1. Emotional Wellbeing & Mental Health Service (EWMHS) November 2016

2. Future in Mind (DoH, 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

3. 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)

4. Three Children’s Single Point of Access (CSPA)
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 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….

5. Seven Locality teams across Essex County
The EWMHS Model & Structure
Seven Locality teams across Essex County

6. Three Crisis Response Teams
The EWMHS Model & Structure
Three Crisis Response Teams
December 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 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

7. NELFT EWMHS Referral Process & Response Times
Referrers seeking advice will be contacted within 24 hours of the initial request either by call or
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)

8. Referral Criteria 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

9. EWMHS Team Structure

10. 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

11. 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

12. 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

13. 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 and capacity
Engagement and awareness of service change and re-modelling
Needs Assessment/ Service Re Commissioning LD 16/17

14. Contacting us:
Call to access the EWMH Service during working hours 9am-5pm, Monday to Friday.
For out of hours & weekend Crisis Support Service, please contact our switchboard on to be put through to our Crisis Support Service.
For all general enquiries, please
For all referral s, please send them to:
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.
Best care by the best people

15. Our vision for 2016 onwards by continuing to work together
“I will try to understand my feelings & get help when I have questions”
Our vision for 2016 onwards by continuing to work together

16. Any questions?