1. Mental Health Engagement Evening
Welcome

2. AGENDA
Hillingdon Patent Carers Forum - Natasha Copas
Hillingdon Council – Philip Ryan
Hillingdon GP – Dr Stephen Vaughan-Smith
Hillingdon Clinical Commissioning Group – Ian Kent
19:00 BREAK
Hillingdon Children’s & Adolescent Mental Health Services - Melanie Woodcock
Hillingdon Mind - Yohan McDonald
Healthwatch Hillingdon – Graham Hawkes
20:00 Close

3. Natasha Copas - Hillingdon Parent Carers Forum
Introduction
Natasha Copas - Hillingdon Parent Carers Forum

4. Philip Ryan - Hillingdon Council
SEND Local Offer
Philip Ryan - Hillingdon Council

5. Manager, Families’ Information Service
SEND Local Offer
Philip Ryan
Manager, Families’ Information Service 5

6. SEND Local Offer Purpose of the SEND Local Offer:
To provide information and advice for parents of children and young people with SEND up to age of 25
Information should be clear, comprehensive, accessible and up to date information
Parents and young people should be involved in developing and reviewing the Local Offer

7. SEND Local Offer SEND Local Offer website - www.hillingdon.gov.uk/send
Website was developed by September 2014
The site is on its second version and was adapted with parental involvement

14. SEND Local Offer Next steps
Feedback requested on the information on the website
The website will be redesigned this year. Please e- mail if you wish to be involved

15. Dr Stephen Vaughan-Smith - Hillingdon GP
GP Perspective
Dr Stephen Vaughan-Smith - Hillingdon GP

16. Hillingdon CAMHS Local Transformation
Ian Kent - Hillingdon Clinical Commissioning Group

17. Hillingdon CAMHS Local Transformation
28th March 2017

18. Needs Assessment
75% of all Adult mental health issues ( excluding Dementia) start before the age of 18 years
Nationally 6% of the MH budget is spent on CAMHS
1 in 10 of u18s have a MH issue
Anorexia has the highest mortality rate of any psychiatric disorder, from medical complications associated with the illness as well as suicide. Research has found that 20% of anorexia sufferers will die prematurely from their illness.
CNWL, who provides specialist CAMHS services in Hillingdon receive 70% of referrals from GPs, with other sources including A&E, Child Health, Local Authority and other Mental Health Trusts. The CAMHS caseload in Hillingdon increased during 2014/5 so that at the end of the year was around a third bigger than it was at the start of the year. This reflects the increased awareness of mental health, increased complexity. The most significant rise in referrals has been for those children and young people with issues of deliberate self harm.

19. Five year CAMHS Transformation
In November 2014 Norman Lamb MP Care Minister set up a Taskforce to review CAMHS given the number of issues raised in terms of length of waits for treatments and the number of CYPs placed in inpatients around the country. He concluded…“isn’t just about funding. What is needed is a fundamental shift in culture. A whole system approach is needed focusing on prevention of mental ill health, early intervention and recovery. We owe this to young people. It is with their future in mind that we must all commit to, and invest in this challenge.” June 2015 In March the Government announced £250M , for 5 years to transform CAMHS so that by 2020 more CYPs would receive evidence based treatment . Hillingdon has received £611k for CAMHS Transformation funding (Eating Disorders, Out Of Hours, Crisis, Self Harm and Learning Disabilities.

20. CAMHS current Model

21. Proposed New THRIVE Model
Shift resources in lower quadrants to the upper quadrants to ensure support whilst waiting for treatment and post treatment

22. Hillingdon CAMHS 5 year Transformation plan
Increased co-production
Move from Stepped care Model to the THRIVE Model- developing pathways such as LD/MH/ASD; Self Harm, Crisis and Intensive
Increase in Evidence based therapies
Increase in early intervention and help for all ages from Oct 2016
Targeted support to Vulnerable groups
Increased support/joint working with Schools
Reduction in inpatient care

23. Proposed New Projects, using NHSE funding
Developing Outcomes based services (revision of service specification)
Ensuring the service pathways are communicate to the children, young peoples and families and Children’s workforce in Hillingdon
Reducing the waiting times for CAMH Service
Evaluation of Self Harm, Crisis and Intensive support service
Evaluation of comprehensive LD service for children with mental health, challenging behaviour and autism
Evaluation of a Community Eating Disorder service
Understanding the role of Schools/College in emotional well-being and commissioning services such as counselling
Development of primary CAMHS for non MH specialist staff (2017/18)
Development of MH training for the Children’s workforce (2017/18)
Introducing co-production including parents and carers (January – June 2017)
Sign off the Hillingdon Autism Strategy

24. Next Steps
LBH and HCCG to jointly commission a pathway without tiers, focusses on treating children and young people in the right place at the right time which:
Promotes prevention and early intervention
Improves access to effective support
Provides smooth care pathways at pre-crisis and crisis points and avoids unnecessary admissions to inpatients care
Delivers step down alongside inpatient provision
Introduce a single point of access in April 2017

25. BREAK

26. Hillingdon CAMHS Service
Melanie Woodcock – Central North West London NHS FT

27. Hillingdon Parent Carers Forum
CAMHS
Presentation

28. Current Service Generic Core Team CAMHS Learning Disability Team
Complex Case Team / A&E Support
Support to Youth Offending Service
Daily Duty Clinician / Duty Consultant

29. Configuration of Team Core Clinical Team – 14.3 WTE
Learning Disability Team – 4.3 WTE
Complex Case / A&E – 3.2 WTE
Youth Justice Post – 0.5 WTE

30. Who The Team Are Child & Adolescent Psychiatrists
Child Psychotherapists
Clinical Psychologists
Family Therapists
Clinical Nurse Specialists
CBT Therapist
Behaviour Analyst
Assistant Psychologists
Support & Participation Worker
Administration Team

31. What We Do
We provide assessment and treatment for children and young people with Mental Health Difficulties
We offer a range of therapeutic multidisciplinary interventions, including family therapy, psychotherapy, CBT medication, psychiatric assessment and monitoring and a range of therapeutic and psycho-educational groups

32. We See Moderate to Severe Depression
Obsessive Compulsive Disorder (OCD)
Psychosis
ADHD
Assessment of self harm and associated mental health problems
Severe stress reaction / PTSD
Eating Disorders
Emotional & Anxiety Disorders
Children with moderate to severe Learning Difficulties / MH / Challenging Behaviours
Tourettes & Complex Tic Disorder

33. What we Can’t See
Unless there is a co-morbid presentation we would not see the following:
Parenting issues
Bullying
Child Protection Concern
Behavioural / Learning Problem
Developmental delay / coordination or social communication difficulties
Substance misuse as primary problem

35. Thank You & Questions

36. Working With Young People
Yohan McDonald – Hillingdon Mind

37. Parent/Carer Social Group
Graham Hawkes – Healthwatch Hillingdon

38. Come And Meet Each Other
CAMEO - a parent/carer social group
| friendship | conversation | support | information |