commissioning vcs organisations in liverpool liverpool mental health and emotional well being...
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Commissioning VCS Organisations In Liverpool
Liverpool Mental Health and Emotional Well being partnership
Lisa Nolan
Children's Integrated Commissioning , NHS Merseyside
Damian Hart
Voluntary Sector Practitioner, MYA and ADHD Foundation
Commissioning VCS Organisations In Liverpool
Liverpool’s Journey:
• The need
• Where it all began - New Money, New agenda &The Phoenix Report
• Where we are now
• Where we are heading
Commissioning VCS Organisations In Liverpool
Liverpool:• Liverpool is 1 of the most deprived cities in UK • 900 LAC• 1614 in YOS• Approx 1000 refugee and asylum seeking c&yp• High population from BME communities• Approx 2000 Young carers in Liverpool• 1158 NEET population• C&yp with disabilities
Liverpool as a city would be expected to have a high prevalence of mh difficulties
Commissioning VCS Organisations In Liverpool
Liverpool:
• Population -100,000 C&YP
• Estimated need:
- Tier 1 = 63%
- Tier 2 = 29%
- Tier 3 = 8%
Commissioning VCS Organisations In Liverpool
The Beginning:• New national agenda – ECM, NSF• New Money – CAMHS grant• A recognition that children and young peoples
mental health and well-being should be
‘Every bodies business’
Commissioning VCS Organisations In Liverpool
The Beginning:
• The Phoenix Report –
- focused on services that were:
For young people
Age appropriate
Non-stigmatising
Easy to access
Result – Commissioning of YPAS
Commissioning VCS Organisations In Liverpool
YPAS (Young Persons Advisory Service):
Pre-CAMHS commissioning:
• Person centred counselling service
• Drop-in
• Ages 16-25 years
• Very little work with specialist CAMHS or AMHS
Commissioning VCS Organisations In Liverpool
YPAS – post CAMHS commissioning:• Multi-model counselling and therapeutic
service• Drop-in and support service• Age 10-25 years• Strong partnership working with specialist
CAMHS and AMHS – specifically 16-18 team (clinical governance)
• Good outcomes
Commissioning VCS Organisations In Liverpool
Where we are now:
• Increased number of VCS organisations delivering MHEWB services
- PSS (refugee and asylum seekers)
- ADHD Foundation
- Merseyside Youth Association
- Barnardos Young Carers
in partnership with........
Commissioning VCS Organisations In Liverpool
• Statutory Children's NHS Trust – Alder Hey
- Specialist CAMHS
- Targeted CAMHS (LAC, 16-18, BME, LD, YOS)
- Early Intervention CAMHS
- Single point of access
Commissioning VCS Organisations In Liverpool
Developments:
• Equality agenda
• Participation framework – developed, implemented and led by c&yp, families, commissioners & providers
• Robust performance monitoring process – activity and outcomes (CORC)
• Needs assessment tool
Commissioning VCS Organisations In Liverpool
• PBR developments
• Liverpool MHEWB VCS alliance:
- IMG
- quality assurance
- clinical and structural governance
Commissioning VCS Organisations In Liverpool
Outcomes:
For C&yp and their families:• Strong partnership working• Improved access and engagement of c&yp• Less stigmatising provision• Improved MHEWB of c&yp (CORC measures)• Think family approach• Increased range of servcies, therapeutic
interventions & locations - choice
Commissioning VCS Organisations In Liverpool
Outcomes:For Providers:• More robust structures in VCS organisations• Increased range of therapeutic interventions –
Evidence based and practice based evidence• Reduction in professional hierarchy• Shared learning and skills• Excellent relationships between providers and
commissioners
Commissioning VCS Organisations In Liverpool
Outcomes:
For commissioners;• Community and universal based work• Developed workforce• Shared learning and skills• Better value for money• Good relationships with Providers• Improved reporting with good dataset and
outcomes
Commissioning VCS Organisations In Liverpool
Challenges:
• Hierarchy of professions
• Stat v voluntary
• Capabilities questioned
• Cheap option not quality
• Impressions of the vcs
• Joint commissioning – Health v LA
Commissioning VCS Organisations In Liverpool
Where are we going?Outcomes based care pathway approach• Increased focus on early intervention and
prevention – schools and primary care• Build on work of VCS• Increased joint working between VCS and
statutory sector – secondments, single point of access
• IAPT – Stat and VCS together
Commissioning VCS Organisations In Liverpool
• Participation – FYI now peer mentors, supporting other projects and delivering training, puzzledout.com – development
• Mental health promotion
• PBR developments
• CAMHS IMT support and database
• CORC reporting
• Improved access
Commissioning VCS Organisations In Liverpool
• Develop equalities agenda
• Care Aims framework
Improved mental health of Children & Young People
[& their Families]
Reduction in Mild to Moderate
Distress
CAMHS Partnership, CAMHS ODG, FYI, Parent/Carer Advisory board
OutcomesImprovement Drivers
Stakeholders
Housing, education and training
Qualified and skilled mental health workforce
Safeguarding
Strategy
MHEWB strategy
Improvement Opportunity
Reduction in the development of Moderate
To Serve distress
Increased Identification of C&YP with
early indicators of distress and risks
Improved Environments so that Children,
Young People & families can Thrive
Governance
Participation/needs led provision
Think Family
Liverpool CAMHSOutcomes Strategic Map
Liverpool PCT HOU ©
Reduction in life long distress
Self Help, Management and education re: mh difficulty/illness
Maternal mental health
Awareness and support re: transitions in c&yp’s life
Robust reporting and reviewing of activity and outcomes
Understanding cultural diversity and disability/equalities through CAMHS
Early intervention teams (vol and stat. partnership) Tier 3 teams Tier 4
Targeted support – ADHD, Young Carers, LAC
C&YP MHEWB Governance structures
C&yp Trust board
MHEWB Partnership Board
MHEWB ODG
Service development groups
Be Healthy Group
MHEWB Commissioning group
FYI and parent/carer boards
ICE
Commissioning VCS Organisations In Liverpool
Top Tips:
• Understand need of population and providers
• Involve all stakeholders inc. c&yp and families
• Understand the market, workforce and skills
• Jointly commission (if can!!)
Commissioning VCS Organisations In Liverpool
• Relationship build – stat and VCS spend time together – safe space
• Governance structures – make sure in place – if not support the development of them
• Share learning – safe space to do this
Involve and Communicate!!
Commissioning VCS Organisations In Liverpool
Contacts:
[email protected] or [email protected]
Thank you