Agenda item

To receive a report on how the Clinical Commissioning Groups through the Integrated Care System look further at the issues around how it collectively funds and delivers mental health provision for children and young people in a more equitable way.

Dave Carr, Information and Commissioning (Start Well), Lancashire County Council, Rachel Snow-Miller, All Age Mental Health and Learning Disability Services, Lancashire and South Cumbria Integrated Care System, Claire Niebieski, Blackpool Clinical Commissioning Group/Blackpool Council and Marie Dermaine, Health Equity, Welfare and Partnerships, Lancashire County Council were welcomed to the meeting to present the report.

The report provided an update which related to the Lancashire Children and Young People's Emotional Wellbeing and Mental Health Transformation Programme.  The presentation (as attached) highlighted performance to date, the role of Primary Mental Health Workers and the delivery of Youth Mental Health First Aid Training in schools, the Lancashire 'Emotional Support to Schools' Service and the revised mandate for delivery of the Complimentary Offer across Lancashire and South Cumbria.  An update was also received on the funding of mental health provision for children and young people.

Following the last report to the Health and Wellbeing Board in November 2018, there had been specific focus on undertaking a full review and refresh of the Lancashire Transformation Plan.  In late 2018, it was endorsed that the Transformation Plan would now reflect the wider Integrated Care System geography bringing Lancashire and South Cumbria together as partners.  A Lancashire and South Cumbria Transformation Plan would be delivered as of 1 April 2019.

It was reported that in Lancashire 26 secondary schools had completed the Youth Mental Health First Aid one day course with Mental Health First Aid England and 12 more courses were to be delivered by the end of March 2019.  99% of participants reported an improvement in their personal confidence, knowledge and understanding of how best to support others with a mental health issue following the course.

The Emotional Health and Wellbeing Service was a commissioned service providing support for children, young people and families with low level emotional health and wellbeing needs at levels 2, 3 and 4 of the continuum of need.  Access to the service was through a referral to the Lancashire County Council Children and Family Wellbeing Service and delivered countywide by the Child Action North West Partnership.

The Complimentary Offer is support for vulnerable people who do not access mainstream services to wrap around children and young people and families to avoid escalation, recover earlier and maintain wellbeing supporting the model for NHS funded Children and Young People's Emotional Wellbeing and Mental Health Services across Lancashire and South Cumbria.

An issue for the Board was around mobilising and tackling whole system funding and on the data and targets that were presented, how that was being monitored by the programme.  It was stated that the plan of tackling the whole system funding was not just the NHS but the whole system and that needed to be defined as to who was the whole system.  The Complimentary Offer is huge and would be delivered in bite size chunks and target what was going to have the most impact in schools and early years settings.  Work will be carried out with community neighbourhoods and this would help to develop the journey of the child through pathways.  It was agreed that the Board needed to monitor through its meetings, which Clinical Commissioning Groups were not funding enough.  The Board needed to work together with partners around the table.

Resolved:  That the Health and Wellbeing Board noted the report.