Department of Health Social Care
Central Government
Noted
The Department of Health acknowledges concerns and states that commissioning of mental health services is a matter for the local NHS. They note that local commissioners have made considerable investment to services to children and young people in the last eighteen months. (AI summary)
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From Jackie Doyle-Price MP Department Parliamentary Under Secretary of State for Mental Health and Inequalities of Health & Department of Health and Social Care 39 Victoria Street Social Care London SW1H OEU Your reference: 31479 Our reference: PFD 1129071 Mr David LI. Roberts HM Senior Coroner; County of Cumbria The Coroner' $ Court Fairfield Station Street Cockermouth Cumbria CA13 9PT 9 June 2018 Jeo A kose4. Thank you for your letter of 16 April to the Secretary of State for Health and Social Care about the death of Miss Karen Jane Edgar: Iam responding as Minister with portfolio responsibility for mental health and I am grateful for the additional time in which to do so. Iwould first like to explain that the commissioning of mental health services in Cumbria is a matter for the local NHS. Inote that you have issued your report to local commissioners, the North Cumbria and the Morecambe Clinical Commissioning Groups (CCGs), as well as the Cumbria Partnership NHS Foundation trust, and I hope their response will be helpful. [am advised by local commissioners that acknowledged that service provision for children and young people with emotional mental health and wellbeing problems needed to be increased, and in the last eighteen months; there has been considerable investment made to services: This has included service improvements for example, to the enhanced crisis service, the development of a community-based eating disorder service, earlier intervention services, preventative work and mental health promotion. Iam further advised that local commissioners acknowledge that there have continued to be delays in referrals for therapy; including family therapy: and that there are challenges with recruiting the specialist workforce; both medical and nursing; The Bay ' they
Cumbria Transforation Plan' , sets out how the Iocal health system will improve the quality of access and care in mental health services for children and young people, and understand, continues to be refined according to local need. Your report makes the that many of the failings identified in the care and treatment provided to Miss Edgar were resonant in the publication of the Care Quality Commission 's (CQC s) inspection report early this This is, of course, concerning and we are clear that the Cumbria Partnership NHS Foundation Trust, and its commissioners, must take action to ensure the provision ofhigh quality, safe, sustainable care. Iam informed that local commissioners are working with the Trust to develop commissioning intentions for children's and adult mental health services that include the consideration of strategic partnerships with the Northumberland Tyne and Wear NHS Foundation Trust and the Lancashire Care NHS Foundation Trust with the aim to deliver more sustainable and robust services. Iam also assured that the CCGs are working to implement an action plan to address the issues raised in your Report: Ata national level, I would like to assure you that improving the quality of access and care in mental health services for children and young people is a priority for this Government; aS set out in Future in Mind' , the Five Year Forward View for Mental Health" and, most recently, the Green Paper on transforming children and young people'$ mental health services We are committed to ensuring our children and young people, and their families, get the support need at the right time. The Government is already making an additional €1.4 billion available, which includes E150 million for eating disorders, to improve mental health services for children and young people with mental health problems. http: WWw northcumbriaccg nhs uklabout-us kex-policies-and-documents policies cumbria-local-transfonalion- plan___cYp-ewmh refresh 180224_finaLpdf http: WWvw CgC Org uklproviderIRNN https:! www LovuklgovemmenUpublications improving-mental health-services for-young-people https; WWW englandnhs uklwp contenuuploads/2016 02 Mental Health Taskforce EYEV-finalpdf htps: Lwww_Lov uklgovermment consultations/transforming-children-and-voung-peoples-mental-health-provision-a - green-paper point year?. key - they
Department of Health & Social Care The Green Paper includes plans to improve access to services and mental health support in schools including: Incentivising every school and college to identify and train a senior designated mental health lead to improve prevention work; Creating brand new mental health support teams working directly with schools and and Piloting a new four week waiting time for NHS children and young people'$ mental health services_ Additional funding of over €300 million will be made available post consultation: The consultation closed on 2 March 2018 and we are currently finalising the response to the consultation, which will be published in due course_ Furthermore, NHS England has developed a major service transformation programme, Children and Young People Improving Access to Psychological Therapies" to significantly reshape the way services for children and young people are commissioned and delivered. This includes, in partnership with Health Education England, the training of existing staff to deliver evidence based interventions As part of the programme, services in Cumbria receive outreach service development support from the training provider to embed the principles of collaborative, evidence- based and outcome-focused care across all teams and services delivering care (NHS, local authority and voluntary sector). In addition; NHS England has invested in the children and young people's Mental Health Improvement Team (MHIT) which consists of one national team and a local team in each clinical network The MHIT provides local support to individual and groups of CCGs, Sustainability Transformation Programmes and Integrated Children's Systems which support the implementation of national policy into local delivery: On the matter of funding for mental health services, I would like to point out that spending on mental health has gone up faster than overall NHS funding and is set to continue to rise. Spending on mental health is planned to have increased to a record E11.86 billion in 2017/18. https Iwww englandnhs ukymental-healthycypliapt colleges;
