Report for External Services Select Committee Tuesday 9 th July 2019 Kim Cox- MH Borough Director Appendix B
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Rep
ort
fo
r E
xte
rnal
Se
rvic
es
Se
lec
t
Co
mm
itte
e
Tu
esd
ay 9
thJu
ly 2
019
Kim
Co
x-
MH
Bo
rou
gh
Dir
ec
tor
Appendix B
Intr
od
uct
ion
•Ea
tin
g D
iso
rde
r
•C
hild
an
d A
do
lesc
en
t M
en
tal H
eal
th
Serv
ice
s (
CA
MH
s)
•C
hild
ren
's C
om
mu
nit
y Se
rvic
es
•A
du
lt C
om
mu
nit
y Se
rvic
es
•Im
mig
rati
on
Re
mo
val C
en
tre
He
alth
Se
rvic
es
•H
illin
gdo
n D
rug
and
Alc
oh
ol S
erv
ice
s
This
re
po
rt w
ill
incl
ud
e u
pd
ate
s fr
om
th
e f
ollo
win
g C
NW
L H
illin
gdo
n
Serv
ice
s –
3
Hill
ingd
on
CA
MH
S
•W
ork
forc
e: T
he
fu
nd
ing
pro
vid
ed
by
the
CC
G v
ia N
HSE
to
in
crea
se c
apac
ity
by
3 C
BT
ther
apis
ts w
ork
ing
is
com
ing
to
an e
nd
. Th
e ad
dit
ion
al c
apac
ity
red
uce
d t
he
inte
rnal
CB
T tr
eatm
ent
wai
ts. T
he
re is
ris
k th
at t
he
wai
t fo
r th
is t
reat
men
t m
ay in
crea
se w
ith
ou
t th
ese
ext
ra p
ost
s
•Th
e t
eam
is lo
oki
ng
to r
ecru
it a
Bo
rou
gh L
ead
Th
erap
ist
to
join
th
e se
nio
r le
ader
ship
tea
m
•R
TT li
st:
Th
e t
eam
are
usi
ng
a Q
I pro
ject
as
a w
ay o
f su
stai
nin
g th
e 1
8 w
eeks
ref
erra
l to
ass
essm
ent
targ
et
HC
AM
HSi
llin
gdo
nC
AM
HS
Tran
sfo
rmat
ion
:
Urg
en
t C
are
Te
am (
UC
T)-
CN
WL
no
w o
ffer
24
/7 f
irst
res
po
nse
to
A&
E d
epar
tmen
ts b
y C
AM
HS
trai
ned
sta
ff
Eati
ng
Dis
ord
ers
Se
rvic
es
The
CN
WL
Eati
ng
Dis
ord
ers
Serv
ice
pro
vid
es s
pe
cial
ist
he
lp a
nd
su
pp
ort
acr
oss
all
five
bo
rou
ghs
(Bre
nt,
Har
row
, Hill
ingd
on
, Ken
sin
gto
n a
nd
C
hel
sea,
Wes
tmin
ste
r)
Ther
e is
a c
on
sist
en
tly
hig
h d
eman
d f
or
the
serv
ice
as
dem
on
stra
ted
by
the
hig
h n
um
ber
of
you
ng
peo
ple
on
th
e ca
se lo
ad
Ho
wev
er, t
he
serv
ice
con
tin
ues
to
mee
t th
e re
ferr
al t
o a
sse
ssm
en
t ta
rge
ts
Ch
ildre
n’s
Se
rvic
es
Dev
elo
pin
g an
In
tegr
ated
Hill
ingd
on
P
aed
iatr
ic T
her
apy
Serv
ice
to s
up
po
rt a
si
ngl
e p
oin
t o
f e
asy
acce
ss w
ith
a f
ocu
s o
n e
arly
inte
rven
tio
n
by
off
erin
g d
rop
-in
th
erap
y se
ssio
ns,
an
en
han
ced
web
site
(H
illin
gdo
n T
alks
, M
ove
s an
d P
lays
) an
d
advi
ce li
ne
for
refe
rral
an
d s
up
po
rt.
