Agenda item

(a)  Mental health and wellbeing needs  - presentation

·  To receive a presentation

(b)  Reports on mental health and wellbeing strategy, community mental health transformation and mental health promotion: SLAM & Community Partnership

·  To receive and consider reports

Farrah Hart, Public Health Consultant presented an abridged presentation of Appendix 1 of the report, COVID-19: Mental Health Rapid Impact Assessment, Southwark’s Joint Strategic Needs Assessment. The abridged presentation covered the following slides:

  i.  The COVID-19 pandemic has exacerbated the risk factors for poor mental health and weakened the protective ones.

  ii.  The COVID-19 pandemic impacts on mental health and wellbeing across the life-course: summary of concerns.

  iii.  Thrive LDN is a London wide initiative to improve the mental health and wellbeing of the all Londoners.

Sam Hepplewhite, Place Based Director (Southwark), NHS Southwark East London CCG presented pages 75 to 81 from Supplemental Agenda Pack No. 1; NHS SEL CCG and Southwark Council Joint Mental Health and Wellbeing Strategy 2018 – 2021.

Dr Nancy Kuchenmann (Vice-Chair) introduced pages 1 to 9 from Supplemental Agenda Pack No. 2; Reshaping our Mental Health Services Across South East London. Emily Finch, Clinical Director of South London and Maudsley, NHS Foundation Trust presented the Southwark Community Transformation – current focus areas from the same presentation pack.

RanjeetKaile, Interim Director of Communications of South London and Maudsley, NHS Foundation Trust presented the COVID-19: Preventing a mental ill-health crisis across south London from Supplemental Agenda Pack No. 3, page 1. 

The Chair thanked everyone for their presentation and the accompanying report. It was noted that the Board welcomed the points made in each of the presentations and all opportunities to refresh the Joint Mental Health and Wellbeing Strategy.

In response to a question and answer session the Board noted the following points:

Presentation: NHS SEL CCG and Southwark Council Joint Mental Health and Wellbeing Strategy 2018 – 2021

·  Immediate priorities as part of the refresh strategy would include looking at wellbeing, in terms of responding to a large population that were not generally feeling good. Additionally, in response to the new models of care there was an opportunity to look at the workforce being flexible about considering different ways of working.

·  The refreshed strategy to be done without delay to reflect the current times and build upon it. For example, to include a refresh of the ‘Talking Therapies’ section and to draw upon the positives from the community offer.

·  Include in the strategy how services like the Nest and the Wellbeing Hub were delivering their services during the second lock down to advocate the mental health prevention agenda.

·  To be mindful about the unpaid carers when thinking about the workforce and reaching those on the frontline.

·  Supporting families that had been unable to visit care homes. There are over 400 people in the care homes, which was affecting over 400 families in the borough.

Presentation: Reshaping our Mental Health Services Across South East London presentation

·  2021/22 the projected funds are for the integrated care system and £121m will be distributed across six south London boroughs and the amounts for allocation were still being assessed to consider borough need. The funds are expected to be in the region of £366m for 2023/24.

·  Immediate priorities include, how services were delivered, supporting the workforce and being open, so people could bring their problems to the services.

·  In response to the waiting lists for Talking Therapies, a review going on a South East London level to look at the pressures and try and identify new ways of working and/or solutions like new ways of investment.

·  Need to think about families and the impacts of family breakdowns due to stress during the first lockdown. A demand in services in the Children and Families Directorate had occurred. Need to consider a more targeted approach to identify what immediate support could be offered in going forward.

It was noted, that Chris Mikata-Pralat, Chief Executive of Community Southwark welcomed the opportunity to link Farrah, Ranjeet and Emily with the mental health networks and local VCS groups.

The Chair concluded the discussion by highlighting the common themes for inclusion in the refreshed strategy:

  i.  Open and accessible services;

  ii.  Striking a balance between the focus on mental health and wellbeing;

  iii.  Workforce;

  iv.  Effective Community engagement; and

  v.  Tracking progress to delivery.

It was noted that there was scope for the Joint Mental Health and Wellbeing strategy to be as creative and integrated as possible. And, be further enriched from including the key outcomes from the listening events held during the summer with the local communities, partners and stakeholders.

RESOLVED:

1.  That the Health and Wellbeing Board noted the report and its contents being that the report provides an update on the mental health impacts of the coronavirus pandemic, as well as the local response across Southwark.

2.  That the Health and Wellbeing Board requested a report back on the Partnership’s actions to implement the local priorities identified in paragraphs 15 – 26.

3.  That the Health and Wellbeing Board requested that the issues identified by communities as set out in paragraph 11 were considered in the implementation plans for the NHS and Council recovery plans.

4.  That the Health and Wellbeing Board receive at the next meeting a report setting out the proposed approach to refresh the Joint Mental Health and Wellbeing Strategy.