Minutes of the Airedale, Wharfedale & Craven Health & Wellbeing Hub Meeting on 2 December 2014 PRESENT: Dee Pollitt — Craven Volunteer Centre Harriet Steventon — Craven District Council Kate Senior — Craven CVS Diane Huck — Relate Anna Jackson — Carer's Resource Kim Shutler-Jones — Cellar Trust Amy Brown — The Power of Your Mind (clinical hypnotherapy) Mel Morgan-Davis Age UK North Craven Lynn Lawson — Project 6 Craig Watson — KIVCA Tracy Hopkins — Skipton Children's Centre (on behalf of Caroline Porter) Nick Smith — Project 6, BDCT, WRAP Sue Gledhill — Bradford Council, Keighley Area Office Najma Ashraf — Roshni Ghar, Keighley Anne Crabtree — Pioneer Projects Sylvia Merrett — Craven Mental Health Forum Jane Fisher — People First Keighley & Craven Lindsey Hurt — People First Keighley & Craven Helen Firth —Volunteer (various organisations) Debi Hawkins — Cancer Support Bradford & Airedale (Skipton) Rachael Memmott — Specialist Autism Services Pam Essler — AWC CCG Lay Rep Helen Farmer- AWC CCG Melanie Hey — Keighley Healthy Living Trudy Balderson —Airedale NHSFT Russell Sandlaach KIVCA Becky Mears — Building Health Partnerships Vicky Breere — Project 6 Rachel Memott_ Specialist Autism Services Milton Pearson- Craven CVS Mandy Hey – Keighley Healthy Living Mike Gadger- Project 6 Marion Tweed-Rycroft NYCC Stronger Communities Delivery Manager) Sue Gledhill- Keighley Area Office David Russell- Grassington Hub AMMENDED CORE HUB AIMS (see separate document) Becky Mears from Building Health Partenrships Project is working with all 5 hubs to help strengthen them and get them better networked in to other Health structures. She presented a revised document showing the Core Hub Aims and how the hubs relate to other health and wellbeing structures : Bradford District Health and Wellbeing forum: Milton Pearson, Anna Jackson, Russell FEEDBACK FROM CRAVEN FORUM Key issues: 1. Encouraging GPs to attend meetings. 2. Data systems of Voluntary Centre Assets. Will send a report round re sharing information and sharing with NYCC. FEEDBACK FROM AREA/WARD PLANS The priorities agreed by the hub members are Social isolation Befriending Poverty and impact on health Mental Health North Yorkshire : Information from the last meeting re priorities has been fed by Vicki into the NY system — she's waiting for feedback. Keighley/Airedale :Sue Gledhill from Keighley Area Office There are 3 officers covering 6 wards. The ward plans sit alongside the district plans and work in tandem. They are starting to work on ward assessments and write plans and targets in January but they also respond to information coming in throughout the year. Regarding commissioning Ward plans are supported bySmall Grants programmes ( community chest) is supportive of the ward plans and community development funding Ward partnership team meetings 6 weekly where they measure themselves against their plans for: Environment Safer Communities Children& Young People Health Inequalities Financial impact on communities Stronger Communities Starting to work on Ward Assessment/Plans in January but also respond ??? The local area office have 6 weekly meetings with Public Health and to share local information COMMUNITY HEALTH NAVIGATORS UPDATES 1. Kate Senior- Craven See summary Been attending Multi Disciplinary Team meetings. Been promoting and raising awareness of VCS services with Health professionals in the area, particularly new services and updates Referrals are picking up and coming through MDTs mostly but also through other health professionals. Has identified: a need for more befriending and services that go to people's homes mental health issues — low resources in Craven. New projects coming up and making health professionals aware of VCS projects. Action: Vicki and Kate to share information about mental health and dementia services. 2. Craig Watson- Keighley, Airedale and Wharfedale Has had more interaction from GPs calling him up to discuss patients and referrals from OTs (dementia and Mental Health) More dual diagnoses e.g. dementia and Parkinsons Gaps in services identified: Mental Health. A Wellness Recovery Action Planning group has been asked for in Ilkley so Champions Show the Way are planning on starting a group Befriending oversubscribed in Ilkley. Looking at making services more efficient and working together. Julie Lintern at KIVCA is overseeing bringing people together. ACTION Health navigators were asked if they could share a breakdown of where referrals are going and how many are coming in ACTION If you any organizations have complex cases who you are concerned about, refer to Kate/Craig to take them to MDT. ORGANISAPRESENTATIONS BY ORGANISATIONS RE PRIORITIES IDENTIFIED IN LAST MEETING 1. Children's Centres & Early Interventions NY ??? Tracey Hopkins Parent Support ??? Shipton??? Children's centre South Craven North ??? Upper Wharfedale Have hubs here in centres but also do outreach through health centres, community centres, and schools etc. ??? Isolation.— services in centres and outreach in communities, e.g. Cook and Eat. Sure Start ??? maybe getting people into other services. Introducing parents and other families in the area Referrals — 90% though health visitors — see sticker??? for rest step up and down re safeguarding frOm children's social care Anyone can refer but family needs tO consent. 