Gloucestershire's Transformation Plan 2015-2020 1 | Page
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Gloucestershire’s Transformation Plan 2015-2020 1 | P a g e Gloucestershire’s Transformation Plan 2015-2020 FOREWORD In Gloucestershire we recognise that there is more to be done to improve children and young people’s mental health and wellbeing. Growing up is meant to be one of the very best times in anyone’s life but it can also be tough. Children and young people of this generation have new challenges to face including the prevalence of social media and the changing world of work. Some young people, such as children in care and those leaving care, are exposed to situations and experiences that can make them particularly vulnerable. We understand that the emotional wellbeing of children and young people has a significant impact on all areas of their lives including academic achievement and their relationships with friends and family. Mental health problems are common but it is often the case that children and young people don’t get the help they need as quickly as they should. If not addressed, mental health problems can continue into adulthood and can prevent some young people achieving their goals in life. We want this to change. We plan to work together across the wide range of agencies in Gloucestershire to help our young people to acquire the resilience and skills they need to face the challenges that come their way. We want our children and young people to be able to ask for help with their emotional problems when they need it and for the right kind of help to be given quickly in a way that suits that young person and their family. We will ensure that if a young person has a crisis, they will get extra help straight away, whatever time of day or night it is. We feel that together we can create a better system in which our children, young people and their families can thrive and achieve. Mary Hutton Linda Uren Accountable Officer Director of Children Services Gloucestershire Clinical Commissioning Gloucestershire County Council Group October 2015 2 | P a g e Gloucestershire’s Transformation Plan 2015-2020 ACKNOWLEDGEMENTS This Local Transformation Plan has been produced and informed by children and young people, parents and carers, and through significant partnership working between the wide range of statutory, voluntary and community and other sectors in Gloucestershire and we would like to give our thanks to those who have given their time, effort and commitment to shaping this Plan which included: 2gether NHS Foundation Trust Gloucestershire Young Carers Action for Children Gloucestershire Local Pharmaceutical Committee Active Gloucestershire GPs Alderman Knight School Grangefield School Gloucestershire Ambassadors for young people, Hartpury College Gloucestershire County Council Archway Secondary School Independence Trust Barnwood Trust InfoBuzz (HeadSpace) Bettridge School Katherine Lady Berkeley School Cam Woodfield Junior School Maidenhill Secondary School Carers Gloucestershire Nailsworth CofE Primary School Cashes Green Primary School NHS England Health & Justice Commissioning Cheltenham and Tewkesbury Alternative NHS England Specialised Commissioning Provision Service Children & Young People’s Board, 2gether OPENHouse NHS Foundation Trust Children & young people, parents and carers Pate’s Grammar School Cirencester Deer Park School Academy Peter Lang Children’s Trust Dursley Primary School Prospects (Youth Support Services) Educational Psychology Service Rethink Mental Illness Faith and Homeless Group Shrubberies Special School Gastrells Community Primary School Sir William Romney’s School Gloucester College Skillzone Gloucester Fire and Rescue Services Stroud & Cotswold Alternative Provision Service Gloucestershire Association of Primary School Stroud District Youth Council Headteachers (GAPH) Gloucestershire Association of Secondary Stroud High School for Girls School Headteachers (GASH) Gloucestershire Association of Special School Teens in Crisis Headteachers (GASSH) Gloucestershire Care Service NHS Trust The Door, Stroud Gloucestershire Constabulary Thomas Keble School Gloucestershire Counselling Service Toucan for Children Gloucestershire County Council VCS Alliance Gloucestershire Healthwatch Whiteshill Primary School Gloucestershire Hospitals NHS Foundation Winston’s Wish Trust Gloucestershire NHS Clinical Commissioning Young Gloucestershire Group Gloucestershire Police and Crime Youth and Community Services Commissioner NB: Engagement with Children’s Centres has been carried out as part of the perinatal strategy (see page 44, 7.7.12) 3 | P a g e Gloucestershire’s Transformation Plan 2015-2020 This Plan has been reviewed and adopted by a wide range of partners, including the following key signatories: Name Signature Mary Hutton, Accountable