VCS Forum for Mental Health 10am-12pm on 10th May 2016 Draft Minutes Present: Alyson Scott Lynne James Kim Bevan Dani Wardman Kyla Honing Laura Davis John Brown Gill Milner Peter Hart Helen Robinson Alison Wheatley Mags Hyett Eileen Ronan Sarah Armstrong York Mind (Chair) Mainstay The Retreat Survive The Healing Clinic York CVS (Minutes) Healthwatch York Cloverleaf Advocacy Service YACRO Joseph Rowntree Foundation York Housing Association City of York Council Arc Light/ Changing Lives York CVS Guests: Jeanette Thompson Sharon Pickering Angela Crossland JuST Works JuST Works City of York Council Apologies: Melanie McQueen Mary Hodgson June Tranmer Sue Williamson Jake Furby IDAS Castlegate for Young People The Healing Clinic Tang Hall SMART CIC York LGBT Forum 1. Welcome, introductions, apologies Alyson welcomed everyone to the meeting and apologies were noted. 2. Minutes of meeting held on 15th March 2016 and matters arising The minutes of the last meeting were agreed. 3. Jeanette Thompson and Sharon Pickering JuST Works – Information and Advice Strategy VCS Forum for Mental Health MINUTES 1 Jeanette explained that JuST Works has been commissioned by City of York Council to develop a strategy that will make information and advice on health and social care work better for the people of York. The project is currently at the data gathering stage and will encompass information and advice beyond the council. Service users, providers and professionals will be consulted. Jeanette explained that she wanted to hear Forum members’ views on what works and doesn’t work in the current system. The following points were raised: There is a need to help people get the information they need. Existing systems need to work together better. The Healthwatch York Mental Health Guide is a hard copy source of information written by a service user. People can call Healthwatch York if they require further information. There is an online Mental Health Directory which covers York. The CAB’s Advice York Directory which is a hard copy directory aimed at professionals. There is a lot of informal networking based on the detailed knowledge and experience of staff within the sector. Whilst it was agreed this was a positive approach which often works very well, it was recognised that there may be issues as it is not a formal system. Dependent on the workforce and clientele, Facebook can be a useful means of communication. Feedback provided suggested that the workforce within the sector is quite diverse in age, and therefore there isn’t the expected loss to retirement of experienced, knowledgeable staff that other sectors/services may experience. It was noted that younger staff can deliver effective information and advice with sufficient training. People require a personal contact when trying to make sense of complex information particularly when people are under stress. Social prescribing project is about helping people find or access services from providers they may even already be familiar with. However the project provides confidence and handholding to enable people to access this support in times of need. Websites and digital information can be helpful but sometimes there is too much information. VCS Forum for Mental Health MINUTES 2 It was noted that the VCS has a broad range of knowledge and expertise on information and advice provision. The concept of a network of branded information points across the city was suggested, which could link into dementia friendly/safe spaces. These points could be existing providers who already help to signpost people to more appropriate providers where relevant. A virtual library of resources, documents and leaflets to be accessible to professionals would be helpful. Sarah reported that North Yorkshire are doing some similar work on this approach. It was noted that another directory would not be the answer, but it would be more important to link up with existing sources of information. It was noted that organisations should hold the responsibility for making their sites/services appear in web searches or use terms that service users would use. There was agreement that there is a lot of duplication of information and too much information and choice. A limited choice of good quality options is better. It was noted that social media is very important for some people as it allows them to engage outside of the home. A mixed approach of communication channels is required. Consideration needs to be given to people who can’t read. Jeanette offered to come back in a couple of months to say how the work has progressed. 4. Angela Crossland City of York Council – Changes to 0-19 services Angela introduced herself and explained she is working alongside Niall McVicar on the development of Local Area Teams. Angela explained the following points: The service will be covering from pregnancy to 19 years old (up to 25 years for disability). This is the first phase of the council’s move towards a place based approach. The intention is to breakdown silos and encourage more flexibility to meet families’ needs at the early intervention stage. The key issues identified through process mapping the various early intervention systems are: domestic abuse; parental and young people’s mental health problems and parental substance abuse. VCS Forum for Mental Health MINUTES 3 It will be important to link closely with adult services to affect changes for children. There are significant cost savings expected to be made with this approach, but with a focus on a better way to achieve outcomes for families. Local Area Teams will be located in the three areas of greatest need across the city. The city centre youth offer will be different from the existing Castlegate service but this is still to be formulated and the council is open to ideas about how it should look. It will need to link closely with the Local Area Teams. The following points were raised: It was raised that the voluntary sector needs to be an integral part of the Local Area Teams rather than an add on. Angela explained this is something that will be looked at. The existing procedures for making a safeguarding referral will remain the same. The Referral and Assessment Team should be contacted through the Front Door arrangements as they are now where there are any concerns for a child’s safety. It was raised that mental health services need to be available to all not just those with a formal diagnosis. Voluntary sector organisations are picking up referrals from statutory services as they either don’t meet statutory thresholds or there isn’t capacity. It was noted that people often go to the VCS or other trusted relationships in times of crisis. It was raised that voluntary sector organisations working with people with mental health problems and who may also have children, need to be able to be involved in how these services are delivered. Angela explained that she and Sarah have discussed holding a CVS hosted stakeholder event which would give the opportunity to have further in depth discussions about this work. This is currently being planned for June. 5. Report back from the Mental Health and Learning Disabilities Partnership Board meeting and issues to raise at next board meeting This was not covered. VCS Forum for Mental Health MINUTES 4 6. Update on the provision of early intervention services for people with mental ill health Sarah Armstrong gave a brief update on work she has undertaken with the council and the CCG in general on commissioning. Sarah explained that as part of an exercise to understand more about what is currently commissioned and where there may be overlaps, she has agreed with the council to look specifically at the Service Level Agreements (SLAs) which York CVS currently holds. Sarah outlined her discussions with the council, specifically about York CVS’s SLAs and about what efficiencies can be made by commissioning differently but also asking for flexibility in return. Sarah is happy to act as a point of contact on commissioning issues for the sector. Alyson explained that they had a different issue, in that there has been very limited commissioning opportunities from the council and it is not clear what their process is. Alyson reported that further meetings about the early intervention proposal have been cancelled by the council. The steering group has decided to approach other funders with the proposal. It was raised that there needs to be better mechanisms for consulting the sector more quickly. It was raised that some organisations are just receiving regular extensions of contracts which leads to insecurity and staff turnover. 7. Safeguarding This was not covered. 8. Information exchange This was not covered. 9. Any other business This was not covered. 10. Dates of future meetings: 10-12pm at Priory Street Centre 15 Priory Street, York YO1 6ET 12th July 2016 VCS Forum for Mental Health MINUTES 5 13th September 2016 15th November 2016 VCS Forum for Mental Health MINUTES 6
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