Health and Wellbeing Board	20^th July 2022
Report of Tim Madgwick, Independent Chair of the York Mental Health Partnership

Citywide system mental health transformation

Summary

1. This report is to provide an update on the Connecting our City mental health transformation project, and in particular the design and prototyping of a mental health hub model for York. A presentation will be tabled at the meeting.

2. The Health and Wellbeing Board are asked to:

· Note the content of the report

· Support the request for staff to be released to participate within the hub prototyping process

· Ensure appropriate representation within the hub planning and leadership groups to ensure operationalisation of the hub design

· Notify us of any key meetings/forums where an update on this project would be helpful

Background

3. The Connecting Our City Project represents a partnership approach to achieving citywide mental health transformation. The Mental Health Partnership has led the development of the strategy and vision for this project. National mental health transformation funding has provided the opportunity for us to progress our ambitions at pace. One of the key priorities for the partnership has been the development of a community mental health hub model for York, inspired by Trieste.

4. We are delighted that additional GP access funding was identified to support the involvement of the Innovation Unit to support the design and prototyping of a hub model for York and share learning across North Yorkshire. This work is now well underway, and partners are asked to consider their individual roles in supporting this major transformation process over the coming months.

Main/Key Issues to be Considered

5. Please refer to the presentation tabled at the meeting.

Strategic/Operational Plans

6. The joint health and wellbeing strategy for 2017-22 identifies four principal themes to be addressed. One of these themes is mental health and wellbeing with the key priority for that theme being ‘to get better at spotting the early signs of mental ill health and intervening early’.

7. Other aims in the joint health and wellbeing strategy in relation to mental health are:

· Focus on recovery and rehabilitation

· Improve services for young mothers, children and young people

· Ensure that York becomes a Suicide Safer city

· Ensure that York is both a mental health and dementia-friendly environment

· Improve the services for those with learning disabilities (to be addressed in its own strategy)

8. These are expanded and explored in more detail in the Health and Wellbeing Board’s all age mental health strategy 2018-2023.

9. Additionally in 2019 the Health and Wellbeing Board undertook a mid-way review of the joint health and wellbeing strategy and identified that the following priority should be their focus for mental health for the rest of the strategy’s lifetime:

The board will promote awareness and understanding of the protective factors that support good mental wellbeing and ensure that compassionate, strength-based approaches in communities are developed.

Consultation

10. The vision and priorities for the connecting our city project were coproduced as part of a series of events and workshops.

11. A monthly coproduction network has been meeting for the last 18 months and continues to inform the project.

12. All workstreams include people with lived experience and carers.

13. The hub codesign team involved a significant number of people with lived experience and carers. The team have clearly outlined the need to continue this involvement as part of the ongoing governance structure of the hub.

        Implications

· Financial There are no current financial implications. The prototyping will involve informal arrangements to ‘loan’ staff to the process. Additional voluntary sector provision has been funded through the community mental health transformation funding.

· Human Resources (HR) The prototyping will involve informal arrangements to ‘loan’ staff to the process. These staff will remain employed by their existing organisations. Therefore, this report does not specify impact upon Human Resources, but it is recognised that the wider ambitions of mental health transformation may require stakeholders to think about how they best use their human resource to achieve the collective goal.

· Equalities Inequality of access to mental health services is a priority focus of the transformation funding and we are utilising the funding to ensure appropriate focus and investment within this area.

· Legal There are no legal implications.

· Crime and Disorder There are no crime and disorder implications.

· Information Technology (IT) The prototyping process is likely to explore the challenges around interoperability of different systems and how we can best support interagency working.

· Property It is intended that the prototype hub will be based at Clarence Street. This is a council building which is already host to daytime recovery services and the Haven.

        Risk Management

14. Demand for mental health services has increased dramatically. In order to be able to meet these needs and provide the right support to people at the right time, we need to transform the way that services work across the system.

Recommendations

15. Members of the Health and Wellbeing Board are asked to:

· Note the content of this report and its ongoing support of the Mental Health Partnership

· Support the request for staff to be released to participate within the hub prototyping process as relevant

· Ensure appropriate representation within the hub planning and leadership groups to ensure operationalisation of the hub design

· Notify us of any key meetings/forums where an update on this project would be helpful

Contact Details

Author: Tim Madgwick Independent Chair of the Mental Health Partnership
Specialist Implications Officer(s)
Wards Affected:	All	X
For further information please contact the author of the report