CYP
(0
-25
) mu
lti
agen
cy
wo
rksh
op
s ta
kin
g p
lace
to
incr
ease
th
e in
tegr
atio
n o
f al
l se
rvic
es f
or
child
ren
in
Hill
ingd
on
Wo
rkin
g cl
ose
ly
wit
h s
oci
al c
are
to
ensu
re w
e co
nti
nu
e to
mee
t 1
00
% o
f In
itia
l H
eal
th
Ass
essm
ents
fo
r Lo
oke
d A
fter
C
hild
ren
Hill
ingd
on
0-1
9
Serv
ice
has
just
d
eliv
ered
it’s
bes
t ev
er q
uar
terl
y p
erfo
rman
ce fo
r ch
ildre
n a
nd
fa
mili
es
Wo
rkin
g co
llab
ora
tive
ly
wit
h T
HH
, LA
an
d
CC
G t
o d
evel
op
an
d s
up
po
rt t
he
del
iver
y o
f ef
fect
ive
pat
hw
ays
for
you
ng
peo
ple
tr
ansi
tio
nin
g to
ad
ult
ser
vice
s
Co
nti
nu
ing
to
ach
ieve
ab
ove
N
WL
aver
age
d
eliv
ery
rate
s in
im
mu
nis
atio
ns
for
child
ren
an
d y
ou
ng
peo
ple
in
Hill
ingd
on
QI P
roje
cts
taki
ng
pla
ce:
Imp
rovi
ng
slee
p
man
agem
ent
for
child
ren
wit
h a
dd
itio
nal
n
eed
s
Red
uce
wai
tin
g ti
mes
fo
r re
ferr
al t
o
asse
ssm
ent
to t
he
pae
dia
tric
OT
serv
ice
Incr
ease
th
e n
um
ber
of
OT
con
tact
s w
ith
ch
ildre
n a
nd
yo
un
g p
eop
le
Hill
ingd
on
He
alth
Car
e P
artn
ers
Car
e C
on
ne
ctio
n T
eam
s (C
CT’
s) a
nd
Dis
tric
t N
urs
e
serv
ice
s w
ill b
e r
eal
ign
ed
to
th
e 8
Ne
igh
bo
urh
oo
ds
CC
Ts w
ill e
xpan
d t
he
ir
crit
eri
a to
incl
ud
e a
ll ad
ult
s.
Incr
eas
e f
rom
15
–1
8 C
CTs
w
ill a
lso
incl
ud
e W
ell
Be
ing
Off
ice
rs f
rom
Hill
ingd
on
4A
LL
Ne
igh
bo
urh
oo
ds
–G
P
con
fed
era
tio
n a
re id
en
tify
ing
Clin
ical
Dir
ect
ors
fo
r e
ach
of
the
ne
igh
bo
urh
oo
ds,
wit
h a
vi
ew
to
hav
ing
a m
atri
x st
yle
In
tegr
ate
d M
anag
em
en
t st
ruct
ure
Car
e H
om
e S
erv
ice
–G
P
con
fed
era
tio
n a
re le
adin
g o
n
sett
ing
up
ne
w C
are
Ho
me
Se
rvic
e –
wh
ich
will
incl
ud
e
an A
cute
vis
itin
g se
rvic
e,
Me
nta
l an
d P
hys
ical
He
alth
N
urs
es
wh
o w
ill c
arry
ou
t A
dva
nce
d C
are
Pla
nn
ing
and
tr
ain
ing
to t
he
ho
me
s an
d
Extr
a C
are
fac
iliti
es.
CN
WL
Ad
ult
Se
rvic
es
You
r Li
fe L
ine
24
/7 –
succ
ess
fully
ke
ep
ing
pe
op
le a
t h
om
e.
CA
RS
‘Re
du
cin
g Fa
lls in
Car
e H
om
es’
–fi
nal
ists
at
the
May
20
19
HSJ
Val
ue
A
war
ds
Bla
dd
er
& B
ow
el a
nd
Tis
sue
Via
bili
ty
hav
e a
lso
en
gage
d C
are
ho
me
s in
p
rovi
din
g tr
ain
ing
and
pre
ven
tin
g p
ress
ure
ulc
ers
.
CN
WL
hav
e s
ucc
ess
fully
re
cru
ited
a
Epile
psy
an
d P
arki
nso
n’s
Dis
eas
e
Nu
rse
He
art
Failu
re S
erv
ice
s h
ave
had
ext
ra
inve
stm
en
t d
ue
to
a s
ign
ific
ant
incr
eas
e in
act
ivit
y b
ein
g d
ive
rte
d
fro
m t
he
acu
te T
rust
.
