Attendees:
(Cllr) Piers ALLEN, South West London Integrated Care Partnership Local Authority Member
Jo DANDRIDGE, Lead Business Manager (NHS South West London ICB)
Shannon KATIYO, Committee Public Health Lead
Jeremy DESOUZA, Local Authority Lead
Sue LEAR, Deputy Director of Transformation (NHS South West London ICB)
Denise MADDEN, Place Development Programme Lead
Jo FARRAR, Kingston and Richmond Place Executive Lead
Kathryn WILLIAMSON, Voluntary Sector Lead
Ian DODDS, CEO, Achieving for Children
Anne STRATTON, NHS Community Lead
Mike DERRY, Healthwatch Lead
Jennifer ALLEN, Mental Health Lead
John ANDERSON, Chair, Healthwatch Richmond
Heather BRYAN, Primary Care Provider Lead
Tara FERGUSON-JONES, Communications and Engagement Lead
Nike AROWOBUSOYE, Public Health Consultant
Caroline O’NEILL, Lead engagement Manager (NHS South West London ICB)
Transformation Update
Adult secondary mental health services
An update was given on the phased approach to establishing borough-based access teams in Kingston and Richmond for adult mental health services. The team will be split into two distinct teams – which will be an important enabler as the organisation develops more integrated community mental health teams at borough level.
Transfer of Richmond Wellbeing Service to SWL & St George’s from East London NHS Foundation Trust
An update was given to the committee stating that all was on track to complete the transfer of the Richmond Wellbeing Service (IAPT & Primary Care Liaison Service) on 5 December 2022 from East London NHS Foundation Trust (ELFT) to South West London and St George’s Mental Health NHS Trust. This will align adult mental health services under the local lead provider.
Dementia Health and Care 10-year strategy Update
A presentation was delivered by Dr Nike Arowobusoye to the committee outlining the following key points:
- Richmond Council and health partners are currently developing a new dementia strategy following the conclusion of the refreshed the 2020-2022 strategy that delivered the Dementia Care and Prevention Pathway. The strategic vision is for Richmond residents affected by dementia to live well throughout their lives with the right support and care
- The strategy is being informed by engagement with a broad range of partners including commissioners, service providers, the voluntary sector, and the public.
- The dementia pathway covers five phases
- Priority phase 1- Preventing dementia
- Priority phase 2- Diagnosing dementia (diagnosis and early detection)
- Priority phase 3- Supporting after diagnosis – dementia support to people living with dementia and their carers, dementia friendly communities
- Priority phase 4- Enabling a fulfilling life with dementia
- Priority phase 5- Ensuring dignity and comfort for those dying with dementia
- A set of focus areas were constructed within the dementia pathway. They are to:
- Improve dementia awareness
- Improve access to equitably distributed dementia-related services
- Improve the quality of local dementia-related services
- Ensure a smooth interface and navigation between dementia services for people affected by dementia, carers and those who work with them
- Develop a digital offer that provides accessible and easy to use offers along the pathway to these services
- The short, medium and long term objectives were also shared and discussed. A discussion was held around the work of partners and funding activity would be within each partners plans. Nike confirmed agreement for health partners logos to be added to the strategy.
- Next step will be to publicly consult on the 10-year strategy in November 2022 and take to Adult Social Services, Health & Housing Committee in February 2023.
System Update
Children and Young People’s mental health
Jo Farrar, NHS executive lead for Richmond gave an update on some work we have been doing across Kingston and Richmond, together with local head teachers on the back of concerns raised about access to CAMHS provision, and the impact of the decline in mental wellbeing within schools.
Together with Achieving for Children and South West London and St George’s, and other local partners, we ran a workshop with headteachers in September, to set some priorities for action.
Some of the solutions should be relatively straightforward to implement, while others will take longer, with some requiring additional resource. We have set up a task and finish group which will oversee the work and there will be regular updates at the place committee.
The programme of work has been developed around three key themes:
- Service adjustments to provide improved support to children and young people
- Communication and information sharing to enable more effective care and manage risks
- Engagement, training and pathways across system partners
Communications and Engagement
Community engagement strategy
A paper was presented outlining the community engagement strategy for Richmond. In summary, it highlighted the following key points:
The strategy aims to ensure that the voice of local people and communities, especially those at risk of poorest health outcomes in our boroughs is heard and can influence how we plan and deliver local health and care services. The strategy has been developed collaboratively with partners.
- The following approaches will be taken:
- engagement is with people where they live, work, and come together in our boroughs, this approach is key to broadening our engagement so that we hear from groups experiencing health inequalities and people from whom we do not routinely hear.
- we will evolve the existing engagement reference group (the Richmond community involvement group) – into a broader community voice group
- we will also set up a Kingston and Richmond engagement assurance group. Which will enable both the Place based partnership and local communities to be assured that appropriate involvement with local people has taken place and has had an impact on Place based decisions
- we will establish a community conversations roadshow which could be a mix of in person moving around the borough or virtual. This would provide an opportunity for local people to question and share their views with local decision makers. It could help raise the profile of our place-based partnerships amongst local communities and give local people confidence that we are listening and acting on what they have told us.
Date of next meeting: Wednesday 16 November 2022