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July 2021 Bulletin

This month’s edition includes:

1.    HLP Children and Young People's Mental Health Summit
2.    Guidelines for Primary Care Professionals on Referring CYP with        Eating Disorders 2021
3.    HLP CYPMH Shared Learning Events: HLP Emergence of Disordered Eating & LTP SIT Review Refresh
4.    Early Evaluation of the CYPMH Trailblazer Programme – Final Report
5.    NCAP EIP Audit - National Report and Appendices
6.    Young Minds Report
7.    London Schools’ Climate Programme / Funding Available for Secondary Schools

Healthy London Partnership CYP MH Summit

Healthy London Partnership hosted a CYP MH Summit on 19th July 2021. It was attended by over 100 delegates from a wide range of organisations. The pandemic is placing pressures on our children and young people’s mental health and wellbeing, and mental health services are facing significant challenges across the capital. The aim of this workshop was to agree a shared view of key challenges facing community mental health services for children and young people and partner agencies in London as well as identify significant, transformational actions that could be taken regionally at scale or more consistently across London to address these.

Nina Shore, Interim Transformation Director for Mental Health, HLP
"Monday’s workshop was an excellent opening conversation about the opportunities to strengthen community mental health services for London’s children and young people.  It brought different perspectives and ideas from young people themselves as well as key partners, including physical health, education, children’s services, and the voluntary sector.  I look forward to the next session in September where we will debate and agree tangible solutions for the regional programme to take forward."

Sara Ahmed, Partnership for Young London (Voice of Young People)
"I work primarily with the CICC (Children in Care Council) and the main impacts of covid identified by young people was education and employment, housing, and mental health. There is also the lack of access to targeted services for these young people. This infographic from the feedback is extremely powerful because we are often used to seeing reports which are not accessible to young people and young people need to know their voices are being used for tangible change. They need to know this will go to the right places which is why it is important to have meetings like this."

Thanks to our chairs and speakers which included:
  • Martin Machray, Joint Regional Chief Nurse and Covid-19 Incident Director, NHS England & NHS Improvement (London)
  • Paul Jenkins, CEO, The Tavistock and Portman NHS Foundation Trust
    Voice of Young People - Partnership for Young London
  • David Bradley, CEO, South London and Maudsley NHS Foundation Trust
  • Mamta Vaidya, Co-Clinical Director for the North Thames Paediatric Network
  • Paul Wallis, Director of Psychological Services for CAMHS – Manchester University NHS Foundation Trust
  • Stephen Watkins, Director NHS Benchmarking Network
  • Sarah Creasey, Headteacher, Parliament Hill School and Neera Dhingra, Wellbeing Project Manager, Parliament Hill School
  • Tim Aldridge, Corporate Director of Children’s Services, London Borough of Newham
  • Sharon Long, Strategic Director, Partnership for Young London

Guidelines for Primary Care Professionals on referring CYP with eating disorders

We know that caring for a loved one with an eating disorder can be an isolating experience, that’s why Beat in partnership with London’s 3 Children and Young People’s Mental Health Inpatient Provider Collaboratives and the Healthy London Partnership is offering Nexus and Solace. Nexus is a telephone support service for parents caring for a loved one who has an eating disorder, and Solace is an online peer support group where parents can find support and empathy from people who truly understand what they’re experiencing.
We have updated our guidelines for primary care professionals about treating children and young people with eating disorders. Please see our updated guidelines for more information about spotting the signs of eating disorders, when to refer children and young people to a community eating disorder service and how to refer parents and carers to Nexus and Solace here.

Watch this space for the Voluntary Charity Sector guidelines for eating disorders – it will be with you soon!
HLP Shared Learning Events
Exploring the Emergence of Disordered Eating - 15 July 2021

Healthy London Partnership hosted a webinar on Disordered Eating which took place on 15th July 2021. It was attended by over 200 delegates from a wide range of settings such as paediatrics, acute, community and mental health from both in and outside of London. The event explored the distinction between disordered eating and eating disorders and shared examples from across London on how joint working across physical and mental health is addressing the needs of this group of young people.  The event concluded with a discussion session exploring the challenges with supporting young people with disordered eating and opportunities for greater working between physical and mental health. The webinar recording and presentations can be accessed here


Local Transformation Plan SIT Review Refresh

In 2018 and 2019 the NHS England and NHS Improvement Mental Health System Improvement Team (MH SIT) undertook reviews in 7 London boroughs of NHS commissioned children and young people’s mental health (CYPMH) provision. The reviews focused on the delivery of evidence-based treatment pathways and the standards for CYP access expansion and outcomes. The summary report produced by Healthy London Partnership can be found here.