Dia
bet
es
–w
e a
re c
urr
en
tly
wo
rkin
g w
ith
th
e le
ad C
om
mis
sio
ne
r at
re
view
ing
the
se
rvic
e s
pe
c an
d w
hat
th
e s
erv
ice
ne
ed
s ar
e t
o m
eet
th
e
incr
eas
ing
de
man
d.
Hill
ingd
on
Me
nta
l He
alth
Se
rvic
es
Nu
mb
er o
f Se
ctio
n
13
6 (
MH
A)
as
sess
men
ts h
it a
ll ti
me
hig
h in
Ap
ril
at 5
9
We
hav
e co
mm
ence
d a
‘S
IM’ p
roje
ct
join
tly
wo
rkin
g w
ith
th
e P
olic
e t
o
give
inte
nsi
ve
inte
rven
tio
ns
fro
m
bo
th a
hea
lth
an
d
crim
inal
just
ice
p
ersp
ecti
ve f
or
a ca
selo
ad o
f se
rvic
e u
sers
In p
artn
ersh
ip w
ith
h
ealt
h
com
mis
sio
ner
s w
e h
ave
bid
fo
r ad
dit
ion
al
avai
lab
le p
arit
y o
f es
teem
fu
nd
ing
to
incr
ease
th
e su
pp
ort
in p
rim
ary
care
fo
r p
eop
le
wit
h a
men
tal
hea
lth
pro
ble
m.
We
hav
e al
so b
id
for
fun
din
g fo
r a
serv
ice
spec
ific
ally
fo
r o
ur
serv
ice
use
rs w
ho
su
ffer
fr
om
a p
erso
nal
ity
dis
ord
er
Bed
pre
ssu
res
rem
ain
an
on
goin
g is
sue
wh
ich
h
op
efu
lly
add
itio
nal
su
pp
ort
in
th
e co
mm
un
ity
will
red
uce
AR
CH
wa
s a
wa
rde
d a
pu
blic
he
alt
h g
ran
t to
imp
lem
en
t fi
bro
us
sc
an
nin
g o
n-s
ite
.
•E
ffe
ctive
imp
lem
en
tatio
n o
f a
co
mp
reh
en
siv
e 'w
elfa
re,
ph
ysic
al a
nd
we
llbe
ing
' off
er
for
alc
oh
ol m
isu
se
clie
nts
in
the
bo
rou
gh
, p
rovid
ing
a ‘h
ea
lth
pa
ssp
ort
‘.
•T
rain
ing
pro
gra
mm
e fo
r a
ll A
rch
Nu
rse
s to
pro
vid
e
Fib
rosca
nn
ing
.
•P
rovis
ion
of a
wid
e r
an
ge
of n
on
-stig
ma
tisin
g s
ate
llite
se
ttin
gs a
nd
in
-re
ach
arr
an
ge
me
nts
with
h
ou
sin
g a
nd
pa
rtn
er
ag
en
cie
s-
for
this
clie
nt g
rou
p.
•O
nsite
p
rovis
ion
of p
rio
rity
clin
ics in
pa
rtn
ers
hip
w
ith
Hill
ingdon L
A and the d
evelo
pm
ent of th
e R
ough S
leepers
Initia
tive
p
roje
ct in
20
19
/20
.
•R
efu
rbis
hm
en
t o
f A
rch
We
lfa
re R
oo
m-
pro
vis
ion
of clo
the
s,
foo
d, to
iletr
ies a
nd
on
site
su
pp
ort
fo
r h
ou
sin
g a
nd
he
alth
&
we
llbe
ing
with
ne
w p
ath
wa
y .
•C
lien
t a
cce
ss to
In
form
atio
n a
nd
Co
mm
un
ica
tio
ns
Te
ch
no
log
y (
ICT
) S
ocia
l W
ork
su
pp
ort
& h
ou
sin
g c
linic
s.
•K
PIs
/o
utc
om
es
–In
cre
as
e in
clie
nts
ac
ce
ss
ing
Fib
ros
ca
nn
ing
wit
h h
ea
lth
pa
ss
po
rts
at
Arc
h
•In
cre
as
e in
str
ee
t h
om
ele
ss
ac
ce
ss
ing
Arc
h.
