Issue - meetings

(To receive a report from the Executive Director – Children’s Services which invites the Executive to establish a new single Section 75 agreement for Children and Young People’s Mental Health Services)

1.    That the entering into of a new s75 Agreement with NHS Lincolnshire CCG/ICB from 1 September 2022 for up to five years be approved:

·       To pool all Council and CCG/ICB funding in relation to CYP mental health services; and

·       For the Council to act as lead commissioner for all Lincolnshire CYP mental health services (CAMHS, MHST’s and HML).

2.    That the entering into of a new single s75 Agreement with LPFT from 1 September 2022 for up to five years to deliver the functions delegated to the Council in relation to Lincolnshire CYP mental health services be approved.

3.    That the continuation of investment recurrently in CYP mental health services to the amount of £1,724,589 per annum, be approved, as follows:

·       £1m from the Public Health Grant towards continuation of HML to deliver whole population CYP mental health promotion, prevention and training and early intervention; and

·       £724,589 into CAMHS for specialist CYP mental health support in relation to the Council’s statutory duties, ensuring the emotional wellbeing and mental health of CYP, particularly those in care.

4.    That working jointly with the CCG/ICB and LPFT to review early intervention support provided by HML and MHSTs and agree a hybrid approach that allows the tapering of £1m p/a Council funding from the DSG alongside the increasing investment and coverage of NHS funded MHSTs in Lincolnshire be approved.

5.    That authority be delegated to the Executive Director – Children’s Services, in consultation with the Executive Councillor for Children’s Services, Community Safety and Procurement and working with the Lincolnshire CCG/ICB, to approve the final form of any agreements, the profile of funding diversion, the hybrid model of HML/MHSTs and to allow them to make future decisions about the future model and future use of funding over the five years of the new s75 agreement.

The Executive Councillor for Children’s Services, Community Safety and Procurement introduced a report which sought approval from the Executive to establish a new single Section 75 Agreement for Children and Young People’s Mental Health Services and council funding.

The Chairman of the Children and Young People Scrutiny Committee presented the comments of the Scrutiny Committee following its consideration of this item at its meeting on 4 March 2022.  The Executive was advised that the Committee unanimously supported the recommendations, and highlighted that children’s mental health was an important issues, particularly now due to the impact of the pandemic.  The Committee was satisfied that LPFT had delivered these services well previously, and there was a good degree of innovation taking place.  The Committee had requested that a progress report be brought back to a future meeting in relation to the transition arrangements between children’s and adults services.

During discussion by the Executive, the following points were noted:

·       It was noted that it was very important for this work to continue, particularly in light of the effects of the pandemic.

·       it made sense for the arrangements to be consolidated, but it was queried how success would be measured.  The Executive was advised that in terms of early intervention, it could be demonstrated that those children who received these services were less likely to need specialised CAMHS services in future.

·       The Executive was pleased to hear that Lincolnshire was one of the top performing counties in the country in this area.  However, there was concern that schemes such as this were set up on an interim basis, and it was queried whether there was a better model.  Officers advised that pooled budgets were a good long term solution, and it was the mental health support teams in schools which was the more interim element as this was a new nationally prescribed model of emotional wellbeing and mental health support in schools.  This had been designed around a more urban centric model, and so did not work as well in areas like Lincolnshire.  Therefore, the Council had worked with the CCG’s to develop the Healthy Minds Lincolnshire service (HML).

·       It was confirmed that this service was available to all children in Lincolnshire schools (including academies).

RESOLVED

1.    That the entering into of a new s75 Agreement with NHS Lincolnshire CCG/ICB from 1 September 2022 for up to five years be approved:

·       To pool all Council and CCG/ICB funding in relation to CYP mental health services; and

·       For the Council to act as lead commissioner for all Lincolnshire CYP mental health services (CAMHS, MHST’s and HML).

2.    That the entering into of a new single s75 Agreement with LPFT from 1 September 2022 for up to five years to deliver the functions delegated to the Council in relation to Lincolnshire CYP mental health services be approved.

3.    That the continuation of investment recurrently in CYP mental health services to the amount of £1,724,589 per annum, be approved, as follows:

·       £1m from the Public Health Grant  ...  view the full minutes text for item 79