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Phase 1 Action plan template - Essex Partnership

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Phase 1 Action plan template - Essex Partnership Powered By Docstoc
					ESSEX LAA 2 INDICATOR PHASE 1 ACTION PLAN
Indicator NI 51 Child and adolescent mental health
Priority     (3) Better public health and longer lives
Essex Target Lead        Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                      Joint CAMHS Commissioning Executive
LSP target lead          Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)
Where we are now and where we want to be at the end of the agreement.
District  Year        BAS      BRA     BRE         CAS        CHE      COL                 EPP         HAR        MAL         ROC         TEN        UTT         ESSEX
Baseline Baseline year.      0       0           0          0        0                 0           0          0           0           0          0           0            13
Target    Final target year 16      16         16         16       16                 16          16         16          16          16         16          16            16
Partners' existing actions that contribute towards achieving the indicator target.
Action description                                           Delivery         Estimated financial or other input
1. Is a full range of child and adolescent mental            SE and SW PCTs   The LDD pilot in South Essex started in mid September 2006 as consists of the following
health services for children and young people with                            staff; Band 8c Consultant Psychologist/manager (0.8 wte), Consultant Child and
learning disabilities being delivered? A Learning                             Adolescent Psychiatrist (0.2 wte), Band 7 Nurse Specialist (1wte),Band 7 Clinical
Disability Pilot is in place in South Essex. This is                          psychologist (1wte), Band 4 Assistant Clinical Psychologist (1.0 wte) , Band 6 Speeech
delivering a dedicated CAMHS services for young                               and Language Therapist (0.5wte), Band 5 Nurse (1wte), Team secretary (1.0 wte) . The
people with a disability. The pilot has had a positive                        total annual cost of delivering this project in the South is £318k.
interim evaluation and excellent feedback from children LA
2. Improve CAMHS services for excluded pupils and                             The Schools Forum have recently supported a bid from the Dedicated Schools Grant
those with special needs. Two CAMHS workers cover                             (DSG) for £85k, which provides funding for two CAMHS workers. However this is not
9 Pupil referral units as a significant number of young                       sufficient to cover all 9 Pupil Referral Units and there is still an unmet need for this
people were unable to access full-time education                              vulnerable group of children and young people.
because of their behaviour and emotional state. This is
significantly impacting upon their ability to achieve in
school.
3. Are appropriate accomodation and support              LA                   Local authority is responsible for providing education for Longview, which is funded via
provided for 16/17 year olds in hospital wards?                               DSG; approx £221k.
Essex commissions Tier 4 services from a range of
providers including Longview Psychiatric Unit in North
Essex. Occasionally, out of area commissioning is
required for complex cases or where capacity is
insufficient. Inpatient capacity is however being
                                                         PCT                  Essex commission 9 of the 13 inpatient beds at Longview and 8 other inpatient beds from
                                                                              other providers offering forensic and specialist inpatient services. A total of £10.5million is
                                                                              spent annually by PCTs in prioviding appropriate accommodation and the need will be well
                                                                              met with the opening of the unit in Rochford in January 2009.



4. Is 24 hour cover available to meet the urgent
mental health needs of children and young people
and that specialist assessments are undertaken
within 24 hours or the next working day? Across
Essex in both the North and the South of the county all
children receive assesssments within 24 hours or the
next working day. In the North of the county there is also




8/7/2011                                                                                                                                                                        1 of 11
ESSEX LAA 2 INDICATOR PHASE 1 ACTION PLAN
Indicator NI 51 Child and adolescent mental health
Priority       (3) Better public health and longer lives
Essex Target Lead          Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                        Joint CAMHS Commissioning Executive
LSP target lead            Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)
5. Is early intervention support jointly commisssioned                        There are a range of early intervention initiatives across the county but these need to be
and provided with universal and targeted services for                         accelerated in order to hit the target and there is no robust system in place for sign posting
children and young people?                                                    staff and families to the right services. There is currently £3.5million spent on voluntary
                                                                              sector grants, however staff and families are not always aware of the services and there is
                                                                              no central call centre to provide assessment and signposting.


