Agenda item

Ruth Fletcher-Brown, Public Health Specialist and Integrated Care Partnership colleagues to present the Review of the Success of the Current Strategy under Aim 2.

Board Sponsors:-

Toby Lewis, Chief Executive, Rotherham, Doncaster and South Humber NHS Foundation Trust

Claire Smith, Director of Partnerships/Deputy Place Director (Rotherham Place)

 

Ruth Fletcher-Brown and Kate Tuffnell presented a review of the success of the current Strategy under Aim 2:-

 

Strategic Priority 1 – Promote better mental health and wellbeing for all Rotherham people

-        Health and Wellbeing Board became a signatory of the Prevention Concordat for Mental Health in September 2023

-        Good data to inform planning and commissioning – JSNA, Young People Lifestyle Survey, Real Time Surveillance, Mental Health Needs Assessment

-        Evidence of early intervention and prevention projects delivered by partner organisations e.g. Smiles for Miles, Mental Health Small Grants, Open Arms, Alcohol Outreach, Wellbeing in Later Life

-        Better Mental Health Funding (2021-2022)

-        Launch of RotherHive.  Regular updates now included a Working Well and Wellness hive

-        Promotion of Five Ways to Wellbeing messages used in mental health campaigns throughout the year by partners

-        In 2021 Rotherham people shared how they kept themselves happy and healthy and this resulted in the Great Big Rotherham To Do List

-        Work has commenced with partners to develop a Measuring Mental Health Toolkit so that good practice can be captured and shared

 

Strategic Priority 2 – Take action to prevent suicide and self-harm

-        Partnership Suicide Prevention Group delivering Rotherham’s action plan

-        Launch of Rotherham’s Suicide Prevention Campaign, Be the One, in 2019 with men’s groups across Rotherham

-        Suicide prevention and women were the focus of Be the One in 2022

-        Films of local people sharing their lived experience

-        Promotion of Zero Suicide Alliance Training to all partners and now also promoting to taxi drivers’ training

-        Work with national organisations on making locations/places safer

-        Work on early intervention and prevention measures

-        Now working with neurodivergent adults and young people to further develop the website so that it is accessible and promoting the ZSA Autism training

-        SPOT and Speak suicide prevention courses delivered by Papyrus January-March 2024.  223 people trained

-        Suicide Prevention Guidance issued for staff and volunteers across Place to assist with spotting the signs, asking and signposting

-        Internal courses run on suicide prevention for teams within partner organisations – South Yorkshire Police, Voluntary and Community Sector, Rotherham Council (Revenues and Benefits and Adult Care staff)

-        Taxi drivers encouraged to complete the Zero Suicide Alliance Training (ZSA) and taxi driver training

-        Domestic Homicide and Suicide Prevention Learning events held for partner organisations

-        Suicide prevention training for Primary Care in person in 2024 and online in previous years

-        Safeguarding Awareness Week (SAW) – suicide prevention workshops held every year since 2020

-        ZSA promoted to the public in libraries across Rotherham

-        Self-Harm Awareness sessions run for parents/carers and practitioners by Early Help

-        ‘Talking to Children and Young People when there has been a suicide’ courses run for staff

-        Amparo service was supporting children, young people and adults across South Yorkshire who have been bereaved/affected/exposed to suicide

-        4 Survivors of Bereavement by Suicide (SOBS) Groups operating across South Yorkshire

-        The toolkit ‘Walk with Us’ was launched in 2022 co-produced with young people bereaved by suicide.  It won the Public Partnership LGC Award in 2023.  603 schools and alternative providers in South Yorkshire and Bassetlaw received the resource when it was launched with an easy read version about to be launched

-        From 2021 there had been 4 memorial events for families and friends in South Yorkshire who had been bereaved by suicide

-        Looking at developing a peer support service for young people across South Yorkshire following consultation with young people

 

Strategic Priority 3 – Promote positive workplace wellbeing for staff across the partnership

-        Using the Five Ways to Wellbeing messages to promote good mental health and wellbeing for staff and then sharing good practice

-        Mental Health Awareness training/workshops and staff wellbeing events held across the Partnership

-        Improving support for staff who are affected by the death of someone to suicide

-        Brunch and Learn sessions

-        Wellbeing guides for staff

-        Promotion of Be Well @ Work

 

Strategic Priority 4 – Enhance access to Mental Health Services

Milestone - Ensure partners are engaged in the development and mobilisation of the integrated primary/secondary care mental health transformation.  This will include:

-        Implementation of Mental Health Additional Roles Reimbursement Scheme roles (MHARRS)

-        Long term plan eating disorders, Individual Placement Support (IPS) and Early Individual Psychosis targets by March 2024

-        Implementation of Community Mental Health Integrated primary/secondary care transformation programme by 2024

·        To better support more people with serious and enduring Mental Health needs/other complex needs in their local communities

·        Create a more accessible and flexible system by bringing together Mental Health Services with GP practices, Social Care, voluntary sector, community groups and activities (Integrated Care Systems)

·        To redesign Community Mental Health Services in and around Primary Care Networks (PCNs)

·        To help prevent people from falling between gaps in services

 

What have we achieved?

