Western Bay Together for Mental Health Local Partnership Board
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1 Western Bay Together for Mental Health Local Partnership Board s of the meeting held on 8 th September 2016 In the Boardroom ABMU Health Board Headquarters 2.00pm. Present: Hazel Powell Lily Bidmead Dawn Burford Stuart Burge Jones Gerald Cole Isobel Davey Jo Davies Paul Davies Jan Ellis Rachel Jenkins Kay John Williams Malcolm Jones Richard Lawson Clementine Maddocks Nicola Mort Ian Proudfoot John Raikes Dave Roberts Fiona Rogers Mark Wilkinson Rosita Wilkins Gareth Bartley Nurse Director, Mental Health & Learning Disability Delivery Unit. ABMU Health Board Co-ordinator of Patients Council and Swansea Network of User Groups Planning & Partnership Support Manager, Primary and Community Care Delivery Unit, ABMU Health Board Mental Health Development Officer, (Bridgend) Member representing Service Users (Neath Port Talbot) Consultant Psychiatrist, Child and Adolescent Mental Health Services, Cwm Taf University Health Board Assistant Director of Strategy and Partnerships, ABMU Health Board Principal Officer for Mental Health, Neath Port Talbot Service User facilitation Officer, Neath Port Talbot Council for Voluntary Services Mental Health Development Officer, (Swansea) Service User Participation Officer, Hafal, Bridgend Service Manager, Adult Mental Health Services, ABMU Health Board Member representing Service Users (Swansea) Consultant Psychiatrist, Adult Mental Health Services, ABMU Health Board Acting Principal Officer, Mental Health & Learning Disabilities, City & County of Swansea Member representing Carers (Neath Port Talbot) Member representing Service Users (Bridgend) Mental Health Development Officer, (Neath Port Talbot) Member representing Carers (Bridgend) Group Manager mental health & learning disability, Bridgend County Borough Council. Member representing Carers (Swansea) Programme Manager, Mental Health, ABMU Health Board All Board members should be advised that public, patient or general staff access may be given to this meetings minutes and associated documents under the Freedom of Information Act. Page 1 of 8
2 1. Apologies for absence welcome & introductions Newly appointed and reappointed members representing service users and carers were welcomed. Apologies were received from Alex Howells, Mike Catling, Gill Thornton, Robert Goodwin (Malcolm Jones attending), Chris Moss, Zoe Wallace (Dawn Burford attending) and Dai Roberts. 2. Notes of the previous Local Partnership Board meeting held on 20 th June 2016 The notes of the previous meeting were agreed. 3. Action Point table and matters arising The Action Point table and update of each action point was reviewed. Action points 45, 64 and 67 agreed as complete. All other action points remain live. 4. To agree the finalised Local Partnership Board Terms of Reference As the terms of reference have been out for comment the item was for specific comments and amendments if necessary. Comments Relationship diagram at appendix 1 should include County Voluntary Councils for consistency with other organisations. These to be added. A request for observers to be allowed to attend meetings was raised and discussed. There were pros and cons highlighted by members and it was agreed that it would be reasonable for a limit to be placed on how many people could attend and also the number of times the same person could attend. It was requested that this be set out in short paper for the next meeting so people could see how it could work. Decision Subject to the comments made above the Terms of Reference were agreed. 5. Update on Commissioning Board and Strategy Development An outline was provided by Jo Davies, Assistant Director of Strategy & Partnerships, of where the commissioning board is up to and to make it clear Page 2 of 8
3 that we have the opportunity to shape the involvement of service users and carers in the development of strategy and commissioning. During the early discussions it was evident that there were different views about what the purpose of the commissioning board was for each organisation, local authorities and Health Board which needed to be addressed. The intention is to develop a clear strategic direction of travel for mental health services following on from the messages from the Changing for the Better event and the Health Board is beginning to develop a Strategic Framework for Mental Health jointly with its partner local authorities. There will be an opportunity to influence and shape this through a range of different engagement events which will be advertised widely when arrangements have been finalised. The commissioning board will seek to have a clear linkage to the Local Partnership Board so what is happening is known to all and the commissioning board will in turn be influenced by the views expressed in the Local Partnership Board. A comment was made that it was positive that the need for engagement was recognised by the Commissioning Board along with the need to do it properly. It was also felt to be a good idea to link this work with the upcoming delivery plan and future developments including getting people s views for the joint population needs assessment required under the Social Services and Wellbeing Act Decision Agreed that Jo Davies be a member of the Local Partnership Board with a standing agenda item regarding strategy development and commissioning. Action Point 069 Paper regarding the development of the joint population needs assessment to be shared. 6. To agree the joint Substance Misuse & Mental Health action Plan developed through the Area Planning Board Clementine Maddocks introduced herself as a consultant psychiatrist with a background in addictions work in a previous job. It was explained that the priorities in the draft substance misuse and mental health action plan were set by Welsh Government to which each area of Wales was asked to respond. Page 3 of 8
