Attendees
- Iona Lidington, Convenor and Public Health Lead
- Jo Farrar, Executive Lead for the NHS in Kingston and Richmond.
- Denise Madden, Deputy Lead for the NHS in Kingston and Richmond
- Sue Lear, Transformation, NHS South West London ICB
- Annette Pautz, Primary Care Development Lead
- Liz Meerabeau, Healthwatch Kingston
- Grant Henderson, Your Healthcare
- Sam Morrison, Assistant Director, Adult Social Care, Health Commissioning and Transformation, Royal Borough of Kingston
- Racel Tucker, South West London & St George’s Mental Health NHS Trust
- Shane Brennan, Staywell
Transformation
South West London Investment Fund 2023/24
In 2022/23, NHS England received additional funding worth £200 million for health inequalities, which was allocated to ICBs (through a needs-based approach) to support system plans developed with health and care partners. The Health Inequalities Fund for 2023/24 sees a further £4.3m health inequalities funding available to South West London with Kingston to be allocated £135k for existing schemes and £45k for new schemes. The funding for successful schemes will be authorised to run until the end of March 2025.
It was noted that the funding should:
- Be directed towards the services and populations who face the largest inequalities in access, experience, and outcomes.
- Maintain work to reduce health inequalities, such as the NHS five priority actions, the Core20PLUS5 approach, while achieving financial balance and elective recovery.
- Be considered by systems for use in High Intensity Use programmes which can support UEC pathway pressures whilst at the same time addressing health inequalities.
The committee heard that the scheme is expected to launch in the autumn and that the process for reviewing the health inequalities projects to be taken forward at place level needs to be agreed in September. The committee also heard that Kingston schemes for 2022/23 are currently being reviewed and a report on this will be provided later in the year.
SWLSTG K&R Community Mental Health Transformation Update
The committee was provided with an update on the ongoing transformation programme for both community adult mental health services. The transformation is part of the NHS long term ambition to establish new and integrated models of community mental health care to support working age adults and older adults who have severe mental illnesses so that they will have greater choice and control over their care and be supported to live well in their communities.
Members were informed that new investment has resulted in expansion of the clinical workforce and an introduction of new roles, with a greater focus on interventions and therapies as well as the introduction of tailored interventions from VCSE-led Peer Support and Welfare Advice organisations.
In Kingston, these expanded services are accessible via the borough’s newly established Single Point of Access team and delivered within Integrated Recovery Hubs (IRH) which have replace the Community Mental Health Teams:
- North Kingston Community Mental Health Trust is now North Kingston Integrated Recovery Hub
- South Kingston Community Mental Health Trust is now South Kingston Integrated Recovery Hub
Members sought further clarity on the newly commissioned welfare advice service provided by voluntary sector partners to offer assistance with issues such as welfare benefits, housing and finances. It was considered beneficial if this service was joined up with all the other workforce expertise around in relation to advice, information and guidance on offer.
Members also noted the following update on CAMHS Transformation:
- Neurodevelopment pathway – recruitment of new screening post to meet demand in increased Neurodevelopmental Treatment referrals. Digitisation of screening forms being scoped to improve experience and streamline process.
- Transitions – Transition Workers now in Kingston and Richmond and defined process for transition from CAMHS to adult mental health services (AMHS)
- IAPTUS system development underway to streamline information sharing between providers to improve experience of young people that may receive care from both providers
- Automated information sharing between the Trust and schools where young people have given consent. Communications protocol in draft to support awareness of when schools can expect to hear from the Trust
- Emotionally Related School Avoidance (ERSA) pilot due to run to March 2024 in Kingston
Communications and Engagement
No update this time.
DATE OF NEXT MEETING – 19 September 2023. This meeting will be a joint workshop with the Kingston Strategic Partnership Board at Guildhall, Kingston.