Agenda item

(To receive a report from the Lincolnshire Sustainability and Transformation Partnership, which presents the Case for Change in mental health, learning disability and autism community services and provides feedback from the Lincolnshire Healthy Conversation 2019.  Jane Marshall, Director of Strategy, Lincolnshire Partnership NHS Foundation Trust will be in attendance for this item) 

The Committee gave consideration to a report from the Lincolnshire Sustainability and Transformation Partnership (LPFT), which presented the drivers for change in mental health, learning disability and autism community services and linked into the feedback received from the first round of the Lincolnshire Healthy Conversation 2019 with the public. 

The Chairman welcomed to the meeting Jane Marshall, Director of Strategy, Lincolnshire Partnership NHS Foundation Trust and Rachel Redgrave, Head of Commissioning for Mental Health, Autism & Learning Disability.

The Committee was advised of the four dimensions to LPFT services, which were:-

·         Prevention and support in neighbourhoods/communities;

·         Early intervention and responding quickly;

·         Care and treatment for people with serious mental health problems; and

·         Highly specialist services for the most complex mental health problems.

The Committee was advised further that the focus of the report was on the first two dimensions 'Prevention and support in neighbourhoods and communities' and 'Early intervention and responding quickly'.

It was highlighted that in order to transform services, more needed to be done as an integrated care system. 

The Committee was advised that feedback received had been generally positive.  Page 96 of the report provided the Committee with suggestions from the Healthy Conversation 2019 feedback which were receiving further attention.

Pages 91 and 93 of the report highlighted the types of services LPFT wanted to partner with others to develop and deliver.  These included an integrated, place-based mental health workforce; building community capacity and resources, which included improving digital provision; and enhancing social prescribing opportunities and networks.

Attached at Appendix A to the report was a copy of the 'You Said We Did' responses on mental health, which had been posted on the website; and Appendix B provided the Committee with Healthy Conversation 2019 feedback.

The Committee welcomed the report and raised the following issues:-

·         The importance of ensuring that information was made widely available relating to the services provided, so that patients knew where to seek help and how to access it.  The Committee was advised of the development of a helpline Mental Health Hub App which would be available 24/7 in 2020.  The Committee was advised further that work was on-going with Lincolnshire County Council to create a directory of services.  One member also highlighted the need for groups within the community for all people with low-level mental health conditions to attend.  The Committee was advised that February 2019 had seen the launch of the county wide Dementia Strategy.  The Committee was advised that the hub was situated near Lincoln County Hospital with spokes within the community;

·         The need to focus on reducing waiting times; as this was essential in helping to prevent the further deterioration of an individual's mental wellbeing before being able to access support;

·         That community support provided through the Managed Care Network and other independent local schemes was invaluable;

·         The need to expand perinatal mental health services was supported by the Committee.  The Committee noted that the size of the perinatal mental health service had tripled over the last year to provides services across Lincolnshire;

·         Suicide Prevention – One member enquired what the rate was in Lincolnshire.  The Committee was advised that information was available on the Lincolnshire Research Observatory Website.  Members of the Committee were invited to complete the free on-line suicide awareness training.  Representatives from LPFT agreed to send a link to the Health Scrutiny Officer to send out to members of the Committee.  The Committee supported the refresh of the LPFT's Suicide Prevention Strategy including the ambition of zero suicides for those people receiving in-patient mental health services.  Other points made reference to suicide in rural communities and to the fact that it took too long for certain individuals (adults and children) to access help.  The Committee was advised that lots of work was being done in partnership with schools, universities, GPs and Child & Adolescent Mental Health Service (CAMHS).  It was agreed that information relating to Suicide and Self Harm in Lincolnshire would be circulated to members of the Committee after the meeting;

·         That the report highlighted a gap in a commissioned service from LPFT for people with autism as a specific concern.  The Committee agreed that it would like to see plans for these services developed, as outlined in Lincolnshire's All-Age Autism Strategy 2019 – 2022;

·         The need to ensure that there was equality of service provision across the county;

·         The Committee also supported the development of commissioned services to provide support to patients with personality disorder, as this had been identified as a gap in service in the report;

·         Confirmation was given that access to the mental health hub was through the 111 service.  The Committee was advised that there had been a bid for transformation funds to extend the crisis vehicular response to 24/7 provision.  It was noted that early intervention was crucial to prevent escalation, and for individuals to get to the right service; and

·         One member enquired as to the timescales for delivering the LPFT objectives.  The Committee was advised that significant progress had been made with the Integrated Care agenda in the previous year.  Representatives from LPFT agreed to share further information with the Committee at the 16 October 2019 meeting. 

The Chairman on behalf of the Committee extended thanks to the LPFT representatives for their excellent presentation.

RESOLVED

1.    That the report on Mental Health, Learning Disabilities and Autism Services – Case for Emerging Options be received.

2.    That the Chairman on behalf of the Committee be authorised to provide feedback on Mental Health, Learning Disability and Autism Services as part of the Healthy Conversation 2019 engagement exercise.