4 Locally we have developed responses to securing the actions between substance misuses services and mental health through a small working group. A group discussion took place during which it was made clear that substance misuse includes alcohol and misuse of prescribed medications. The importance of physical health care in relation to use and abuse of substances and medication was highlighted. The development of a joint action plan was felt to be positive as this is an under represented area and it was stated that clear pathways are needed for substance misuse services. Clementine Maddocks stated that she was keen to involve people in how this can be improved and members can contact her with further comments and suggestions. Fiona Rogers talked about online support for carers and families and referenced [a particular website] that was felt to be beneficial. It was agreed that this feels like the beginning of a process for a vital piece of work and it was recognised that this has been going on a long time. To avoid abdication of responsibility, education and understanding is key which is covered in the plan. Decision The Board supported the action plan and recognised that there is lots of work to do. The Board also agreed that Dr Maddocks should be the lead on behalf of the Local Partnership Board for this piece of work and that regular reports will be expected. 7. COMFORT BREAK 8. Local Authority update on meaningful daytime opportunities. Also to note request received from National Partnership Board Background to agenda item was provided. Meaningful daytime opportunities was a focus for a previous Have your say event and thematic workshop, Previous changes to service provision had led to the Board asking for a view on the impact of the changes, and Recently the National forum provided a report to the national partnership board suggesting that what Welsh government and statutory organisations seek to provide is not necessarily what people want. Page 4 of 8
5 The papers from each local authority listed the provision of services currently available. Points made included:- Funding is an issue and the reduction in local authority funding is a context that cannot be glossed over. This is a very broad issue. There is a significant range of needs and variety of support or assistance that would help people from maintaining daily functions to getting into or back to work. Preventative services can offset the need for more expensive services at a later stage. Rehabilitation and recovery should be seamless and start early. There will be opportunities for getting support through Direct Payments which will be supported. People knowing what options are available to them is important. There has been a lot of work on information provision already under the Social Services and wellbeing Act This could be an item for a future agenda. Meaningful daytime opportunities was recognised by all as being both a big and important issue for everyone. It is not the sole responsibility of local authorities. View was expressed that we need to look at the use of existing resources and move things about. Question asked about what our role is in this? Our function could be to test and challenge regional plans in relation to the delivery of Together for Mental Health. The board could take a role in setting out what would be useful for people in terms of recovery for mental health. There could be a working group or recommendations about meaningful daytime opportunities but this would need to be routed through the Mental Health and Learning Disability Commissioning board. Action 070 Gareth Bartley on behalf of the Board to share the contents of our discussions on meaningful daytime opportunities with the Commissioning Board and ask the question How can we as a Local Page 5 of 8
6 Partnership Board help? 9. Update on the task group s progress on developing a model of engagement in relation to Mental Health services. Stuart spoke to the paper outlining the work done to date. The aim is to propose a model for the future based on discussion and expertise within the group. One Meeting has taken place to date which discussed the current arrangements and outlined a possible way forward based on a form of membership scheme where anyone who has any contact with any of our services is offered the opportunity to be a member. Membership offers people different level of involvement and engagement all of which are decided by the individual, from receiving s or newsletters to being involved in Board s such as this. People are therefore able to get involved as little or as much as they want. What happens next? The plan is to get someone from an area where such schemes already operate to share their experience and use this to compare with our existing model to see how it would work for this area. A further report will be provided in November as planned. 10. To discuss the evaluation report of the Single Point of Access Malcolm Jones spoke to the paper giving background to the pilot in Bridgend to develop a single access point for primary and secondary mental health services. A discussion took place and questions were asked about the evaluation from the terms of experience of people using the services. The Board was advised that further research and evaluation will also include from a service user perspective. It was also stated that continuous evaluation of operation through performance monitoring is also important and that this would include gathering service user feedback. A question was asked about signposting within the triage scale and it was stressed that making use of the third sector in signposting was one of the Page 6 of 8
7 options utilised. A side discussion took place regarding the Friends and family test and it was confirmed that this applies to applies to Mental Health in patient units. It was stressed that it is important to not just focus on inpatient care for gathering patient experience feedback. As such reference was made to the collection of feedback in relation to Local Primary Mental health Services and care and treatment planning. 11. For Information:- Children & Young People s Emotional and Mental Health Services Planning Group Noted National Partnership Board s and Chair s report Noted 12 Future Agenda s & Any other Business The next meeting is in November by which point the new Delivery Plan will have been issued. As such it was agreed that sufficient time for considering the content of the Delivery Plan and timing of reports against actions will be required. Delivery plan Engagement report Commissioning Board update and Strategy development 13 Close Date, Time & Venue of Next Meeting 10 th November pm, Neath Port Talbot Hospital, Block D Meeting room. Page 7 of 8
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