                                                                                Healthy schools is being rolled out which covers aspects of emotional well being as is
                                                                                SEAL (Social, Emotional Aspects of Learning) . However both only cover approximately
                                                                                55% of the 571 schools in Essex.




Impact




8/7/2011                                                                                                                                                                       2 of 11
ESSEX LAA 2 INDICATOR PHASE 1 ACTION PLAN
Indicator NI 51 Child and adolescent mental health
Priority      (3) Better public health and longer lives
Essex Target Lead         Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                       Joint CAMHS Commissioning Executive
LSP target lead           Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)
Currently there is increasingly good accommodation and support for 16/17 year olds in hospital and 24 hour cover and on call systems meet the NSF standards. However
in order to hit the LAA target additional investment is required to meet the specific needs of children with a disability requiring CAMH services. In addition there is a need
to provide more early intervention through universal services by better signposting and education and by targeting those who are most vulnerable including those in Pupil
referral units, Special Schools and Looked After Children.




8/7/2011                                                                                                                                                                         3 of 11
ESSEX LAA 2 INDICATOR PHASE 1 ACTION PLAN
Indicator NI 51 Child and adolescent mental health
Priority     (3) Better public health and longer lives
Essex Target Lead        Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                      Joint CAMHS Commissioning Executive
LSP target lead          Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)
New actions

Action description and start date.                            Delivery Partners      Financial or other input from partners (Enter estimated value    PRG         Capital (c) /
                                                              (Please put each       and or description.)                                             required    Revenue (r)
                                                              partner name on a                                                                       £s
                                                              separate row.)

1. To provide consistency of CAMHS LDD services               CAMHS Partnership      The proposal is to replicate the LDD pilot in the North of the    £318,115   £0(c) /
across the county to ensure all children with a disability    Group and the Joint    county to provide dedicated CAMHS services for these children                £318,115(r)
have access to appropriate services in line with their        Commissioning          with a similar skill mix. This would cost the LAA £318k and would
need and vulnerability.                                       Executive              match the PCTs funding of the £318k in the South.



2. To provide targeted CAMHS services for vulnerable          Behaviour Support      In order to provide an adequate level of provision to the 700   £111,000        £111,000
children in the 9 Pupil Referral Units across Essex who       Partnerships and the   young people in the 9 PRUs across Essex we require an
need additional support to achieve educationally. The         CAMHS Joint            additional 2 CAMHS workers in Pupil Referral Units. The cost of
current resource of two CAMHS staff is insufficient to        Commissioning          this would be £111k in addition to the £85k agreed by the
meet the need of these vulnerable young people.               Executive              Schools Forum.


3. To provide targeted CAMHS services to those children       SEN Strategy Group     To provide six dedicated targeted CAMHS workers in the 19        £280k       £280 ®
in the 19 special schools across the county, who are at a     and the CAMHS          special schools across the county to improve emotional health,
greater risk of mental health problems and currently          Joint Commissioning    well being and thus improve resilience and educational
have no targeted provision.                                   Executive              achievement.



      4. To provide early intervention, assessment and        CAMHS Partnership This will require a programme manager to scope out the project £100k              £100k
 signposting to a wide range of services across all Tiers     Group and the Joint across the county, set up the call centre, recruit staff and agree revenue      Capital
 of the service county wide through the introduction of a     Commissioning       policies and procedures.
 "Brief Child and Family Phone Interview" system which        Executive
 will improve the timeliness of intervention and maximise
the utilisation of universal services and the wide range of
     services at Tier 2 including those provided by the
  voluntary sector. This is a well tested, evidence based
       system which is well supported by the CAMHS
                         partnership.

5. To further improve early intervention and prevention of    CAMHS Partnership      To provide dedicated Tier 2 CAMHS teaching staff who can         £196,000    £196,000
mental health problems there is a need to accelerate          and the CAMHS          provide much needed support and training for schools enabling                revenue
training and awareness amongst teachers and school            Joint Commissioning    them to provide a crucial early intervention and prevention
staff to enable them to be be able to deal with some          Executive              service across our 571 schools.
issues themselves within schools and know when and
where it is appropriate to refer to.