•In
cre
ase
in
acce
ss to
ho
usin
g
•.
•
Ea
rly i
nte
rve
nti
on
an
d p
reve
nti
on
of
live
r d
ise
as
e
Red
uc
tio
n i
n i
np
ati
en
t b
ed
da
ys
an
d l
en
gth
of
Sta
y
Red
uc
tio
n i
n h
os
pit
al
ad
mis
sio
n e
pis
od
es
fo
r
alc
oh
ol-
sp
ec
ific
co
nd
itio
ns
an
d t
he
mo
rtali
ty r
ate
fro
m a
lco
ho
l li
ve
r d
ise
as
e.
Arc
h –
Inn
ov
ati
on
Fro
m 1
stA
pri
l 2
01
9,
AR
CH
ha
ve
be
en
aw
ard
ed
th
e
co
ntr
ac
t b
y L
on
do
n B
oro
ug
h o
f H
illi
ng
do
n t
o
ma
na
ge
th
e p
rovis
ion
of
the n
ew
se
rvic
es
in
clu
din
g
Sm
ok
ing
Ce
ss
ati
on
, S
up
erv
ise
d C
on
su
mp
tio
n,
Ne
ed
le e
xc
ha
ng
e , G
PS
C a
nd
in
-pa
tie
nt
de
tox
ific
ati
on
bu
dg
et
ma
na
ge
d b
y
Arc
h.
Sm
ok
ing
Ce
ss
ati
on
•In
no
va
tive
ne
w p
ath
wa
y a
t A
rch
–co
ve
rin
g
the boro
ugh –
pro
vid
ing a
range o
f sm
okin
g
ce
ssa
tio
n p
ha
rma
co
thera
py a
nd
psych
olo
gic
al in
terv
en
tio
ns.
•Ta
rge
ted
gro
up
s &
pa
thw
ays
•H
illin
gd
on
HH
T-A
&E
, C
DC
, A
MU
Mate
rnity,
CO
PD
, R
espirato
ry p
re-p
ost
op
era
tive
.
•G
Ps/ lin
ks w
ith
GP
co
nso
rtiu
m, G
PS
C,
he
alth
Ce
ntr
es , P
rim
ary
Ca
re .
•M
enta
l H
ea
lth
–L
inks w
ith
DD
clie
nts
/dis
ab
ility
te
am
s .
•C
NW
L w
ide s
mokin
g c
essation s
taffin
g
ca
mpa
ign
/sta
ff liv
ing
in
Hill
ing
do
n.
•S
taffin
g –
exte
nd
to
AP
’s N
urs
e’s
an
d te
am
at A
rch
Pri
ori
ty G
rou
ps
/KP
Is –
ag
ree
d o
utc
om
es
;
Ch
ild
ren
un
de
r 1
8, p
reg
na
nc
y/c
hil
db
irth
, M
H,
dis
ab
ilit
y, r
ou
tin
e m
an
ua
l o
cc
up
ati
on
s.
New
Co
ntr
acts
SU
PE
RV
ISIO
N
•C
NW
L O
ffender
Care
Directo
rate
has s
trength
ened the
exis
ting a
rrangem
ents
for
superv
isio
n in lin
e w
ith T
rust
Polic
y.
•A
n im
media
te r
evie
w o
f syste
ms a
nd p
rocesses r
esulted
in a
str
ength
ened p
lan t
hat is
deliv
ering b
oth
indiv
idual
and g
roup s
uperv
isio
n.
•A
targ
et of 95%
of sta
ff to h
ave r
eceiv
ed s
uperv
isio
n in
line w
ith t
he p
olic
y (
every
4 -
6 w
eeks)
has b
een s
et.
April
superv
isio
n r
ate
–79.1
%.
•T
he g
overn
ance a
nd m
onitoring p
rocess for
superv
isio
n
com
ple
tion h
as b
een m
ade m
ore
robust.
•S
uperv
isio
n c
om
ple
tions a
re m
onitore
d w
eekly
thro
ugh
the local S
enio
r M
anagem
ent T
eam
(S
MT
) m
eetings a
nd
any o
uts
tandin
g s
uperv
isio
n a
ddre
ssed w
ith t
he
superv
isor
and s
uperv
isee.
