Cllr Piers Allen, Convenor and Chair of Richmond Health and Wellbeing Board
Jo Farrar, NHS Executive Lead for Kingston and Richmond
Denise Madden, Deputy Executive Lead for Kingston and Richmond
Anne Stratton, NHS Community Lead
Shannon Katiyo, Director of Public Health, Richmond and Wandsworth
Jermey De Souza, Director, Adult Social Care and Public Health, Richmond and Wandsworth
Tara Ferguson-Jones, Communications and Engagement Lead
Jen Allan, COO, South West London and St George’s Mental Health NHS Trust
Nick Grundy, Primary Care Development Lead
Sue Lear, Transformation, NHS South West London ICB
Fergus Keegan, Quality, NHS South West London ICB
Melissa Wilks, Carers Lead, Richmond Carers Centre
Lynn Wild, Associate Director Health & Care, Adult Social Care and Public Health, Richmond and Wandsworth
Kathryn Williamson, Director, Richmond Community and Voluntary Services (RCVS)
Richard Wiles, Commissioning, Public Health, Richmond & Wandsworth
Caroline O’Neill, Lead Engagement Manager (Kingston and Richmond), NHS South West London ICB
SWL Health Inequalities Fund 2023/24
As part of the national priorities to focus on health inequalities, South West London has been awarded £4.3 million from the national team for 23/24. In July 2023, the ICP Board agreed to a funding process for the Health Inequalities Fund (23/24).
Of the funding that is allocated to Place level, 75% is allocated for existing projects for extension of delivery. For Richmond this is £176,006. A panel has been convened to review and prioritise the schemes that should be put forward for this year’s funding.
The additional funding should help systems to maintain work to reduce health inequalities, such as the NHS five priority actions, the Core20PLUS5 approach, while achieving financial balance and elective recovery.
Funding is expected to be directed towards the services and populations who face the largest inequalities in access, experience and outcomes, recognising the need for local level flexibility to target the funding where it is most needed to narrow the healthcare inequalities gap, and allow for local creativity and innovation.
The committee was asked to note the process for inviting new schemes for the remaining 25% of the allocation will be clarified in the coming weeks.
The Right Care Right Person (RCRP) programme
The RCRP is a police-led programme to ensure that police time is used according to core policing principles across a number of interactions with health and social care services.
These include the support of people Absent Without Leave (AWOL) from health/social care settings, concerns for the welfare of vulnerable people, and the Section 136 (S136) Mental health pathway.
The Met Police proposed to implement RCRP in London from 31 August, which has resulted in further discussion with health and social care services due to the potential impact of the changes on these services and vulnerable service users.
As a result, a number of collaboration forums have been set up, an implementation programme established, and the commencement date for RCRP changes revised to 31 October and a phased approach.
The committee heard that across SWL we continue to see people with often complex mental health needs accessing emergency services – both police and hospital emergency departments, and acute and urgent mental health services – when they need support and care in a crisis.
This corresponds with a sustained 25% increase in demand for mental health services generally. The committee heard that some concerns remain across health and social care about the potential impact of RCRP but there is agreement on the principles and commitment to partnership working to make the programme a success in the appropriate timescale.
South West London and St George’s Mental Health Trust will continue to participate fully in these forums and the programme and share information with partners as the work progresses.
Quality and Performance
Mental Health Commissioning Review
The Directorate of Adult Social Care and Public Health carried out a review of the commissioning of social care services for adults with mental health needs in August 2022. The committee was shown a summary of the findings and outcome of the review.
The review concluded that there has been a significant increase in demand for mental since the pandemic and in addition there is limited supply of appropriate provision for mental health service users especially service users with complex needs. The committee were shown a number of recommendations. Key areas included:
- securing and managing the quality of the accommodation offer
- designing a service model for better outcomes
- service acquisition and procurement
- contract management, quality assurance and safeguarding
Communications and Engagement
The committee was shown an overview of engagement work at Place between April and June 2023 They were also shown the team’s Engagement Tracker which has been established to map partners’ engagement activity and to record insight and future opportunities to work together at Place.
The committee heard that a forward plan for engagement at Place is being developed by mapping partner transformation projects across Richmond and Kingston. Mapping of these transformation programmes against our Joint Forward Plan priorities has begun alongside current and recent engagement projects that can inform local programmes of work. This will help form a clear path to developing a forward plan for engagement and will be presented later this year.
Date of next meeting – 18 October 2023