1. Mental Health and Emotional Wellbeing
23 January 2019
Working together with the Barnet population to improve health and well being

2. Prevalence (1)
Estimated prevalence of mental health disorders in CYP (2015) was 8.3% of the population aged 5-16 (compared to London 9.3%; England 9.2%) – rises to 7,565 for 0 – 17 year olds
In 2016/ hospital admissions for DSH (aged 16-14) in Barnet, representing 179 admissions/100,000, lower than the national rate of 407 admissions/100,00.
Rate of first hospital admission for mental health conditions in 0-17 year olds in Barnet is significantly worse than the English average, 158/ 100,000 for Barnet compared to 82/ 100,000for England (and 77/100, 000 for the London region)
“What about Youth Survey” of 15 year olds found that in Barnet 1 in 2 participants were unhappy with their body shape; 5% of participants had low satisfaction with life, and 1 in 2 had been bullied at least once in the previous few months.
2004 ONS survey found that prevalence of mental health disorders was higher in children and young people where:
there were lower levels of parental educational attainment.
neither of their parents were working.
they were living in households with a low household income.
they were living in areas of socio-economic deprivation.
Underestimate
ONS
0 – 19 health needs assessment for CYP
Working together with the Barnet population to improve health and well being

3. Prevalence (2)
Overall boys are more likely (11.4%) to experience a mental health problem than girls (7.8%), but girls are slightly more likely to experience an emotional disorder
Since 2013 there had been a rapid increase in referrals to Barnet CAMHS from the local authority and significant rise in the number of young people presenting with deliberate self-harm (DSH)
Working together with the Barnet population to improve health and well being

4. CAMHS Transformation Plan
Submitted annually to NHS England from 2015
Ambitions to improve whole system of emotional health and wellbeing for CYP inline with THRIVE
Overseen by CAMHS Transformation Board
Monthly partnership meetings, chaired by CCG Clinical Lead
Improved communication between partners to improve pathways and adapt to challenges
Focus for the next 6 months to address:
Continue to embed improvements in early help
Reduce waiting times
Improve support for young people in crisis
Reduce variability in service offers
Improve access – explore single point of access
Coproduction and engagement.
FYFV
Annual LTP
Thrive – getting advice and signposting / getting help / getting more help / getting risk support
The CAMHS board –
Developing shared system narrative
Adapt to challenges e.g. badge of honour
Working together with the Barnet population to improve health and well being

5. Early years Early Years Hubs (0 – 19) – live from October 2018
Children’s Centres
Classes, childcare
Adult support: parenting, wellbeing, employment
Health visiting
Perinatal mental health
Case study: Support for 4 year old / family
Improvements: LBB continue to embed etc.
Working together with the Barnet population to improve health and well being

6. Support in school Prevention and early help Mental health first aid
Digital - KOOTH / QWELL
More support
Children’s Wellbeing Practitioners
Primary Mental Health Workers
Continue to embed LBB Clinical Team
Review equity of offer
Space2Grow funding for VCSE
Case study: school age, behaviour, anxiety…
Also teams for LAC / REACH / YOT
Young Barnet Foundation – space2grow:
Suberbos ‘FUNdamentals Through Football’ (£5,970): 28 week educational programme aimed at yr 5 and 6 pupils to equip with skills necessary for transition to Secondary School and designed to harness the positivity of trusted relationship with sports coaches. 2hr workshops after school that will deliver 1hr workshop on issues such as self-esteem, conflict resolution, bullying and equality and 1hr of football training 
Data: schools , KOOTH
Improvements: roll out, QWELL, LBB clinical team embedding
Working together with the Barnet population to improve health and well being

7. Specialist provision Specialist support:
Primary care and general practice
Generic CAMHS
Eating disorders – NCL Review
Adolescent services
Family therapy
SEND
Paediatric liaison
Waiting times
Review of Specialist Provision:
Three providers
Variability
Case study: as moves to secondary school, depression / self-harm … specific service
Also specific services : Refugee
SEND – lifespan (t&p) and SCAN
Data: BEH access target
Improvement: specialist CAMHS review – equity, geography etc.
Working together with the Barnet population to improve health and well being

8. Supporting CYP in crisis
Transforming care – Key workers
Assertive Outreach – shadow from Dec ‘18, live Feb ‘19
Out of hours support (North Central London provision) – April ‘19
Specialist inpatient provision – New Model of Care
New provision: AOT / OOH
Data: tier 4 – 2017/18 tier 4 spend by NHS E = £2.9m
Improvements: TCAPs, NCL /NEL new model of care for specialist
Working together with the Barnet population to improve health and well being

9. Your view Current provision What works well with current service?
Where do you see current gaps in the service?
Transformation
What are your initial thoughts about this service redesign?
Does this address your current issues and concerns with the service?
What qualities are important to you?
Pathway
How would you like your interface to work with early help provision?
How would you like your interface to work with secondary care?
Working together with the Barnet population to improve health and well being

10. Your view Please continue to feedback your thoughts to: Zoë Garbett
Assistant Director, Children and Young People’s Commissioning (CCG)
Working together with the Barnet population to improve health and well being