Older Peoples Mental Health and Dementia Network Group Date Tuesday 11 September 2018 Time 10:00 12:00 Evolve meeting room

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1 Meeting Older Peoples Mental Health and Dementia Network Group Date Tuesday 11 September 2018 Time 10:00 12:00 Venue Evolve meeting room Present Name Initials Dr Karen Franks NECN / GHNT David Newman Network Delivery Team Lead, NECN Robin Mitchell NECN Sarah Mitchell Northumbria HCT Nhish Gurunathan TEWV David Rayson NTTT Catherine Kirkley GHNT Michael Phillips NT talking Therapies Emma Moore Alliance Psychological Lauren Coxon Alliance Psychological Ashleigh Draper NTW Liaison team Martin McGowan STFT Greig Ramsay Northumbria HCT Bob Cochrane Dementia UK Susan Meins North Tyneside LA Veronica Oliver Jenkins NUTH Lesley Young CHSFT Rachel Lumsdon SCCG Dr Prasanna desilva Sam Jebur, Network Primary Care Lead, NECN (Phone) Fiona Thow Minutes NECN KF DN RM SM NG DR CK MP EM LC AD MMc GR BC SM VOJ LY RL PDS SJ FT Apologies: Name Initials James Fisher Northumbria Healthcare Julie Allen Dementia UK Sharon Tolman Dementia UK George Campbell NHs Hambleton Richmond and Whitby CCG Paula Swindale HAST CCG Yvonne Probert Age UK Mani Krishnan TEWV Jane Walker NECS Jacqui Straughan TEWV Dawn Turner NG CCG Darren Archer NECN Kate O Brien Northumberland CCG Jo Phillipson- NECN Catherine Butcher Newcastle University Dementia Hub JF JA ST GC PS YP MK JW JS DT DA KO B JP CB 1

2 Alison Smith South Shields Joanna Collerton AHSN Sam Allen NHC David Hambleton ST CCG AS JC SA DH MINUTES 1. INTRODUCTION Lead 1.1 Welcome and Apologies KF KF welcomed everyone to the meeting and the above apologies were noted. 1.2 Declaration of Interest KF PDS informed the group that he is involved in Dementia Training courses in Sunderland and also that he is a representative of Age UK and the Essence Centre in Sunderland. KF declared she had an unpaid role in on the board of the charity Equal Arts 1.3 Minutes from the last meeting KF The minutes of the last meeting were agreed as an accurate account and all actions confirmed as completed. 2. AGENDA ITEMS 2.0 Welcome to new members and shared understanding of group purpose (Terms of Reference) KF welcomed the group in her new role as Chair and Network Clinical lead for Older People s Mental Health (OPMH) highlighting the need for all of us to join together to improve care. The group were asked to consider their thoughts on how to maximise this group as a network voice to move forward on complex issues such as cross organisational change. Action The newly updated Terms of Reference (ToR) were reviewed. The ToR are intended to be inclusive and leave room for the group to take on a wide range of projects and roles in the wider health and social care landscape. In order to function effectively at a regional level and ensure representation from all sectors, the group were asked to consider colleagues that could be invited to the group who would improve its reach and influence. The format of this group was discussed including work to be undertaken and communications between formal meetings to maximise forward progress. The group agreed that knowledge from a 2

3 wide variety of professional roles, organisations and service users and carers is essential to this group s development. Action: ToR to be shared with the group. Action : All to give feedback, improvements and additions to the ToR DN/ FT All 2.1 Patient and Carer voice in this work Action The group discussed the challenges of conducting meaningful engagement with patients and carers, including resources. Previously, carers of Dementia have had a relatively strong voice when compared to OPMH. This is largely due to the variety of conditions encompassed by OPMH. The group discussed existing ways of engaging, for example: TIDE Together in Dementia everyday DEEP- Dementia Engagement Empowerment project. SM referred to an open Forum in Leeds in which carers had been invited. PDS reported the work of NTW/ Sunderland regarding Breaking bad news. CK highlighted local projects at Newcastle University and other groups like Healthwatch, PALS and complaint services. The group was asked to continue to share knowledge as to what already exists. A discussion took place around referral rates for depression, Frailty, MUPS, budgets, patient involvement and the COBRA programme. The network has links to regional frailty projects and will ensure Mental Health is being discussed within that agenda. MINDeD resources were seen as an excellent example of co - production. ACTION : Link to MINDeD to be circulated below FT 2.2 Workshop ICS priorities Action KF & RM explained the current position of the emerging Integrated Care System (ICS). The ICS is in the early stages of development and covers a large geographical footprint covering from Northumberland to North Cumbria and North Yorkshire. The mental health workstream is divided into priorities (please see circulated slides for details). OPMH is one of the priorities and this group has the opportunity to influence and drive the agenda and work in that area. The relationship between the Clinical Network and the ICS is expected to continue to evolve as time goes by. 3

4 Our goal in being a significant part of the ICS is to promote the best care possible for people in our region. KF highlighted that older people s mental health is also represented in the Frailty work at ICS level. Frailty is the main piece of work for the Care Closer to Home section of the regional ICS. This has an older people s mental health strand, led by Ruth Briel from TEWV, as part of the Regional Frailty Community of Practice, as well as encouraging mental health representation on the locality frailty work streams. KF is linking closely with this work to ensure that it is connected. The group considered practicalities such as: How will this group pull together what our priorities will be and how they will be actioned? How much focus should be put on securing and improving existing services for all compared to focus on aspirational or innovative things the group can promote? Slides were shown of draft sketches of the OPMH landscape, designed to encourage debate. (See shared slides) Some resulting suggestions from the group included: Keeping links with HEE for delirium and MH SJ working on delirium looking at training pathways This group could be used to advise Trusts/ Organisations on what work has been done elsewhere Depression a good point of focus as it is unacceptable to assume depression is normal in older people Need to focus on what is important to the individual in their lives - not just addressing medication KF/ DN working on data for depression DN shared some data and the group was asked to split into groups for discussion and thoughts. The groups reported back some key themes: Access to IAPT services Social prescribing Signposting in local areas Access to services Work with COBRA in high deprivation areas Sharing good practice and lessons learned Getting all relevant stakeholders involved in the discussions The discussion had already improved members understanding of services available in the region Implementation of NICE guidance Patient experience voice insufficient narrative exists. ACTION : KF / DN will pull information together from group work KF/DN 4

5 3. STANDING ITEMS 3.1 Any Other Business KF KF advised that she will keep the group informed of any updates and asked the group to contact herself or David Newman NECN directly with any ideas or suggestions going forward Next meeting Future dates Thursday 10 Jan Thursday 9 May Thursday 12 Sept Evolve Business Centre 4. MEETING CLOSE Invites will be sent 5