8/7/2011                                                                                                                                                                          4 of 11
ESSEX LAA 2 INDICATOR PHASE 1 ACTION PLAN
Indicator NI 51 Child and adolescent mental health
Priority     (3) Better public health and longer lives
Essex Target Lead        Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                      Joint CAMHS Commissioning Executive
LSP target lead          Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)
6. Accelerate the rollout of SEAL in primary and       Healthy Schools      Currently only approximately 55% of the 571 schools have                £200k       £200k
secondary schools to support emotional well-being in   Forum and CAMHS undertaken the SEAL(Social, Emotional Aspects of Learning)                               revenue
schools.                                               Joint Commissioning programme which delivers important life skills to children to
                                                       Executive            increase their resilience and assist them in dealing with difficult
                                                                            challenges during their childhood and into adult life. The cost of
                                                                            accelerating this programme would be approx. - £200k and
                                                                            would be delivered with additional staff being recruited into the
                                                                            existing teams.
7. To provide increased dedicated support to the 1200     LAC Health Steering   Provide 5 additional staff to provide a targeted service to looked £250k        £250k
looked after children in Essex and help them to cope      Group and the Joint   after children who are statistically five times more likely to suffer revenue
better through childhood and with their transition into   Commissioning         from mental health problems that other children. These staff
adulthood.                                                Executive             would comprise of 4 wte senior Social Work Practitioners and 1
                                                                                wte Clinical psychologist.




Impact and Added value
We have strong partnerships around CAMHS with a well established CAMHS partnership group which is Essex-wide and links into the regional and national
networks. We have a recently formed Joint Commissioning Executive which has commenced work mapping out current resources and has a strong
performance management element to monitoring expediture and ensuring maximum efficiency and value for money. However the mapping work has
identified that additional resources are required to achieve targets, predominantly because this area has historically been underfunded and this has resulted
in significant gaps in provision which require additional resources. However, the JCE would like to ensure that some of these projects are piloted first to
ensure maximum effectiveness before commissioning across the whole county. The LAA bid provides that unique opportunity. Crucially, these projects which
will improve the mental health and well being of children will assist in delivering 7 out of the 10 key LAA indicators, most importantly those related to
educational achievement. Our people: Good mental health and well being will ensure fewer children and young people missing education or not in education,
employment or training. Children and young people are more liklely to realise their potential in education. Our Communities: Good support for CAMHS will ensure more
participation in sport, culture and volunteering. Essex is a safe place to live: as children and young people who are excluded have a high chance of following an
offending pathway - often including anti-social behaviour, domestic violence and assault. Essex has a more competitive economy as more people are supported to
achieve economic well-being. Finally all of these projects will narrow the gap in provision and thus reduce inequalities which exist currently for CAMHS services.


8/7/2011                                                                                                                                                                  5 of 11
ESSEX LAA 2 INDICATOR PHASE 1 ACTION PLAN
Indicator NI 51 Child and adolescent mental health
Priority     (3) Better public health and longer lives
Essex Target Lead        Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                      Joint CAMHS Commissioning Executive
LSP target lead          Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)

C:\Docstoc\Working\pdf\[ac8c4f4c-b0d7-4546-8ea2-ff98517a56dc.xls]Phase 1 Action plan template




8/7/2011                                                                                        6 of 11
ESSEX LAA 2 INDICATOR PHASE 2 ACTION PLAN