-        Integrated Care Pathway between Primary and Secondary care established (step-up/step-down)

-        Increase in the number of people with a severe mental illness (SMI) receiving an annual health check

-        Outcome framework developed (dialog, dialog+ and ReQol-10) reporting and new guidance expected

-        Closer to home services e.g. e-prescribing, services etc.

-        70% of people with a SMI have received an annual health check in the last 12 months

-        Reduction in waiting times to access Mental Health Services

-        Positive working relationships within Primary and Secondary Care to work collaboratively to initially transform and continue to ensure the CMHT Pathway is streamlined

-        Working to embed the patient voice and VSC in Mental Health Pathway and development of Mental Health Alliance

-        Workforce expansion and skill mix development

·        Primary Care Integrated Mental Health Hub Team established – increase skill-mix Psychology, Mental Health Practitioners, Occupational Health etc.

·        Mental Health Additional Roles Reimbursement Scheme (MHARRS) (19 additional posts created)

·        Individual Placement Support (IPS) for employment (Good Work) – new team recruited 7 wte team.  In December 2024 the Individual Placement Support Service had reported receiving 163 referrals, 31% of people who have achieved an employment outcome and 62% of employment outcomes sustained for more than 13 weeks

·        Mental Health Community Connectors (Voluntary Action Rotherham – a team of 7 people recruited

·        S62’s Peer Support Workers (team of 3) people with lived experience recruited.  Supported 22 people over the last 9 months

-        Review/Transformation of Social Care Crisis Pathway in place (service specification agreed between RDaSH and RMBC)

-        Kooth and Qwell Online Mental Health Support established

-        Enhanced NHS Talking Therapies (RDaSH and IESO) – hours, modality etc.

-        Improved access to information – RotherHive launched May 2020

-        Expansion of Crisis Helpline (RDaSH text line for hard of hearing, 111 and SY Crisis line (to be launched later in 2025)

-        24/7 Adult Liaison Service based at The Rotherham Foundation Trust

-        Mental Health Yorkshire Ambulance Service vehicle

-        Expansion of the 24/7 Crisis Resolution (including older people) and Home Treatment Team

-        Building capacity in the BSCE including Community Crisis Grants and wider Mental Health grants, Mental Health Alliance

-        Rotherham Safe Space (Thursday-Monday, 6.00 p.m.-midnight) Out of Hours

-        Samaritan’s Support Pathway

-        Vista Rotherham project to be launched April 2025

 

Moving Forward

-        Working with Health and Wellbeing Board partners to update the Public Mental Health Strategy and action plan

-        Implementation of the new Suicide Prevention action plan for Rotherham 2025-2028

-        Commencement of the pilot Suicide Prevention Service for those who have attempted suicide – Vista Rotherham project

-        Early intervention and prevention work to address themes and at-risk groups

-        Suicide prevention work across South Yorkshire with partners

 

Discussion ensued on the presentation with the following issues raised/clarified:-

 

·        RotherHive was a brilliant success and had been designed for both individuals and organisations.  The voluntary sector had been really clever as to how they used it e.g. it was available at food banks.  Further work was taking place on whether there could be live RotherHive and how to get the information

 

·        There had been a very holistic/partnership approach in terms of the whole spectrum of mental health with regards to prevention and acute need; the voluntary sector had embedded in the workstreams with lots of examples where the VCS had organised prevent work and worked alongside partners to engage with families and individuals to work to stabilise mental health and prevent escalation.  Targeted work had worked extremely well

 

·        There was a Sudden and Trauma Bereavement Pathway that was not just for those who had lost someone to suicide.  The organisations around the young person should be notified in order to provide timely and appropriate care.  The Educational Psychology Service worked extremely closely with schools to provide that support and signpost and there was also an officer within South Yorkshire Police who would offer AMPARO.  It was hoped that the peer-to-peer group support would provide another tool for young people to identify with other young people who had gone through that experience as well

 

·        Concern that, should a school not recognise that it was a close enough family member/friend, that the child may not be offered any support.   No system was perfect but generally speaking all of the Rotherham schools were very live to the wider emotionally health and wellbeing and needs of children and young people.  If it was not an obvious individual or someone in the wider family it may be that the school needed to be alerted

 

·        The Vista Project would support those that had attempted suicide some of whom may have told their families but some may not.  The Project may be able to address wider support for families of those who could have been bereaved by suicide but thankfully were not as that was a very traumatic experience to go through and sadly could be a repeated experience going forward.  AMPARO was only contracted to work with families where someone had died from suspected suicide

 

Resolved:-  (1)  To the successes presented under Aim 2 be noted.

 

(2)  That work take place with HWB Partners to update the Public Mental Health Strategy and Action Plan.

 

(3)  That the implementation of the new Suicide Prevention Action plan for Rotherham 2025-2028 be supported.

 

(4)  That Early Intervention and Prevention work be supported to address themes and at-risk groups.

 

(5)  To the uncompleted actions highlighted in the Aim be rolled over to the Action Plan of the new Strategy.