1. Healthwatch Hillingdon
Poor effort !!
Hillingdon, I think you can do so much better
Healthwatch Hillingdon
Children & Young Peoples Emotional Health & Wellbeing
Graham Hawkes - CEO
#MakeaDifferenceYPMH

2. The start of a journey Met with parents Analysed data
Investigated further
Spoke with providers

3. Initial Findings Service review without meaningful user engagement
Large service gaps
12 month wait for treatment
High attendance at A+E for self harm

4. Initial Action CCG Quality Safety & Risk Committee
Children’s Safeguarding Board
Health & Wellbeing Board
Commissioned engagement program

5. Engaging Children and Parents / Carers
Worked with Voluntary Sector Partners
Face to face interviews
Focus groups
Surveys
Only small numbers, BUT ……..

6. Interim Report Lack of early intervention and fragmented services
Damning indicator of the large gaps in provision
Difficulties in accessing areas of best practice
Tier 3 waiting lists were over 12 months
Children and their families feel ignored and unsupported

7. Interim Report
Called for urgent establishment of a multi-agency ‘task and finish’ group
Sought a long-term whole system solution
Comprehensive CAMHS funding to enable and maximise early intervention
Collective working to develop a clearly defined plan
Involve real engagement of young people and their families

8. Published with Impact
Mentioned pending publication at every opportunity
Endorsed by Council and CCG
Publicity campaign for lead up and launch
Published on day of Health & Wellbeing Board
Distributed widely

9. Catalyst for Change
Multi-stakeholder CYP Mental Health and Wellbeing group formed by commissioners
Joint Social Emotional Wellbeing and Mental Health Strategy started
Children’s Mental Health Needs Assessment commissioned
Interim funding to reduce Tier 3 waiting list
Funding for LD CAMHS, Out- of-Hours CAMHS intervention at A+E and Perinatal services

10. C+ Better effort !! Sustained Challenge
Still think you can do a lot better
See me about partnership working
CYP Mental Health and Wellbeing group
CCG Governing Body
Health & Wellbeing Board
Relationships
Missing partners
Constant reminder of continued engagement

11. Future in mind Echoed our interim report
Reinforced our recommendations
Transformation Plan

12. Comprehensive Report Eagerly awaited by commissioners and providers
Pre-empted by publicity campaign
Short animation

13. Comprehensive Report Uncomfortable hard hitting stories
Rich evidence base which could not be ignored
Careful not to criticise
Highlighted what works
Outlined ‘Blue Print’ for improvement

14. Transformation Plan Hillingdon was already in advanced position
Insight provided by HWH referenced throughout plan
Plan not submitted without HWH sign off
Transformation Plan approved
£524,623 funding

15. Transformation Plan (Nov 15 to Mar 16)
Understanding the role of Schools/Colleges in emotional well-being and commissioning services such as counselling
Development of primary CAMHS for non MH specialist staff
Development of MH training for the Children’s workforce
Reducing the waiting times for tier 3 CAMHS
Development of Self Harm, Crisis and Intensive support service
Development of comprehensive LD service for children with mental health, challenging behaviour and autism
Develop a Community Eating Disorder service
Continue to work to address the issues of Perinatal Mental Health and the impact upon children

16. Continued Oversight
Healthwatch oversees the current delivery of Transformation Plan
Ensuring the wider involvement of children and young adults and their carers/family
Challenging the implementation