Dr Andrew Murray Co-Chair of the SWL Clinical Senate, Clinical Chair of Merton CCG and local GP We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk
Dr Dr Andrew Murray, Chair, NHS Merton on CCG Ged Curran, n, Chief Executive utive, London don Borou ough gh of M Merton on John Goul ulston ton, former Chief Executi tive ve, Croydon ydon Health Services s NHS Tr Trust David d Bradley, y, Chief Executi tive ve, SWLStG MH NHS Trust Children and Young People’s Mental Health and Wellbeing: Reducing self-harm in children and young people in South West London We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk
Art by an adolescent who self-harmed We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 3
Ris ising ing in incidence idence of of s self lf- harm in adolescents… National GP Data SWL A+E Admissions 500 450 400 350 300 250 200 150 100 50 0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 4
Problem Statement There is a high incidence of self-harm in children and young people (CYP) in South West London (SWL) We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk
Pr Proj oject ect App pproach roach Input from children and young people to inform System ambition to strategy reduce prevalence of self harm by 20% in three years across Workshop two: South West London (as • agree SW London strategy to reduce levels measured by of self-harm in our CYP and attendance at hospital • agree how to take forward (leadership, emergency resources and funding) departments) We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 6
Mul ulti ti-ag agency ency par articipa icipants nts in in wo works kshops hops to i o ident ntify ify the he root cause and agree the strategy…. Workshop 1 on 28 th February 2018, 50 SWL multi-agency participants completed a fish bone analysis in groups . Our Prime Root Cause: “ There is not consistent early and effective support for emotional wellbeing in our children and young people” We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk
Strategy ategy Generatio eration Support for Workshop 2: 34 ideas parents Tested with Survey of then grouped by 1,252 children and theme to enable easier young people, their Access to Early years comparison services support parents and carers and teachers Lack of consistent wellbeing support & early intervention Support in Scoring by CAMHS Support for education CYP Commissioners using settings standard criteria Digital Offer We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 8
Wh Whol ole e Scho hool ol App pproach oach – pi pilo lot clu lusters ters in in pl plac ace in in al all l of of our bor ou oroughs oughs • Cluster group identified for each borough • 1 lead school, 1-3 other secondary schools, 3- 5 primary schools. Some include a special school • Croydon cluster includes one private school • Cluster leads are: • St. Mary’s Catholic High School, Croydon • Tolworth Girls School, Kingston • Ursuline High School, Merton • Richmond Park Academy, Richmond • Greenshaw High School, Sutton • Southfields Academy, Wandsworth We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 9
Whole School Approach… supporting children and young peop ople, le, the heir ir par arents nts an and car arers ers an and teacher achers • SWL Schools’ Policy Ethos and • Support for Teachers environment • School culture promoting staff wellbeing • PHSE Staff Curriculum, • System-wide Training • Directory of Services development teaching and • Mental Health First Aid • Online Peer Support & support learning Whole School • Mental health professionals Targeted • Online counselling support support and Approach • Engagement with CYP and Parents Student voice appropriate • 1:1 and Group Interventions referral • Non-medical Support Underpinned Working Monitoring with parents • Research Partner by expanded • Parenting classes impact and carers • School Data Collection single point of access We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk
Suc uccessful cessful bid id sub ubmit mitted ted to b o be trailbla ailblazer zer for or Green een Pa Paper • South West London was the only area to submit a cross – borough bid. This was viewed positively by NHS England and the Department of Education • Successful bids for cluster groups in Merton, Sutton and Wandsworth – between them will support an additional 24,000 children and young people • Resulted in an additional £1.8m investment in children and young people’s mental health brought into South West London • Mental Health Support Team for school clusters currently being mobilised We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 11
Successful trailblazer bid Cluster groups have Baseline evaluation individualised action commenced plans Our achie ievem vements ents to date…. Rolled out Mental CYP actively engaged Health First Aid in our Programme across schools Commissioned online counselling support We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk
What we have learnt so far … • Focus on one thing and pick the right thing • Looking at the root cause might change your focus • There is wide variation and multiple parallel work streams • Working across a large complex system is slow and difficult • Engaging with CYP and stakeholders made it even slower but was effective • Senior leadership commitment matters • Milestones help • Working with schools is complex and different • Relationships and trust are critical • Viewed as novel and innovative – this has helped our success in accessing external transformation monies We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 13
We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 14
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