Children and Young People Mental Health
Transformation plans Q3 return
1. Mental health needs and activity
The mental health needs assessment for Bolton has recently been refreshed; the data within this
report has been used to develop activity assumptions.
There are 15,050 CYP in Bolton aged 5 – 19 years who would benefit from a MH intervention not
suitable to CAMHS.
Objective
2016/17
2017/18 2018/19 2019/20 2020/21
80% of the needs based group is
In
56%
64%
72%
80%
thriving and would benefit from
development
EHWB support only.
Activity Projections
8,428
9,632
10,836
12,040
There are 4,400 Children and young people (aged 5 – 16) in Bolton who are eligible to be seen by a
NHS funded community mental health provider.
Bolton FT provide a community mental health
service for patients aged 5 – 18 years. A further 1,990 16-19 year olds suffer from a common mental
health problem. Within Bolton there are three community mental health providers Bolton FT CAMHS
(5 – 18 year olds), IAPT (16 – 18 year olds) and Early Intervention in Psychosis 14 years old +
In order to model current activity levels the tier 3 population base for 5 – 19 year old have been
taken into consideration.
Objective
At least 35% of CYP with a
diagnosable MH condition receive
treatment from an NHS-funded
community MH service
Population projections to receive
specialist community MH services
Assumptions based on Bolton CCG ¼
referrals into children’s MH services*
Activity assumptions
 Data source NHS digital
2016/17 2017/18 2018/19 2019/20 2020/21
28%
30%
32%
34%
35%
1,790
1,917
2,044
2,173
2,237
1,980
1,980
1,980
1,980
1,980
64
193
257
The children’s community MH team have already achieved the standard for 2016/17 and 2017/18.
However further work needs to be undertaken to clarify referral pathways and to better understand
the detail and number children accessing IAPT (16 – 18) and EIP (14 years+) services.
2. Project Outline
The CYP MH transformation plan outlines the direction of travel within Bolton in relation to children
and young person’s mental health and wellbeing. It takes into account the recommendations from
Future in Mind along with the views of service users, providers and VCSE plus the recently published
www.boltonccg.nhs.uk
5 year forward view for mental health.
Bolton CCG are active members of the Greater Manchester Future In Mind Group and are working
collaboratively to identify collaborative commissioning priorities. A desk top review of the
transformation plans has been undertaken to ensure alignment with national and Greater
Manchester priorities, as follows:
To support the
 Development of a mobile app to enable children and young
implementation of the
people to manage their own health and wellbeing.
Greater Manchester I Thrive  Bolton Thrive Alliance partners have been identified. Plans in
model
place for the Alliance to develop and deliver emotional health and
wellbeing activities. Models for the delivery of low level
interventions will form part of the CAMHS pathway development.
 Pathways between voluntary sector, GPs, 5-19 service and CAMHS
are being developed.
 Recruitment of 3 CAMHS nurses to support secondary school
clusters.
 Commenced roll out of CYP IAPT methodology to wider
community services
Use of Royal Colleges of
Psychiatrists education
portal MindEd
Workforce development
Crisis Care
Tier 4

Agreement on which modules of MindEd should be placed within
contracts, service specifications and education packages across
Bolton conurbation.
 MindEd will be an integral part of the health and wellbeing app.
 Workforce mapping within CAMHS complete,
 EHWB workforce within 5-19 service and further development
within 3rd sector.
 Roll out of CYPIAPT methodology into community settings.
Bolton CCG are actively involved in the GM crisis pathway
development programme which includes:
 Improving access to 24:7 Mental Health provision and 7 Day
Community Provision for Children and Young People (CYP).
 Development of GM crisis care standards
 Extension of the RAID service to under 16 year olds.
 Review of the current on call rota.
 Reduce Bolton’s Tier 4 bed usage evaluating current crisis and
further developing pathways.
 NHSE member of GM Future In Mind meeting and working
collaboratively to ascertain total bed stock required.
 Implementation of CAMHS transformation plan aims to reduce
Bolton’s Tier 4 bed usage by strengthening local pathways.
www.boltonccg.nhs.uk
Vulnerable groups




During 2016/17 Bolton CCG and partners have:
Delivered Crisis Response and De-escalation Leaders in Emergency
Services (CRADLES) training for all 270 GMP Bolton Police officers.
The intensive one-day training package has been developed by
GMW staff from Criminal Justice and Social Work Teams within
Bolton.
Working with the local authority to improve support for LAC
Fort Alice has been commissioned to provide psychological
therapy for children and families affected by domestic abuse.
Links established with the Greater Manchester LD early
intervention group which is tasked with developing a case for
change and recommendations on new early intervention models.
Further work to be undertaken with stakeholders includes :
ADHD
Community Eating Disorder
Service (CEDS)


Custody liaison and diversion services development
YOT around reducing re-offending and improving the health and
wellbeing of youth offenders.

Contract variation in place with Bolton FT to continue to deliver
ADHD QB test
Review of the GMSCN ADHD action plan
Work underway to redesign local Childrens ADHD pathway
CEDS Business Case approved at CCG Executive 28th September
2016.
CEDS Business Case approved at CCG Board in October 2016.
Continue to work collaboratively with providers and lead
commissioner (Wigan CCG) on the children’s community eating
disorders service.
Children and young people were involved in the development of
the co-produced CAMHS transformation plan as part of the
Building Health Partnerships project
Children and young people with the support of BAND are leading
on the development of the EHWB mobile application
Children and young people with the support of CAMHS are
leading on a local MH anti stigma campaign
Children and young people were members of the evaluation panel
for 3rd sector Thrive expression of interest.
A young person has been supported to lead on the development
of a youth LGBT service user group
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Service user involvement

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www.boltonccg.nhs.uk
3. Budget
Allocation
CYP MH
CYP ED
Planned Spend
(Budget)
673,000
170,000
YTD Spend
FOT Spend
434,750 (end of Q3)
28,000
673,000
168,000
4. Issues and Opportunities
Refresh of plans

Plans aligned to Greater Manchester priorities as described in
point 2 above.
CAMHS Staffing shortages

Opportunity to work with Health Education England and partners
to look at new workforce models
5. Major Risks
risk log
14102016.xlsx
6.
CCG Assurance
As part of the CCG assurance process Bolton CCG submit returns to NHS England on the
implementation of the CAMHS transformation plan. These returns have been assessed by NHS
England and reported within the NHS England CCG Improvement and assessment dashboard. The
dashboard for January 2017 indicates that Bolton CCG is in Quartile 1 (High) for children and young
people’s mental health transformation with a score of 85% compliance.
www.boltonccg.nhs.uk
1.50
National distribution of CCG values for 123c:
Children and young people’s mental health
services transformation
1.00
Selected CCG
Peer Group
Quartile 1 (Higher)
0.50
Quartile 2
Quartile 3
Quartile 4 (lower)
0.00
7. Governance
Governance arrangements for the implementation of the CAMHS transformation plan have been
reviewed and reports are now submitted to the Maternity & Childrens strategy and planning group
and the MH Strategy and Planning Group. The local governance structure diagram is included below.
Author: Sherida Collins
Mental Health Commissioning Manager
www.boltonccg.nhs.uk