Officer, Gloucestershire CCG Cllr Dorcas Binns, Chair Gloucestershire Health and Wellbeing Board Cllr Paul McLain, Cabinet Member for Children, Young People & Strategic Commissioning, & Chair, Gloucestershire Children’s Partnership Linda Uren, Director of Children’s Services / Commissioning Director Children and Families, Gloucestershire County Council Colin Merker, Director of Service Delivery / Deputy Chief Executive, 2gether NHS Foundation Trust Candace Plouffe, Director of Service Delivery, Gloucestershire Care Services NHS Trust Paul Byrne, Divisional Director Women & Children, Gloucestershire Hospitals NHS Foundation Trust Steve Mackay, Headteacher, Sir William Romney School and Chair Gloucestershire Association of Secondary Headteachers (GASH) Mel Davis, Headteacher, Woodside School & Helen Harper, Headteacher, Cam Woodfield Infants – Co-Chairs Gloucestershire Association of Primary Headteachers (GAPH) Clare Steel, Headteacher, Alderman Knight School and Chair Gloucestershire Association of Special School Headteachers (GASSH) Alison Williams, Director, Prospects Youth Support Services 4 | P a g e Gloucestershire’s Transformation Plan 2015-2020 Dr Jeremy Welch / Dr Tristan Lench (CCG GP leads for Children & Young People and Mental Health) Matt Lennard, Engagement Officer, Gloucestershire VCS Alliance Sarah Scott, Director of Public Health, Gloucestershire County Council 5 | P a g e Gloucestershire’s Transformation Plan 2015-2020 ACRONYM BUSTER Acronyms used throughout this document are listed in the table below: 2gft 2gether NHS Foundation Trust A&E Accident and Emergency BERS Building Emotional Resilience Service CAMHS Child and Adolescent Mental Health Services CBT Cognitive Behaviour Therapy-Enhanced CEHWBP Children’s Emotional Health and Wellbeing Partnership CHAHTT Child and Adolescent Home Treatment Team Cllr Councillor CQUIN Commissioning for Quality & Innovation CYPS Children and Young People Service DfE Department for Education EEBP Enhanced Evidence Based Practice FBT Family Based Treatment FFT Functional Family Therapy GAPH Gloucestershire Association of Primary School Headteachers GASH Gloucestershire Association of Secondary School Headteachers GASSH Gloucestershire Association of Special School Headteachers GCC Gloucestershire County Council GCCG Gloucestershire Clinical Commissioning Group GCP Gloucestershire Children’s Partnership GCYPPP Gloucestershire Children and Young People’s Partnership Plan GHLL Gloucestershire Healthy Living and Learning GLPC Gloucestershire Local Pharmaceutical Committee GMHWBP Gloucestershire Mental Health and Wellbeing Partnership Board GP General Practitioner GSCB Gloucestershire Safeguarding Children Board HWBB Health and Wellbeing Board IAPT Improving Access to Psychological Therapies JCP Joint Commissioning Partnership NHS National Health Service NHSE National Health Service England OPS On-line Pupil Survey PinK People In the Know PMHW Primary Mental Health Workers SEND Special Educational Needs and Disability TACS Turnaround for Children Service TiC+ Teens in Crisis VCS Voluntary and Community Sector YOS Youth Offending Service YSS Youth Support Services 6 | P a g e Gloucestershire’s Transformation Plan 2015-2020 CONTENTS 1 EXECUTIVE SUMMARY 8 2 LOCAL STRATEGIC CONTEXT 10 3 LOCAL PARTNERSHIP AND GOVERNANCE 12 ARRANGEMENTS 4 GLOUCESTERSHIRE’S CURRENT SYSTEM 15 OF SUPPORT AND INTERVENTION FOR THE MENTAL HEALTH AND WELLBEING OF CHILDREN AND YOUNG PEOPLE 5 WHAT DOES THE NEEDS ASSESSMENT 22 TELL US? 6 WHAT HAVE STAKEHOLDERS TOLD US? 26 7 WHERE DO WE WANT TO BE? 31 8 WHAT WILL THIS LOOK LIKE FOR 51 CHILDREN, YOUNG PEOPLE AND FAMILIES? 9 HOW WILL WE IMPLEMENT OUR PLAN AND 52 TRACK OUR PROGRESS? 10 KEY REFERENCES 54 Appendices Appendix 1 Equality Impact Assessment 56 Appendix 2 Current Service Provision 57 Appendix 3 Strategic Needs Assessment 67 Appendix 4 Eating Disorders Service Recruitment and Retention Plan 68 Appendix 5 Activity, Finance and Staffing Skill-mix Schedule 69 Appendix 6 Children’s Emotional Health and Wellbeing Partnership 70 and Steering Group –Terms of Reference Appendix 7 Action Plan 71 Appendix 8 Outcomes and KPIs 72 7 | P a g e Gloucestershire’s Transformation Plan 2015-2020 1 EXECUTIVE SUMMARY 1.1 The difficulties being experienced by children and young people in terms of mental health and wellbeing and the subsequent pressures on services were recognised nationally in 2014 and resulted in the setting up of the national CAMHS (Child and Adolescent Mental Health Services) Taskforce. 1.2 The Government’s response to the work of the Taskforce (a report entitled Future in Mind) was published in March 2015: https://www.gov.uk/government/publications/improving-mental-health-services-for- young-people 1.3 Future in Mind talks about the need to take local ‘whole systems’ approaches to the issues