Teresa Smith (Director of Adult Mental Health and Learning Disability Services) and Dr Fabdia Noushad (Community Services Specialist Clinical Director) will provide an overview of services delivered specifically relating to this review.
Members previously indicated that they wished to have details of service provision and gaps in provisionbudgets and budgetary trends, comparative data, the processes involved and the monitoring of performance. Members will be asking questions on these topics and other areas of interest in order to gather evidence for the review.
Minutes:
Teresa Smith (Director of Adult Mental Health and Learning Disability Services) and Dr Fabdia Noushad (Community Services Specialist Clinical Director) provided an overview of services delivered specifically relating to this review.
The following comments were presented during the overview:-
a) LPT won the tender to be a national pilot site for Liaison Diversion Services which involved working with the Police, Criminal Justice System and the Courts.
b) The Bradley Commission had made a visit on 10 July 2014
c) The Trust was working to identify local stakeholders to plan and improve services in response to the Mental Health Crisis Care Concordat issued in February 2014.
d) Some key service developments will also improve the quality of care of young black people. A briefing note on these services can be provided.
e) National data sets are being complied as part of this work which will then be broken down to local levels and although this is at an early stage and it will influence how service are provided in the future.
f) LPT pioneered the Triage Car (mental health nurse accompanying a police officer) which had now been used as a national model. The Triage Care showed a 33% reduction in people being detained under Section 136 of the Mental Health Act 1983. The Triage Car had now been included in the Liaison Diversion Services.
g) LPT had set up the recovery college and over 500 people had gone through the college and the data was being monitored and analysed.
h) Feedback is also received for the Voluntary and Community Sector which informs the LPT on where services need to be redesigned.
i) A workshop was being held the following week to profile demographics and to see what services should be commissioned in each of the three CCG areas. Each CCG area had differing commissioning needs.
j) LPT also provides some specialised commissioned services such as health care in prisons which includes providing mental health services.
k) LPT are already rolling out the R10 system in mental health services and for older people and will shortly roll it out in the Crisis Care Team.
l) Data can be provided on the breakdown of the workforce for the services provided.
m) The ‘Smoothie Project’ involving music, drama and DJ skills for young black patients had produced tangible health benefits for those involved. A briefing note would be supplied after the meeting.
In response to Members questions, the following responses were received:-
a) It would take further work to look at the existing data to see if it was possible to make comparisons or show trends at national, regional and local levels for the three main mental health illnesses suffered by young black men in relation to the population as a whole.
b) LPT takes part in national data benchmarking but it does not go down to lower levels as there is no specific key performance indicator for mental health involving BME communities.
c) In some instances the Police are unaware that young black children exhibiting behavioural problems may have adopted or attachment disorder issues.
d) There are systems in place to move people quickly to hospital care if this is need, but equally there is a need for the Police to have more training on these issues in view of the number of the numbers of young black people that become engaged in the system.
e) The Liaison Diversion Services also includes a pathway for CAMHS and was felt that these pathways worked effectively.
f) The CQC identified training as an area for improvement and additional training had now been provided for staff and staff also had access to translation service. The effectiveness of training was monitored was monitored through patient feedback and experiences, complaints received, interpreter feedback and ward monitoring and audits. There was however, more work to be done in the future on cultural competency skills for staff.
g) Patient discharge and re-admission was monitored to see if the community support was available and effective after discharge. A clinical sub-group of 3 GP lead met monthly with the commissioners to discuss these issues.
Members of the Commission made the following observations:-
a) That everyone collecting data should use the same data collection categories as those used in the national census as this would allow a consistent approach and allow more meaningful comparisons between data sets.
b) There was higher proportion of black children excluded from schools.
c) All services commissioned locally should meet the national framework set out in the Joint Commissioning Panel for Mental Health’s publication ‘Guidance for commissioners of mental health services for people from black and ethnic minority communities.
d) There may be a need to recall Adult Social Care officers to provide further information on the changing relationships with Akwaaba Ayeh.
e) Young black men are known to live alone and if they are leaving care robust measures need to be in place to ensure that this group receive the after car they need. Evidence may be needed from Corporate Parenting and Social Care to receive assurances that this group do not miss out on care and support provided in the community.
f) If would be useful to have data for the groups for each step level.
g) There was still a preponderance of generic commissioning of services to meet the needs of a very diverse population, parts of which had specific health issues.
The Chair thanked Teresa Smith and Dr Noushad for their attendance and participation in this review.