2. Project 6 — Families Family Service — can get details on website http://project6.org.uk/ Example of established, mature, integrated partnership. Built around Multi Agency Ante Natal Services by specialist midwives and obstetrician (AGH), specialist drug workers from Project 6 and specialist drug workers from BDCT. Example of best practice nationally. Take a number of individuals who are socially isolated because of their drug use in order to Have good pregnancies Are at a good point to change and engage re substance misuse. Outcomes very good — 87% recovery rate. Service started as drug work but been expanded to alcohol. Midwives need to be asking questions about how much women drink. Refer if you come across women who would benefit. Question: Horizons is alcohol service in Craven. Are Project 6 going to be working with them around supporting families. Project 6 engaging with hospital re my Airedale midwife scheme????? and engaging in Craven patch Working with Craven organisations to establish referral prototols and partnership working. Project 6 also working with AGH re addressing alcohol issues which are causing accidents and crisis health??? Concern re AGH A&E not referring a person to alcohol support services despite 5 ambulance trips??? Helen Farmer??? to take this up. 3. Sharing Voices — based in central Bradford Some work in Keighley and Airedale Has been addressing BME mental health needs for 12 years Asylum seekers and refugees Older people's worker 7 young people's workers in schools South Asian African Caribbean communities Spiritual and psychologic6l therapeutic service launched 6 months ago — counselling service based on Muslim spirituality. Still going in to ward in Airedale???? Awareness raising in communities and schools Work with people with and without diagnoses Support around training, education, employment. Funded by CCGs. AWC CCG. Asked to work with Skipton Road Day Service Started??? a men's service Have a worker going into schools in Keighley. 4. People First (Jane Fisher & Lindsey Hurt) Advocacy group for adults with learning disabilities. Office with 30 people in Keighley. Key priorities: Isolation — taxi campaign — wheelchair users not being charged more. Training in LD awareness to help professionals interact better with people with LD. Partnership working — weight management courses in Keighley (Central Hall) referred by GPs. ??? 5 day learning holidays — healthy eating, cooking skills, healthy activities, independent living skills (5 day holidays???). Good for people about to go into independent living. Psychologist comes in at end of week to get a ??? of what people have learnt. Home OT and physios leading the physical activities. NYCC referred 9 people and found this really helful for getting them ready for independent living. Offer: One ??? offering to share working with iPads to help improve communication. Action: Using links ??? council training re Dementia to help improve understanding of LD around Keighley Town Centre. 5. Keighley Healthy Living — see website http://www.khl.org.uk/ Food and nutrition courses e.g. Healthy??? Weight Exercise classes Work with families on ??? Ministry of Food classes. Social isolation of older people. Lots of activities. Airedale Networker??? Day, 1:1 support and signposting Work with lots of frail??? older people and can see ???? Befriending Well Being Café Breast feeding support and peer support packages Young parents group — preparation for parenting, attachment??? and bonding. 6. Volunteer Centre Work on: Brokerage Marketing Developing new volunteering opportunities Good practice — volunteer management training Specialist??? workshops on working with Volunteers with mental health difficulties, learning disabilities etc. Work at ??? with people with low confidence. Benefits of volunteering one mental health / wellbeing: Sense of purpose; quashing??? feelings of being useless post-retirement Reducing feelings of being isolated, helped to rebuild confidence and relationships Give something 'worth getting out of bed for' — mental stimulation and social contact for retired. Depressing not being in work — volunteering got me out of the house and gave me a purpose. Gave me confidence to apply for part-time job after being on ESA. Training in January??? in partne'rship with WEA. Skills for volunteering aimed at??? people with mental health issues and for low confidence. 7. Marion Tweed-Rycroft — NYCC (Stronger Communities Delivery Manager) Full time permanent post, funded from Public Health money. Looking at impact of cuts on communities. Helping communities to deliver themselves the services which have been reduced or cut. Team of 7, have??? Skills in W???, Children's Centres... 4 core areas: transport, libraries, children's services, health and adult services. Role: New in post from 1st October 2014. Several strands??? Broker between VCS and public sector which is becoming more of a commissioning body. Conduit between ??? on the ground and commissioners. Supporting groups who want to take on services Encouraging collaborative working, developing consortia. Signposting function. Currently mapping activity, explaining role, getting some understanding of themes in the??? Transport??? Duplication Groups (e.g. befriending) Issues re provision of information. Creating a directory for each district * PUT CONTACT DETAILS ON MINUTES (ONLY FOR MARION???) 8. WRAP Developed in America: Nick Smith, BDCT Health Champions with Mental Health, now works as practitioner??? Has mental illnesses himself and dealt with them since childhood. Volunteer at Project 6. Qualified VVRAP facilitator. WRAP started by MIND and Meridian House in Keighley 96% success rate. Recognising that people are experts.in themselves enables people to write instruction booklets in how they are. Covers what it's like when you are well, what are your triggers, ???? ??? and England is only place where it's not funded by local government. Funded by CCG. Volunteer looking to set up a group in Ilkley. Email questions to Vicki??? CCG FEEDBACK 1. Urgent Care Strategy Feedback — Helen to circulate notes. Improve GP practices Use pharmacies Access via opticians for ??? eye appointments Like concept of walk in centres Clear pathways about how GPs promote mental health self care Parity of services between mental health and physical health. Strategy will be up on website???? Will only go out to consultation if any changes happen. 2. Service review on tissue viability so services are the same across Airedale, Wharfedale and Craven. Service in Keighley. Looking at getting a service in Craven. If you know anyone with leg ulcer??? ask them to give feedback. Question: Where does ulcer??? team link in? Helen to check. WRAP question: Is there any funding to pay for training facilitators? A: BDCT provide funding. Nick is looking at putting on 12 week WRAP course in ?? but needs to secure funding. NEXT MEETING: TUESDAY 3RD MARCH — WORKSHOP ON ETHICAL COLLABORATION ??? looks like 2nd March but that's a Monday???