1. Role of the Voluntary, Community and Faith Sector in contributing to the Children and Young People Transformation Plan

2. ‘’NHS England Chief Executive, Simon Stevens, said: “I think it is essential that NHS England is working with the Voluntary, Community and Social Enterprise sectors in co-producing the future of our NHS. We are working closely with VCSE organisations in the future direction for cancer, mental health, learning disability and other services. “The health service needs to think beyond the narrowly drawn notion of the national health service itself because we are, and always have been, heavily dependent on the support of the VCSE sector – 3 million volunteers and 5.5 million carers, 1.4 million of whom are full-time doing more than 50 hours a week unpaid as carers. “The work of VCSE organisations is often not highly visible but makes a huge impact on the lives of millions, often reaching people that do not typically access NHS services and experience the greatest health inequalities. The sector provides benefits not only for the residents of a local CCG but also for the good functioning of the local health service. If we want to get serious about demand moderation and the rate of growth of services, we should not forget about the good work that is being done, and in fact more that can be done, by those other parts of the local community. I am therefore really pleased that this Review is looking at how we can improve partnerships with the VCSE sector.” NHS England

3. Breadth of sector – geography, numbers, types of organisations, objectives Organisation of sector – large nationals, affiliations, partnerships, consortia, specific cause Strengths of sector – direct community reach, breadth of resources, development of relationships, operating models, responsiveness Models of delivery – broad spectrum of offer, community intervention – evidence based intervention, high risk management interventions Experience of partnership and development Co-production and Design developing step change opportunities Knowledge of local area informing decision making Engagement and participation with children and young people Funding models and financial contribution About the Sector

4. What gaps have been identified by the VCF sector in relation to children and young people’s mental health and wellbeing Evidence based interventions the VCF sector can offer in relation to this agenda How the VCF sector can contribute to outcomes in relation to the recommendations in the Transformation Plan Questions asked of the sector

5. ‘One of the main issues that we come across is that parents are aware something is not right with their child but they struggle to know how to support their child or what to do as they don’t know what it is they are up against regarding the mental wellbeing of their child. They also don’t know who to contact or where they should go – we always suggest that they speak to their Doctor but that is not always helpful for them.’ ‘In our experience referrals to the mental wellbeing service take a long time and this is not helpful for the families or child.’ ‘We come across a lot of children and young people who self-harm and it usually happens late at night when they are thinking and are alone in their rooms and they don’t know where to turn or who to talk too.’ ‘We have come across many young people aged 16 -18 who are suffering from depression and have been prescribed medication but does not seem to be moving forward in their lives... ‘ ‘More training and understanding to equip professionals to know what to do or where to go or how to be able to best support the child or young person without feeling whether they are doing the right thing or not would be helpful.’ Gaps in provision

6. Prevention and promotion

7. Thriving

8. Support to schools – training, direct interventions, group work Professional and parent support and briefing's Drop in and peer support young people On line support and advice Telephone support lines Sports and social events Community engagement events Outreach Support and advice asylum and refugee families Volunteering opportunities ‘one stop shop’ Young carer support Participation and engagement activity Available interventions

9. One to one Person Centered Counselling Therapeutic group work Play Therapy Art and Drama Therapy Systemic Family Therapy Cognitive Behavioral Support Solihull approach and attachment Solution focused therapy Neuro-linguistic programming Mindfulness Sleep Hygiene Evidence based practice provides us with opportunities for a more individualised, more effective, streamlined and motivated services.

10. Partnership working Group work interventions Specialist provision – specialist foster care, and specially designed residential services 24 hour support team Getting more help and risk management

11. Objective 1: To build resilient communities in all settings – VCF sector currently work with disadvantaged families and work to improve and build resilience through various programmes, eg Troubled family Network, Think Family Objective 2: Improve access to evidence based interventions – VCF sector have developed pathways based on timely first contact and referral processes and a number of evidence based interventions based on service delivery, Objective 3: Improve public awareness and understanding of children and young people mental health and wellbeing – VCF sector involved in a number of programmes from Domestic Violence, substance misuse and Young Carer services Objective 4: Improve the availability of information regarding self-help and access – A number of organisations such as CANW, MIND, Newground, YMCA, focus much of their work on building skills and empowering people, individuals and whole families to take control of their own lives and to make informed choices. This often is about giving the target group the confidence to access help when they need it when they often faced with stigma and other connotations. Promoting Mental Health and Building Resilience

12. Objective 5: Improve early identification and timely intervention – The VCF sector take services directly into the heart of the school where many issues around mental health and well-being are often first realised and identified. Many VCF organisations are involved at a community level where informal support can identify unmet need at an early stage Objective 6: Ensure ease of access to support based on need – Many VCF services operate a triage serviced by service leads following referral and assessment. Interventions are discussed with school leads and where appropriate with their designated Safeguarding officer. Those with higher needs and/or safeguarding issues are given higher priority and not one a ‘first come first served’ basis. Objective 7: Improve early identification and timely intervention for pregnant women and new parents – Local community based support groups are able to reach some of the more disadvantaged families who struggle to access timely support Early Identification

13. Objective 9: Use technology to develop and promote widely a pan-Lancashire online one stop portal - there are currently VCF providers who are specialising in the development of online support Objective 10: Create a single point of access into all services – this is being developed across the Families Health and Wellbeing consortia and structures are in place to provide referral routes to third sector provision Objective 11: Ensure transitions from children’s services will be based on needs of young person rather than age – Where appropriate VCF services will work with young people up-to the age of 25yrs dependent on need, vulnerability and capacity. Objective 12: Ensure children young people and families will have timely access to an evidence based community eating disorder service – community based initiatives provide a potential true community approach that could be developed Objective 13: Improve access to evidence based care and support designed in partnership with children – the VCF sector are already engaged in a number of participation projects across the County Improving Access to Effective Support

14. Objective 16: Prevent the development of mental illness through targeted interventions through groups identified as being high risk – A number of VCF services conduct group work and group based bereavement work which is known to decrease the risk of escalation/deterioration of mental health/illness and well- being. Care for the Most Vulnerable

15. Consortia arrangements already in place Partnerships and alliances identified One stop commissioning arrangements Data collection and quality management systems National organisations expertise and funding opportunities Partnership bids to bridge funding gaps How the Sector is organised

16. Some interventions evidence based, evidence gap in community based interventions Ensuring appropriate training in place for staff Scale up of quality management tools Scale up of data collection methodology Financial models can be challenging Breadth of organisations Meeting Health commissioning standards Risk Management

17. Questions and Discussion