Since then, a webinar was held to provide an overview of a report we published last year of findings from 7 CYPMH reviews undertaken by MH SIT as well as an overview of the CYPMH System Maturity Tool; a resource we have recommended systems use to re-review progress made from a previous SIT review, or to undertake a self-review for the first time. This process is also useful to do as part of the LTP refresh process.

The webinar recording can be found here

Early Evaluation of the CYPMH Trailblazer Programme – Final Report
The Birmingham, RAND and Cambridge Evaluation (BRACE) Rapid Evaluation Centre and Policy Innovation and Evaluation Research Unit have published findings from an early evaluation of the government’s Children and Young People’s Mental Health Implementation Programme. You can access the report – and ‘at a glance’ infographics, including on what the findings mean for schools and colleges – here:  Children and Young People's Mental Health Trailblazer programme - University of Birmingham.

This evaluation examines the development, implementation, and early progress of the MHSTs in the 25 Trailblazer sites, which are working with more than 1000 schools and colleges nationally.

The Department of Health and Social Care commissioned the evaluation in order to receive an independent and honest assessment that will benefit the programme, parents, schools, teachers, children and young people. It presents findings from survey and interview data collected between November 2020 and March 2021. The early evaluation will be followed by a longer-term assessment of the programme’s outcomes and impacts, which will be published in summer 2022.
NCAP EIP Audit - National Report 2020/21
The National Clinical Audit of Psychosis (NCAP) team have recently published a national report and appendices for England’s EIP audit.
This report provides national and organisation-level findings on the treatment of people by EIP teams in England, collected as part of NCAP. EIP services are specialised services that aim to provide prompt assessment and evidence-based treatments to people with first-episode psychosis (FEP).

Some key findings from the report include:

·       Recording of outcome measures has increased by 41% to 55%
·       51% of services reported an increase in the number of staff posts
·       Increases in 6/7 physical health interventions
·       Increase in CYP & Families receiving family interventions from 25% to 39%

Some recommendations for NHS England/Improvement, for Children and Young people specifically, included:
·       work with local commissioners to ensure children and young people (CYP) with first episode psychosis (FEP) under 18 have timely access to specialist early intervention in psychosis (EIP) expertise and care co-ordination from children and young people mental health (CYPMH) trained and experienced practitioners and the full range of evidence-based early intervention in psychosis (EIP) interventions.
·       robust shared care protocols are in place to manage care and transition between children and young people (CYP) and early intervention in psychosis (EIP) services

The full report can be found on the NCAP website where you can also find contact details if you have any questions.

Young Minds Report – The role of GPs in early support for young people’s mental health
Young minds have published a report on how frontline services such as GPs can support young people struggling with their mental health. Working alongside The Children's Society, between July 2020 and March 2021 Young Minds engaged with young people and GPs to understand their views and experiences related to the young people’s mental health system. They spoke to young people with past experiences of seeking help for their mental health and surveyed 2,005 young people aged 16-25 across the UK.

They also conducted interviews with GPs to understand their experiences of supporting young people with their mental health and to understand the landscape of community mental health support in their local area. The report explores findings, and what needs to change going forward.

More information can be found here

Full report can be found here

London Schools’ Climate Programme / Funding Available for Secondary Schools Process
London Schools’ Climate Programme / Funding available for secondary schools

The Mayor of London and key partners will shortly be announcing an environmental London schools programme to take place in Autumn 2021. The Greater London Authority Environment Team
aim to showcase the fantastic work that so many London schools and associated organisations are already doing to tackle environmental issues, but also to enable all students, teachers, and their families to get involved. This year we celebrated mental health awareness week from 10th – 16th May 2021 and the focus was nature. Environments can positively impact children and young people’s mental health.

This opportunity is open to all secondary schools and associated education providers in Greater London, whether they are already taking environmental action or not. There will be funding available as well as free lesson resources, activities and toolkits which relate to the curriculum.

Full details of the programme will be announced at the start of September, but due to the tight timescales, they are asking for an expression of interest from schools keen to take part prior to the summer holiday via the link below. The form takes approximately 8 minutes to complete.

https://forms.office.com/r/Yz9UjDBcYW

If you would like any further information on the topics above or would like feature something in the bulletin in future editions please email us at:
hlp.cyp-programme@nhs.net

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