Agenda item

Janette Fullwood, Head of Children, Young People and Families, NHS East Berkshire CCG presented an update to the Board on the Future in Mind Transformation Plan.

The Future in Mind document had been published in 2015 by NHS England, and the CCG had developed a local Transformation Plan arising from this which was due for further review to clarify the strategic priorities.

Since the original document had been published, additional support services had been commissioned to support tier 2 anxiety and depression and these had been linked to Early Help in Slough and Royal Borough of Windsor and Maidenhead.  Janette emphasised the importance of linking Future in Mind planning with Early Help activities in Bracknell Forest. Public Health colleagues had worked with schools to support work in respect of emotional well being and the Board recognised the importance of schools involvement within the transformation work presented.  The Board requested assurance that local schools were engaged with the process that had been outlined (Action: Janette Fullwood to consider school representation in the revised membership of the FIM sub group))

Challenges which had arisen since the publication of Futures in Mind included the lack of a system-wide approach, and a lack of clarity for young people about support available and how to access it. Janette reminded the Board that 57% of referrals to Specialist CAMHS in Bracknell Forest were inappropriate referrals, and work was ongoing to understand the reason behind this.

The Local Transformation Plan was being reworked to include four key outcomes with key performance indicators, which had been co-produced with young people. It was hoped that there could be multi-agency ownership and delivery of the plan.

CCG colleagues had met with the Directors of Children’s Services and Directors of Public Health across East Berkshire to inform the draft priorities, alongside current performance and population statistics.

In response to questions, the following points were noted:

• It was suggested that while the current system was data rich across partners, the system may be intelligence poor in its usage of the data available.
• There were clear opportunities to strengthen the Family Safeguarding Model to link with Futures in Mind.
• It was agreed that future planning was important to identify needs as they became evident through data.
• The Board commented on the importance of any development needing to be evidence based and carefully consider the sufficiency of the Early Help offer within the borough and for  partners to work collaborately to ensure its effectiveness.
• The Board recognised the need to change from distinct tiers of care to a seamless connection between care services.
• The importance of schools provision to the Future in Mind plan was recognised.
• The Chair noted the need to increase the range and type of tier 2 provision to reduce referrals to Tier 3 and to ensure there are clear step down processes from Tier 3.

It was noted that the CCG had agreed not to submit a plan for Wave 1 of the trailblazer programme, and would consider submitting for Wave 2. This was supported by the Board.

The Board commented that they had not received the membership of Futures in Mind, and agreed that a Bracknell Forest LSCB representative could be the conduit between Bracknell Forest LSCB and the Futures in Mind group.

It was agreed that the Board would be updated as to which member/s of the LSCB will become member/s of the group and the final transformation plan circulated to the LSCB (Action:  Janette Fullwood). 

The Board agreed to clarify the above reporting requirements at the next meeting. (Action: Jonathan Picken)