Indicator NI 51 Child and adolescent mental health
Priority     (3) Better public health and longer lives
Essex Target Lead        Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                      Joint CAMHS Commissioning Executive
LSP target lead          Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)
Where we are now and where we want to be at the end of the agreement.
District  Year        BAS     BRA      BRE         CAS        CHE      COL                  EPP        HAR         MAL        ROC         TEN       UTT             ESSEX
Baseline Baseline year.     0        0           0          0        0                  0          0           0          0           0         0              0                   0
Target    Final target year 0        0           0          0        0                  0          0           0          0           0         0              0                   0
Partners' existing actions that contribute towards achieving the indicator target.
Action description                                    Delivery             Estimated financial or other input                                       EIA       Risk
                                                      Partners (Please put                                                                          completed worksheet
                                                      each partner name on a                                                                        (Y/N)     completed?
                                                      separate row.)
Existing Action 1. Describe the action.               List each partner on     Include any cash budgets identified with financial year or a
                                                      a separate row -         description of the resources provided by the partner if these
                                                      unless a number of       cannot be easily costed.                                             Has the
                                                      partners deliver the                                                                          individual
                                                      same activity - see                                                                           partner or
                                                      below.                                                                                        all of a
                                                                                                                                                    group of
                                                                                                                                                    partners
                                                                                                                                                    completed
                                                                                                                                                    their own       Please
                                                                                                                                                    EIA             complete
                                                                                                                                                    process for     the risk tab
                                                                                                                                                    this activity   to this
                                                                                                                                                    Y or N?         worksheet
Existing Action 2                                     Where a number of
                                                      partners deliver the
                                                      same activity a
                                                      summary can be
                                                      provided e.g. "All
                                                      district councils have
                                                      planning function".
                                                      "All PCTs have
                                                      smoking cessation
                                                      teams".
Existing Action 3
Existing Action 4
Existing Action 5
Existing Action 6
Existing Action 7

Impact



7/11                                                                                                                                                                                   8/7/2011
ESSEX LAA 2 INDICATOR PHASE 2 ACTION PLAN

Indicator NI 51 Child and adolescent mental health
Priority     (3) Better public health and longer lives
Essex Target Lead        Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                      Joint CAMHS Commissioning Executive
LSP target lead          Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)
Please include a short description of how the current actions will contribute to achiving the indicator target. In particular this section should identify whether the resources
supporting the existing activiity is adequate to deliver the targeted improvement in the indicator. Also describe the cross cutting impact of the current actions under the
headings Our People, Our Communities, Our Economy and Our World. Guidance on cross cutting impact is shown on the second tab on this worksheet. - Click below to
access this tab.


New actions

Action description and start date                               Delivery Partners       Financial or other input from partners (Enter estimated value and PRG               Capital (c) /
                                                                (Please put each        or description.)                                                  required          Revenue (r)
                                                                partner name on a                                                                         £s
                                                                separate row.)


New Action 1. Describe the action and its start date.           List each partner on
                                                                a separate row - but
                                                                see below. Where a
                                                                                                                                                              Include
                                                                number of partners
                                                                                                                                                              sum of
                                                                are participating in
                                                                                                                                                              PRG
                                                                the project: a
                                                                                                                                                              required to
                                                                summary can be
                                                                                                                                                              support
                                                                provided e.g. "All
                                                                                                                                                              this          Indicate if
                                                                district CDRPs to
                                                                                                                                                              project.      the PRG
                                                                employ a graffiti
                                                                                                                                                              Show this     needed is
                                                                removal co-
                                                                                                                                                              against the   capital or
                                                                coordinator"
                                                                                                                                                              individual    revenue. If
                                                                                        Include any cash budgets identified or a description of the           or group of   both are
                                                                                        resources provided by the partner if these cannot be easily           partners      needed
                                                                                        costed. For example this section might include provision of a         who will      please show
                                                                                        building, or other asset, or asking existing staff to work on the new spend the     the cash
                                                                                        project.                                                              Grant.        split.
New Action 1 - describe the key milestones in implementing this project and when each milestone will be achieved.



New Action 2 - Describe the action and its start date.
New Action 2 - Describe the key milestones in implementing this project and when each milestone will be achieved.
New    Action 3 - Describe the action and its start date.
New    Action 3 - Describe the key milestones in implementing this project and when each milestone will be achieved.
New    Action 4 - Describe the action and its start date.
New    Action 4 - describe the key milestones in implementing this project and when each milestone will be achieved.


8/11                                                                                                                                                                                        8/7/2011
ESSEX LAA 2 INDICATOR PHASE 2 ACTION PLAN

Indicator NI 51 Child and adolescent mental health
Priority     (3) Better public health and longer lives
Essex Target Lead        Gary Pocock
Thematic Partnership Children and Young Peoples Strategic Board
LSP                      Joint CAMHS Commissioning Executive
LSP target lead          Jane Harper-Smith(ECC) & Janice Cheng (west Essex PCT)
New Action 5 - Describe the action and its start date.
New Action 5 - Describe the key milestones in implementing this project and when each milestone will be achieved.




