Agenda item

Scrutiny Inquiry: Leeds' Child and Adolescent Mental Health Services and Targeted Mental Health in Schools

To receive a report from the Head of Scrutiny and Member Development introducing further information as part of the Board’s inquiry into Leeds’ Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools (TaMHS).

Minutes:

The Head of Scrutiny and Member Development submitted a report introducing further information in relation to the Board’s inquiry into Leeds’ Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools (TAMHS).  The further information presented included:

 

·  A further update from commissioners, including next steps

·   Details from service providers, including issues relating to transition from CAMHS to Adult Mental Health Services

·   Submissions provided by Leeds Local Medical Committee (LMC)

·  Commissioners update report – Funding Picture (minute 74 refers)

·  Children & Young People’s mental health services – survey and engagement report (2nd draft) (minute 74 refers)

·  Improving Young People’s Health and Wellbeing – a framework for public health  (minute 74 refers)

 

The Chair outlined the format for the discussion – commencing with service user representatives, then service providers and finally service commissioners.

 

Service user representatives

 

The following representatives were in attendance:

 

·  Liz Neill (Youth Engagement/ Training Coordinator) – YoungMinds (Leeds and Yorkshire)

·  Caroline Holroyd

·  Corey Smith

 

Service Provider representatives

 

The following representatives were in attendance:

 

·  Sam Prince (Executive Director of Operations) – Leeds Community Healthcare NHS Trust

·  Nick Wood – General Manager (Children’s Services) – Leeds Community Healthcare NHS Trust

·  Jill Copeland (Chief Operating Officer and Deputy Chief Executive) – Leeds and York Partnership NHS Foundation Trust

 

Commissioner representatives

 

The following representatives were in attendance:

 

·  Matt Ward (Chief Operating Officer) – NHS Leeds South & East CCG

·  Jane Mischenko (Commissioning Lead – Children and Maternity Services) – NHS Leeds CCGs

·  Paul Bollom (Head of Commissioning and Market Management) – Children's Services, Leeds City Council

·  Joe Krasinski (Lead Emotional Wellbeing and Mental Health Consultant & TaMHS Project Manager – Leeds City Council)

 

·  The challenging budget pressures, with 5% budget savings target per year.

·  The potential impacts of pressures in other parts of the NHS – such as, the Out of Hours service, pressures on A&E (specifically any back-ups caused) and the 111 service.

·  The development of a performance improvement plan – in the context of providing a regional service but specifically focused on West Yorkshire. 

 

The service users and representative from YoungMinds addressed the Scrutiny Board and outlined some of the key findings of the engagement work with service users, parents and professionals in relation to young people’s mental health services in Leeds.

 

The Scrutiny Board considered the information highlighted and discussed a number of issues raised at the meeting, including:

 

·  Focus on early intervention and support available in schools.

·  Overall waiting times and support while ‘waiting for services’.

·  Engagement of service users and their involvement in redesigning services.

 

The service providers addressed the Scrutiny Board and gave a broad outline of the specialist Children and Adolescent Mental Health Services provided.  An outline of transitional arrangements (between services for children and services for adults) was also provided. 

 

The Scrutiny Board considered the information highlighted and discussed a number of issues raised at the meeting, including:

 

·  The recruitment and retention of specialist staff.

·  Thresholds associated with access to services and overall waiting times.

·  The focus on improving young people’s overall mental health and emotional wellbeing.

·  Concerns raised by Leeds’ Local Medical Committee (LMC) regarding access to services.

·  Differences between Children and Adolescent Mental Health Services (CAMHS) and the Targeted Mental Health services in Schools (TaHMS).

 

The service commissioners addressed the Scrutiny Board and gave a broad outline of the development of TaMHS across school clusters in Leeds and progress of the parallel review of children’s mental health and emotional wellbeing services currently being undertaken.

 

The Scrutiny Board considered the information highlighted and discussed a number of issues raised at the meeting, including:

 

·  Issues associated with children and young people in Leeds not accessing educational services within current school clusters – including those in private education or attending schools outside of the Leeds area.

·  Differences between Children and Adolescent Mental Health Services (CAMHS) and the Targeted Mental Health services in Schools (TaHMS) and any barriers caused around access to appropriate services.

·  Concerns raised by Leeds’ Local Medical Committee (LMC) regarding access to services.

·  Future access to the work and recommendations presented to the Integrated Commissioning executive (ICE).

·  Current and future funding implications/ issues.

 

On conclusion of the item, the Chair thanked all those present – in particular the service user representatives – for their attendance and contribution to the discussion. 

 

RESOLVED –

 

(a)  To note the report and information provided and discussed at the meeting.

(b)  To consider the information provided to inform the Board’s final inquiry report and associated recommendations.

 

(Councillor J Akhtar and Councillor J Lewis left the meeting at 12:00noon during consideration of the above item.)

 

(Councillor S Lay left the meeting at 4:35pm during consideration of the above item.)

 

Supporting documents: