1. Transforming mental health services for young people in Norfolk & Waveney
Voluntary Sector Forum for Children and Young People
05 March 2019

2. CYPMH Review – what we did
Our brief:
To support the Norfolk & Waveney system to drive (at pace) the transformation of mental health services for children and young people
We have looked at partnership arrangements, leadership, governance and capacity
We also looked in detail at the current pattern of services
We have gathered the views of children and young people and have produced a supporting ‘Insight’ report
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3. CYPMH Review – our report
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4. CYPMH Review – our conclusions
current weaknesses are recognised, strong appetite for change
compelling vision exists, but no clear route map
Governance complex and bureaucratic, which clouds accountability
significant fragmentation: of leadership; of contracting; of capacity
no clear framework for routinely gathering and acting on insight
not an integrated, whole system approach and some relationships are strained
clinical and professional leadership is not embedded
provision is siloed, pulling CYP ‘up’, not pushing ‘down’
no clear system financial envelope, or a forward investment plan
risk of short term contractual/procurement concerns precluding further integration
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5. CYPMH Review – our recommendations
We developed our recommendations together with teams and individuals across the system…
…and tested/refined them at a major cross-system workshop in November
Our recommendations address each of the issues we highlight in our report, but we have worked hard to ensure that together they are implementable
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6. CYPMH Review – our recommendations
Communicate, communicate…
Mobilise service redesign task and finish groups
Implement new leadership and governance model
Confirm financial baseline
Confirm tier 2 contract extension
Design integrated system commissioning team
Refresh vision
Co-produce detailed implementation plan
Conclude strategy refresh
Single front door operational
Integrated tier 2/3 service
Complete contract disaggregation
New contract processes begin
Framework for innovation agreed
Insight model agreed
Complete workforce strategy
Engagement on wider children’s vision
New integrated children’s model/pathways operational
ICS/integrated system structures embedded
18-36 Months
6-18 Months
0-6 Months
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Development programme – learning through doing

7. CYPMH Review – workstreams
As part of phase two (implementation), we have now established 15 workstreams grouped into four main areas:
Area
Workstream
Future service model
Single point of access
Integration of tiers 2/3
Innovation & research
Insight
Future governance & capacity
Governance
Integrated team
Contracting
Outcomes and reporting
Area
Workstream
Enablers
Comms & engagement
Finance
Sourcing
Third sector
Demand and capacity
Workforce
Wider vision for integrated CYP services
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8. CYPMH - Workstream mandate
Workstream title
3rd sector partnerships
Clinical lead
n/a
Executive sponsor
Rebecca Hulme / Sarah Jones
Rethink lead
Clare Morris
Workstream lead
Dan Mobbs
Workstream objectives
To develop a broader strategic approach to working with the 3rd sector joined up between NHS and CCG partners.
Core team
Jonathan Stanley, Stuart Bell GYW Mind, Cindee Crehan Momentum, Andrea Bell ADHD Norfolk, Kirsty Pitcher Benjamin Foundation
Other key contributors
Wider 3rd sector organisations
Milestones (Feb – May)
End Feb – Agree process and membership of initial group; confirm mandate
5th March – Voluntary Sector Forum for Children and Young People
March / April – 3 x meetings
Meeting 1: Define scope / refresh problem statement, share current approaches in system and best practice from elsewhere, agree objectives and core elements of model, identify other key stakeholders
Meeting 2: share emerging model; identify resource implications
Meeting 3: Finalise recommended model, confirm resources and other implications
May – Share proposed 3rd sector model with Executive Sponsor group for decision to pause or progress to implementation

9. Wider engagement Vision for integrated children’s services
Communications and engagement: how can we keep voluntary sector partners informed and engaged?
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