Agenda item

To monitor delivery of the Health & Wellbeing Strategy.

Heema Shukla presented the Health and Wellbeing Strategy update.

A new oversight group had been put in place to improve the governance structures reporting to the Health and Wellbeing Board and Place Committee, including leads from each organisation. The group also discussed how to further improve the dashboard, and a new dashboard included key outputs on each task with a lead organisation and RAG rating. A further document detailing the baseline and trajectory for improvement on each task was in development.

The dashboard demonstrated that most actions were on track, however 6 had been delayed and 2 had not yet been started due to insight gathering work in the background.

In response to questions, the following points were noted:

·        Public Health colleagues had been working with Licensing and Environmental Health officers on single-use vaping, and had been engaging with young people and schools on messaging around the health risks of using vapes. A further update on this work was requested at a future Board meeting. (Action: Heema Shukla)

·        The East Berkshire Health Protection forum had been set up successfully but had not yet been receiving the relevant information required due to delays in the data sharing agreement. Nicola Airey agreed to update at the next Board meeting on the transfer process. (Action: Nicola Airey)

·        The Board requested further detail on Priority 5 Action 48 around rates of obesity. It was commented that there was lots of partnership work ongoing with the Healthy Weights programme. The oversight group was working on population weight management and the wider determinants of this.

With the proviso that the Board would be provided with further quantifiable outcome measures to demonstrate impact of work in a suitable timeframe, it was RESOLVED that

1          The amended governance structure for the HWB strategy delivery with the

establishment of a joint oversight group be approved

2          The draft dashboard for monitoring the progress of the delivery of the

strategy by the HWB Board be approved

3          The progress against the actions as set out in the dashboard be noted

CAMHS presentation

Louise Noble, Service Director, Children, Families and All-Age Services at Berkshire Healthcare Foundation Trust presented an update on CAMHS in the context of the Health and Wellbeing Strategy.

The Board noted the NHS England definitions on what access and waiting times for CAMHS services should look like.

Louise presented some CAMHS data on an ICB level including waiting time for contact, definitions of assessment and treatment. The data was divided between mental health and neurodiversity referrals, which indicated a rise in assessments for potential neurodiversity but a plateau in mental health service referrals.

It was noted that there was a lot of quality improvement and transformation work ongoing within CAMHS, including a pilot in Royal Borough of Windsor and Maidenhead on alternative referral processes and supporting young people through other services before they reached crisis. The CAMHS website and referral process had also been reviewed, to signpost people to appropriate help earlier in the process.

It was noted that 75% of presentations at acute units had been the young person’s first contact with CAMHS, and the vast majority of these young people did not present with a diagnosable mental health disorder. CAMHS were investigating how these young people could be supported at an earlier point.

CAMHS were undertaking some research together with the University of Reading on a number of projects, including improving safety for young people and models of care for young people who required intensive support.

In response to questions, the following points were noted:

·        Referrals for mental health services did appear to be plateauing despite numbers of front door contacts continuing to increase dramatically. The Board requested this data to be broken down on the basis of Frimley Park and each Local Authority area. (Action: Louise Noble/Heema Shukla)

·        The pilot with RBWM had been put in place to address the high numbers of young people coming through the BHFT frontdoor who were presenting with needs which could be supported by Mental Health Support Teams in schools, by the GEMs service or by universal counselling or youth work. The pilot project with RBWM had triaged referrals through the frontdoor to the appropriate service within 24 hours, and had found that the vast majority of referrals could be supported through early help services. The pilot had also found that the Local Authority front door triage process had meant that young people had received help more quickly than they did if they came through the CAMHS front door. CAMHS had been working with local authority colleagues to improve the information about referral processes on all agencies’ websites. It was commented that this pilot may be rolled out to Bracknell Forest in the future.

·        Berkshire Health Foundation Trust had been increasing their own research portfolio for CAMHS in recent years, and it was likely that collaborative work would be undertaken with Bracknell Forest partners particularly on tackling equality and diversity issues.

·        Board members commented on a lack of visibility at a Bracknell Forest footprint level and while it was recognised that the locality level data may not be not meaningful from a Berkshire perspective, it was very important for Bracknell Forest Council staff to be able to monitor the impact of all services on residents and for planning purposes. It was also important that regulators could see this data on a local authority basis when they visited.

It was important for Bracknell Forest to have datasets and mapping for areas of the borough where the risk is higher, in a similar way to that which had been presented at previous Board meetings for adults’ services.