned how many staff members undertook training. It was stressed that there was significant interest in this amongst staff and that the value of this training was recognised. It was noted that a new training provider would need to be sought, due to the provider falling through. Members stressed that there needed to be a continuation of these and encouraged the service to find a new provider for training.

9.    The representative for Healthwatch Surrey questioned the amount of information available between referral and treatment and offered to help the service by providing user centric information. Witnesses noted that NHS Choices did hold some information and work with providers but welcomed the offer from Healthwatch Surrey to provide user centric information.

10.  The representative of the Surrey Police and Crime Commission noted that instances of S136 in custody had dropped, but noted that there were some exceptions. Witnesses noted that they would look into any exceptions and report back to the Police accordingly.

11.  Members noted that suicide prevention should remain a key priority due to the social and mental health impact on a wide range of people. It was stressed by witnesses that the service would be keeping this as a key aim for the mental health priority.

12.  The Chairman of the Health and Wellbeing Board opened the item to public questions:

13.  Members of the public questioned the extent to which the service was working with housing agencies to ensure that they are trained to identify and work with issues in mental health for residents. Witnesses noted that work had started with providers and housing agencies to identify the level of need. It was noted that the agencies that the service was working with would be made available in the next public update of the Health and wellbeing Board.

14.  Members of the public questioned work with the Surrey Mental Health Network and raised concerns that issues were not being addressed by the service, several of which were identified as long term issues.

15.  Members of the public raised concerns regarding changes to Young People's Havens, and stressed there needed to be an emphasis on Mental Health. Members noted that this was a concern, but stressed that there have been good examples of where social inclusion in Young People's Havens has been successful, but that this should be monitored, stressing the requirement to maintain a good level of crisis care.

ACTIONS/FURTHER INFORMATION TO BE PROVIDED:

None

RESOLVED:

The Health and Wellbeing Board:

1.    Noted the outcomes on the implementation of the commissioning Strategy at the end of year 3.

2.    Will ensure each of the Health Wellbeing Board agencies have included or plan to include mental health in their strategies.

3.    That the housing agencies that the service was working with would be made available in the next public update of the Health and wellbeing Board.