Emotional Wellbeing Mental Health Service EWMHS November 2016
Emotional Wellbeing & Mental Health Service (EWMHS) November 2016
Future in Mind (Do. H, 2015) Promoting, protecting and improving our children and young people’s mental health and well-being § Promoting resilience, prevention and early intervention § Improving access to effective support; a system without tiers § Care for the most vulnerable § Accountability and transparency § Developing the workforce
EWMHS formerly known as “CAMHS” Some background • Child and Adolescent Mental Health Services (CAMHS) were provided by a number of different health and social care organisations across the county of Essex • The services young people received were different depending on where they lived • The Commissioners (who pay for services) in all the areas got together and decided it would be best for young people if one organisation provided the same service for all young people in the county of Essex • They chose NELFT to provide these services • From 1 November 2015, “CAMHS” was renamed the Emotional Wellbeing and Mental Health Service (EWMHS) • For the areas of Essex, Thurrock and Southend for young people aged 0 to 18 - and up to age 25 for young people with Special Educational Needs (SEN)
The EWMHS Model & Structure Three Children’s Single Point of Access (CSPA) § CSPA teams are based in Thurrock, Southend and Colchester (Essex) and can all be accessed via one telephone number and email address § CSPA teams receive all referrals for screening, triage, signposting and allocation to locality teams § CSPA teams provide telephone advice and feedback to the referrer § Referrals can be made by GP’s, parents/carers, young people, schools, social care….
The EWMHS Model & Structure Seven Locality teams across Essex County
The EWMHS Model & Structure Three Crisis Response Teams • December 2015 - EWMHS integrated with the NELFT Mental Health Direct (MHD) service to provide an easy to access telephone service to children and young people and families after hours • June 2016 - NELFT EWMHS re-modelled the Crisis Service to provide 24 hour EWMHS cover across Essex and five Acute Hospitals to children and young people in crisis across the county • Additional support is also provided by an on-call Consultant rota and NELFT Manager on-call rota out of hours & weekends
NELFT EWMHS Referral Process & Response Times § Referrers seeking advice will be contacted within 24 hours of the initial request either by call or email § Referrals to the CSPA will be reviewed daily, screened within two working days & responded to within five working days once allocated to the locality team § All referrals are being prioritised according to the presenting clinical need, urgent assessments will be seen within two weeks from date of referral § All assessments to take place within 18 weeks § All consultant & non-consultant led treatment to start within 18 weeks of the referral (RTT)
Referral Criteria q q q q q Mood & anxiety disorders Behavioural & conduct disorders Emerging personality & attachment disorders Eating disorders Psychotic disorders Deliberate self-harm & suicidal ideation Substance misuse including dual diagnosis Autistic spectrum disorder (ASD) with co-occurring MH presentation Prolonged bereavement problems Attention deficit hyperactivity disorder (ADHD) with co-occurring MH presentation
EWMHS Team Structure
Next Steps § Continue to recruit to all teams § Evaluate 24/7 Crisis Model and discuss with commissioners possible models going forward § Increase number of children with home assessment § Essex wide eating disorder team § Digital opportunities- Big White wall, NELFT EWMHS App § Support for Schools across Essex: Training programme 2016/17 § Implementation post consultation of Care Pathway model of EWMHS Service Delivery
Working in Collaboration § 7 Young Persons events held across Essex in January 2016: 164 registered attendees § 7 Stakeholder events held across all localities § Bi – monthly Communications & Engagement meetings with commissioning collaborative § Attendance at BAP/Head Teachers meetings across Essex § Engagement with local schools in formulation of schools education & support programme
Key Achievements Service launch § Transfer of 217 WTE staff across from four incumbent providers § Provision of operational and clinical accommodation and IT access to all staff and services users across Essex Service re-structure and modelling § 93 day consultation with staff and implementation of a re-modelled service from 1 June 2016 § Crisis service re-model § Creation of new posts within re-modelled service and subsequent National Recruitment Campaign Service User and Professional Engagement § Stakeholder events held in October 2015 and January 2016 Innovative digital solutions and engagement § Big White Wall online access implemented and NELFT EWMHS App in progress § Training programme for Schools in progress
Service Challenges EWMHS recognises that the service has both historical and immediate challenges, the following have been established via service and stakeholder engagement. EWMHS is working hard to ensure the following challenges are addressed and resolved… § Culture change § Service capacity issues § National Recruitment § Demand capacity § Engagement and awareness of service change and re-modelling § Needs Assessment/ Service Re Commissioning LD 16/17
Contacting us: Call 0300 1600 to access the EWMH Service during working hours 9 am-5 pm, Monday to Friday. For out of hours & weekend Crisis Support Service, please contact our switchboard on 0300 555 1201 to be put through to our Crisis Support Service. For all general enquiries, please email: ewmhs@nelft. nhs. uk For all referral emails, please send them to: NELFT-EWMHS. referrals@nhs. net All general enquiries will be replied to within five working days & all referrals will be screened by a specialist EWMHS health professional within two working days. Twitter: @NELFT www. nelft. nhs. uk Best care by the best people
“I will try to understand my feelings & get help when I have questions” Our vision for 2016 onwards by continuing to work together
Any questions?
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