•C
om
ple
tion f
igure
s a
re n
ow
monitore
d thro
ugh a
month
ly
KP
I (s
uperv
isio
n c
om
ple
ted w
ithin
last 4
-6 w
eeks)
and
are
report
ed to the m
onth
ly O
ffender
Care
Busin
ess a
nd
Perf
orm
ance S
MT
meeting for
overs
ight
and s
cru
tiny.
TR
AN
SL
AT
ION
SE
RV
ICE
S
•M
onth
ly r
eport
ing o
f use o
f tr
ansla
ting s
erv
ices
•A
ll sta
ff w
ere
rem
inded o
f th
e n
eed to u
se p
rofe
ssio
nal
inte
rpre
ting s
erv
ices
•P
oste
rs a
re d
ispla
yed f
or
deta
inees in 1
4 languages
advis
ing t
hem
of th
e p
rovis
ion
•P
oste
rs a
re d
ispla
yed a
nd leaflets
availa
ble
advis
ing
deta
inees o
f healthcare
serv
ices a
vaila
ble
at th
e IR
C a
nd
transla
ted into
a v
ariety
of la
nguages a
nd in a
n e
asy r
ead
form
at
•U
ser
frie
ndly
written info
rmation h
as b
een m
ade a
vaila
ble
in
altern
ative languages a
nd is o
n d
ispla
y in
patient are
as
•H
ealth p
rom
otion info
rmation is a
vaila
ble
in a
num
ber
of
languages inclu
din
g d
iabete
s, cancer
aw
are
ness a
nd
heart
dis
ease
•A
pro
cess h
as b
een e
sta
blis
hed to e
nsure
poste
rs a
nd
health info
rmation is in p
lace a
nd u
pdate
d m
onth
ly.
•T
he p
atient engagem
ent le
ad c
ontinues to h
old
regula
r deta
inee f
oru
ms to g
ath
er
feedback fro
m d
eta
inees a
nd
addre
ss a
ny g
aps in h
ealthcare
info
rmation n
eeded.
Act
ion
s co
mp
lete
d f
rom
CQ
C I
nsp
ect
ion
IRC
He
ath
row
Fo
cus
•Im
pro
ved
acc
ess
to
he
alth
care
an
d
sup
po
rt s
erv
ice
s fo
r vu
lne
rab
le
ind
ivid
ual
s an
d a
re
du
ctio
n in
he
alth
in
eq
ual
itie
s
•Li
aiso
n w
ith
he
alth
care
an
d s
up
po
rt
serv
ice
s to
de
live
r a
coo
rdin
ate
d
resp
on
se, e
nsu
rin
g th
at t
he
ne
ed
s o
f in
div
idu
als
are
met
•D
ive
rsio
n o
f in
div
idu
als,
wh
ere
ap
pro
pri
ate,
ou
t o
f th
e c
rim
inal
just
ice
sy
ste
m in
to h
eal
th, s
oci
al c
are
, e
du
cati
on
an
d t
rain
ing,
or
oth
er
sup
po
rtiv
e s
erv
ice
s
•To
re
du
ce r
e-o
ffe
nd
ing
and
/or
esc
alat
ion
of
off
en
din
g b
eh
avio
urs
Op
era
tin
g an
all
age
& a
ll vu
lne
rab
ility
mo
de
l acr
oss
3 s
ite
s: U
xbri
dge
Mag
istr
ate’
s C
ou
rt, H
eat
hro
w P
olic
e C
ust
od
y an
d
Hill
ingd
on
Yo
uth
Off
en
din
g Se
rvic
e
Off
en
de
r C
are
Lia
iso
n a
nd
Div
ers
ion
Se
rvic
e –
Hill
ingd
on
Mu
lti-
dis
cip
linar
y te
am c
on
sist
ing
of:
•Te
am M
anag
er
•Li
aiso
n a
nd
Div
ersi
on
Pra
ctit
ion
ers
•Yo
uth
Ju
stic
e Li
aiso
n a
nd
Div
ersi
on
Pra
ctit
ion
ers
•C
on
sult
ant
Fore
nsi
c Ps
ych
iatr
ist
Wo
rkin
g in
pa
rtn
ersh
ip w
ith
‘To
get
her
fo
r M
enta
l
Wel
lbei
ng
’ an
d W
est
Lon
do
n M
enta
l Hea
lth
Tru
st
Aim
s:
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