MLCSU - Supporting Children and Young People with Mental Health Needs - System Convenor Project

Description

In 2022/23 the national team made non-recurrent resource available within regions to address the specific challenge related to CYP accessing mental health support through Paediatric Acute Hospital services, where this model was driving poor patient outcomes with specific risks within the environment. This resource was specifically targeted at piloting/testing new approaches to ensure learning aligned to commissioning improvements across regional, Provider Collaborative and system teams. The Midlands agreed the development of a system convenor function enabling improved working across paediatric settings and the wider MHLDA pathway including CAMHS tier 4. Midlands and Lancashire CSU was appointed to deliver this project in 22/23. The project was slow to mobilise due to several national delays and have been iterative in design based on engagement and reflection throughout the programme. The Programme has been explorative supporting the regional response to the escalation of patients waiting within an acute hospital environment during the COVID period where the capacity in CAMHS tier 4 was causing significant delays. The work programme has delivered several key tasks but most significantly focused on embedding proactive relational models across system and multi-system teams. Outputs: • Regional De-escalation policy developed and launched. • CAMHS Tier 4 referral audit and recommendations • Structured reporting model - regional oversight • Escalation support model • ECHO programme business case • Complex ED Regional summit and health needs assessment • Reflective practice Group - Case Manager The function has played a key role in developing support into the regional team during a period of transition and considering improvements to practice. The Programme has been granted a short term extension to conclude the agreed programme due to the noted slippage to timescales which were outside of the control of all parties. MLCSU is looking to appoint a service delivery partner to support the conclusion of this project. Deliverables include: • Monitoring of De-escalation policy: evaluation and review • Updated reporting model for the regional team including deep dive reviews: working to the Regional Medical Director, design and deliver the framework for the annual programme. • CAMHS Delayed Discharge Audit and recommendations. • Mobilisation of the Echo programme to transition to PC leadership model. • Second Regional ED Summit (April 2023) • Daily escalation response and system in reach • Attendance at CYP Transformation Boards, National Programme Board (CYP programme), Regional reporting to MHLDA Assurance Group, Regional MHOG, MHLDA Operational team (development model) • Handover of reflective practice group • Administration - including support to MHLDA contracting. • Coordination of 2023/24 allocation to regions at £19k per acute hospital to ensure a framework to deliver aligned improvements. Additional information: SUBMITTING A QUOTE: To view the documents and submit a quote for this service please register as a supplier on the Bravo Portal (link below). Once you have registered you will then be able to access the project under the following details: Bravo Link - https://mlcsu.bravosolution.co.uk/web/login.html Project Code - 879 ITT Code - 1061 Project Title - (RFQ) MLCSU - Supporting Children and Young People with Mental Health Needs - System Convenor Project samantha.yates6@nhs.net elaine.butler2@nhs.net

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