Connecting the Dots, working in partnership to deliver IAPT principles in challenging times

Sara Barnes CAMHS Directorate Manager

Sarah Leah Operational Manager Stockport CAMHS

Challenges for Commissioners• Lack of clarity re responsibilities• Finite and volatile resources• Provider efficiencies - impact on quality developments• Growing demands • Balancing accessibility with evidence based intervention

and outcomes• Connections with other commissioners and key

stakeholders• Commissioning of services that provide good outcomes,

good experience, value for money, are accountable, deliver across the population and to a range of agendas

Challenges for providers• Dynamic need • Imbalances in CAMHS pathway -flow and capacity• Balancing skill mix• Making the important measurable/demonstrating

effectiveness• Competition and drive for efficiencies• Multiple strategic change and re-organisation agendas• Implementing CYP IAPT principles • Town Plan and Neighbourhood Models • Co-production, Self Help agenda• Long term conditions and impact on service capacity

What do commissioners need from providers?

• Services that provide good outcomes, good experience, value for money, are accountable, deliver across the population and to a range of agendas

• A partnership relationship with regular contact and dialogue

• Understanding of stakeholder challenges

• Support to develop local service vision

• Energy, willingness and commitment to drive change

Challenging times create change….

“ Not changing is not an option, there is a need to understand the risks of not changing and engage in change. Sometimes change is not always about making things better it can be

about stopping things getting worse”

Access

ROM

Working in Partnership

Evidence Base

IAPT as vehicle for change

Accessibility…

• Building a local Children's Emotional Wellbeing and Mental Health pathway with low access point

• Jointly agreeing realistic timescales and offers

• Joint strategic engagement across sectors

Evidence base….

• Education and understanding around the evidence base

• Link to value for money agenda and local service vision

• Senior officers in CCG and LA boards and key documents understanding evidence base and linked delivery plan

Working in partnership with children and families…..•High impact engagement and influence for families during change process

•Joint planning of engagement with all stakeholders

•Dedicated forums for parents/carers and for young people around key questions and service changes

Outcome focused….

Our Shared Journey

• Redesign services with up to 50 % less resource• Stakeholder relationships affected• Invested time/leadership /transitional funding• Impact and risk but also provide solutions • Flexible rigidity• Engage stakeholders individually and collectively • Whole system change – skill mix review, pathways, service

specification , co production, comms. branding

CommunicateCommunicatecommunicate

Changing….

Agreeing where you will get to and how you know when this has happened

Being open to opportunities created by changes elsewhere in other systems

Communicate, communicate , communicate.

Deliver differently - stay flexible, change in culture

THANK YOU

Sara.barnes@nhs.net

Sarahleah@nhs.net

Jeffrey.schryer@nhs.net