Department of Health & Social Care The recently published NHS planning guidance" states that all CCGs must meet the Mental Health Investment Standard (MHIS) which requires all CCGs to increase their mental health expenditure: We have introduced much greater transparency about mental health expenditure The Mental Health Five Year Forward View Dashboard' , available online, provides detailed breakdown on spend, including by individual CCGs, for the past two financial years [ hope the information [ have provided is helpful. Thank you for bringing your concerns to our attention. JACKIE DOYLE-PRICE hutps: Www enelandnhs uklpublication/refreshing-nhs-plans-for-2018-192 https:Lwww england nhs uklmental health /taskforce imp mh-dashboard Uclu
Cumbria Transforation Plan' , sets out how the Iocal health system will improve the quality of access and care in mental health services for children and young people, and understand, continues to be refined according to local need. Your report makes the that many of the failings identified in the care and treatment provided to Miss Edgar were resonant in the publication of the Care Quality Commission 's (CQC s) inspection report early this This is, of course, concerning and we are clear that the Cumbria Partnership NHS Foundation Trust, and its commissioners, must take action to ensure the provision ofhigh quality, safe, sustainable care. Iam informed that local commissioners are working with the Trust to develop commissioning intentions for children's and adult mental health services that include the consideration of strategic partnerships with the Northumberland Tyne and Wear NHS Foundation Trust and the Lancashire Care NHS Foundation Trust with the aim to deliver more sustainable and robust services. Iam also assured that the CCGs are working to implement an action plan to address the issues raised in your Report: Ata national level, I would like to assure you that improving the quality of access and care in mental health services for children and young people is a priority for this Government; aS set out in Future in Mind' , the Five Year Forward View for Mental Health" and, most recently, the Green Paper on transforming children and young people'$ mental health services We are committed to ensuring our children and young people, and their families, get the support need at the right time. The Government is already making an additional €1.4 billion available, which includes E150 million for eating disorders, to improve mental health services for children and young people with mental health problems. http: WWw northcumbriaccg nhs uklabout-us kex-policies-and-documents policies cumbria-local-transfonalion- plan___cYp-ewmh refresh 180224_finaLpdf http: WWvw CgC Org uklproviderIRNN https:! www LovuklgovemmenUpublications improving-mental health-services for-young-people https; WWW englandnhs uklwp contenuuploads/2016 02 Mental Health Taskforce EYEV-finalpdf htps: Lwww_Lov uklgovermment consultations/transforming-children-and-voung-peoples-mental-health-provision-a - green-paper point year?. key - they
Department of Health & Social Care The Green Paper includes plans to improve access to services and mental health support in schools including: Incentivising every school and college to identify and train a senior designated mental health lead to improve prevention work; Creating brand new mental health support teams working directly with schools and and Piloting a new four week waiting time for NHS children and young people'$ mental health services_ Additional funding of over €300 million will be made available post consultation: The consultation closed on 2 March 2018 and we are currently finalising the response to the consultation, which will be published in due course_ Furthermore, NHS England has developed a major service transformation programme, Children and Young People Improving Access to Psychological Therapies" to significantly reshape the way services for children and young people are commissioned and delivered. This includes, in partnership with Health Education England, the training of existing staff to deliver evidence based interventions As part of the programme, services in Cumbria receive outreach service development support from the training provider to embed the principles of collaborative, evidence- based and outcome-focused care across all teams and services delivering care (NHS, local authority and voluntary sector). In addition; NHS England has invested in the children and young people's Mental Health Improvement Team (MHIT) which consists of one national team and a local team in each clinical network The MHIT provides local support to individual and groups of CCGs, Sustainability Transformation Programmes and Integrated Children's Systems which support the implementation of national policy into local delivery: On the matter of funding for mental health services, I would like to point out that spending on mental health has gone up faster than overall NHS funding and is set to continue to rise. Spending on mental health is planned to have increased to a record E11.86 billion in 2017/18. https Iwww englandnhs ukymental-healthycypliapt colleges;
Department of Health & Social Care The recently published NHS planning guidance" states that all CCGs must meet the Mental Health Investment Standard (MHIS) which requires all CCGs to increase their mental health expenditure: We have introduced much greater transparency about mental health expenditure The Mental Health Five Year Forward View Dashboard' , available online, provides detailed breakdown on spend, including by individual CCGs, for the past two financial years [ hope the information [ have provided is helpful. Thank you for bringing your concerns to our attention. JACKIE DOYLE-PRICE hutps: Www enelandnhs uklpublication/refreshing-nhs-plans-for-2018-192 https:Lwww england nhs uklmental health /taskforce imp mh-dashboard Uclu