The Board considered a report of the Director of Health and Care Integration which provided an overview of the Health and Wellbeing Board workshop held on 30 November 2018, and actions agreed. A copy of the report is filed with these minutes marked 4.
In introducing the report the Director explained that following circulation of the report, the CCG Lead Commissioner for Mental Health had provided clarification on a number of points. A revised version reflecting this feedback would be circulated to members of the Board.
Arising from discussion the following points were noted;
· In consideration of the outcomes of the discussion at the workshop concerning the Mental Health JSNA Chapter, it was necessary to explore whether the Board had the appropriate mental health expertise and consider the possibility of recruiting an additional member to the Health and Wellbeing Board with such knowledge if necessary;
· The importance of identifying individuals who had been subject to Adverse Childhood Experiences (ACEs) at an early stage was crucial in order to be able to make sure they were part of a cohort which benefited from a targeted Mental Health offer. The Children and Families Partnership Board would be asked to consider a report on this matter at its next meeting;
· An engagement process on the Improving Access to Psychological Therapies (IAPT) Programme had commenced ahead of the expiration of the current contract and the procurement process needed to implement services across Leicester, Leicestershire and Rutland from 2020. It was noted that a cross partner communication approach was vital in order for service users to understand how and what help they could access. Additionally, over 1300 patients with long term conditions had recently been written to with information about the ways in which they could access IAPT services;
· To complement the First Contact Plus service, GPs and the public would benefit from the creation of a simple guide detailing the types of mental health services and support available for older people in Leicester, Leicestershire and Rutland to help direct patients/public to these services;
· The lack of affordable rental accommodation for vulnerable and low income individuals and families was an issue which the Housing Services Partnership continued to monitor. In regards to the Adult Social Care Outcomes Framework figures for settled accommodation, it was noted that a reporting error had resulted in the County being ranked in the bottom quartile for the second quarter of 2018. Correct reporting would see the County positioned in the top quartile for the latest quarter;
· In recognition of the importance of a joined up approach to managing mental health, the Board would seek assurance that mental health issues were being considered in the model of care of Integrated Locality Teams including the Hinckley ILT pilot which is currently underway;
· Funding allocated by the Office of the Police and Crime Commissioner (OPCC) specifically towards mental health provision had been made available to the Safer Communities Strategy Board. The OPCC also worked closely with the Mental Health Board;
· In reference to difficulties in accessing s106 monies and the implications for health and care services, it was noted that the county CCG’s were working together and alongside strategic estate advisors to help improve their approach when applying for s106 funding;
· The recently published Annual Report of the Chief Medical Officer suggested a fundamental change to the way in which health was viewed, promoting a commissioning approach based on health being viewed as the nation’s prized asset rather than a financial burden. It was agreed that the relevant sections of this report report would be considered by the Board alongside the Strategic Growth Plan Update at its next meeting in March;
· The Council’s Healthy Schools Programme ensured that the Local Authority remained in contact with all the county’s schools regardless of whether they were maintained schools or academies. It was acknowledged that whilst there was an expectation that schools would have a mental health support provision in place for their students, there was a risk that increasing pressure on school’s budgets could lead to reductions in such services;
· The NHS Long Term Plan was expected to inform a range of commissioning intentions for future years. A Health and Wellbeing Board development session on the matter would be held during the summer of 2019;
· The approach to community and social cohesion at place level needed to be better aligned in order for a multi partnership cost effective approach to be delivered. The Director of Public Health would undertake a review of work in progress across partners in order to start the process.
a) That the recommendations as set out in the report be approved;
b) That a draft action plan detailing the recommendations be circulated to members and relevant partners before being considered by the Health and Wellbeing Board at its meeting on 14 March 2019;
c) In absence of a representative at the meeting, the Chairman of the Health and Wellbeing Board be requested to write to Leicestershire Partnership Trust concerning the findings of the workshop as detailed in the report, to seek their feedback;
d) That the Board consider a presentation on the Strategic Growth Plan including reference to relevant sections of the Annual Report of the Chief Medical Officer at its meeting on 14 March 2019;
e) That District Councils and Healthwatch be requested to support the ongoing communication approach to help patients access Mental Health services across the County, including the Improving Access to Psychological Therapies (IAPT) Programme;
f) That the Chairman of the Health and Wellbeing Board write to the Integrated Community Services Board to seek assurance on the IAPT/Mental Health interface for the Integrated Locality Teams approach, and ask the Integration Executive to look at this for the county specific area;
g) That the Children and Families Partnership Board be asked to consider a report on Adverse Childhood Experiences at its next meeting;
h) That the multi-agency Mental Health Partnership be asked to consider producing a guide detailing older people’s mental health and wellbeing services in Leicester, Leicestershire and Rutland which could be used by GPs to direct patients to the appropriate service.