Impact and Added value
Please include a short description of how the new actions will improve partnership working, help achieve the indicator targets and achieve an improved quality of life. Also
describe the cross cutting impact of the actions under the headings Our people, Our Communities, Our Economy and Our World. Guidance on cross cutting impact is
shown on the second tab on this worksheet. - Click below to access this tab.



Diversity and Equality
Please tell us whether an EIA process has been completed for each action in this plan. Explain how the EIA has made an impact on the Action Plan.




Risk Management
Ensure you have completed the Risk worksheet that is part of this action plan. It can be found by clicking the "Risk - Phase 2 plans only" tab below. Please explain how the
risk management process has had an impact on the action plan.




Sustainability
Please explain how the project can be sustained at the end of the LAA and how in what ways will the project provide sustainability to Our People, Our Communities, Our
Economy and Our World? Please see the Quality of Life impact guidance tab to this spreadsheet.



C:\Docstoc\Working\pdf\[ac8c4f4c-b0d7-4546-8ea2-ff98517a56dc.xls]Phase 1 Action plan template




9/11                                                                                                                                                                           8/7/2011
ESSEX LAA 2 INDICATOR PHASE 2 ACTION PLAN - RISK MANAGEMENT SUMMARY

Indicator NI 51 Child and adolescent mental health
Priority (3) Better public health and longer lives
Essex Target Lead                                                                      Gary Pocock
Thematic Partnership                                                                   Children and Young Peoples Strategic Board
LSP                                                                                    Joint CAMHS Commissioning Executive
LSP target lead                                                                        Jane Harper-Smith(ECC) & Janice Cheng (west Essex

             1 Have you used a corporate system for identifying
               risks to the successful implementation of the
                                                                                                 Please provide added detail here - for
               existing and new actions in this plan? (What
                                                                  Please                         instance where actions are currently being
               could hinder or help to achieve the actions set
                                                                  answer                         assessed or some actions have been risk
               out in the plan?)
                                                                  yes or no.                     assessed and some not.
             2 If the answer to question 1 is yes please name the                                If no please call Anna Watson
               system owner here (for example: Police. LSC, or                                   on 01245 436086 for advice on
               Brentwood District Council)                                                       risk assessment.
             3 Does the system used score the probability and
               the impact of these risks (threats/opportunities)?
             4 Are there mitigation/treatment plans in place to
               minimise threats or maximise opportunities?
             5 Who is responsible for implementing these action
               plans?

             6 Is there a regular process for reviewing the
               effectiveness of mitigation/treatment actions?


C:\Docstoc\Working\pdf\[ac8c4f4c-b0d7-4546-8ea2-ff98517a56dc.xls]Phase 1 Action plan template




                                                                                                                                              8/7/2011
Defining the Quality of Life spheres

Our people                             Describe the impact the project will have on personal wellbeing

                                       Some points to consider:
                                          Health – (mental / physical)
                                          Families– (parenting, work-life balance)
                                          Engaging activities and achievements (training, leisure, culture)
                                          Access and opportunities (access to services, jobs, housing)

Our community                          Describe the impact the project will have on community wellbeing

                                       Some points to consider:
                                          Sense of belonging and community cohesion
                                          Provision of social support and engagement (access to social care
                                             services, voluntary sector)
                                          The ability of individuals and communities to influence decisions
                                          Crime and the fear of crime

Our world                              Describe the impact the project will have on environmental wellbeing

                                       Some points to consider:
                                          Quality of the local area (built and natural environment)
                                          Essex’s carbon emissions
                                          Our own environmental impact
                                          Waste and opportunities for reducing, reusing and recycling

Our economy                            Describe the impact the project will have on economic wellbeing

                                       Some points to consider:
                                          Skills levels and opportunities for training
                                          Employment opportunities
                                          Business investment
                                          Links with business partners

				
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