The Health and Wellbeing Board met on Wednesday 16 November 2016 to discuss and endorse several key strategies and plans aimed at improving the health and wellbeing of residents. Decisions were made to endorse the Joint Dementia Strategy, the Joint Primary Care Strategy, and the Richmond CAMHS Transformation Plan, as well as noting progress on outcomes-based commissioning for mental and physical health and a report on improving emotional wellbeing for young people.

Richmond Outcomes Based Commissioning – Mental and Physical Health

The Board noted the progress update on Richmond's move towards outcomes-based commissioning for mental and physical health services. This initiative aims to shift services from being activity-based to focusing on clinically meaningful outcomes, with new care pathways designed to be delivered closer to home. Key intended outcomes include a reduction in accident and emergency admissions, improved access to care within local communities, and better reflection of the needs of specific population groups. The programme also encompasses the integration of diagnostics within GP practices and a reduction in unplanned appointments. A significant aspect of this transformation involves mental health services being relocated to community settings, with new contracts requiring mental health providers to collaborate to ensure the effective delivery of integrated services.

Development of a New Children and Young People's Plan

The Health and Wellbeing Board endorsed the direction of a new Children and Young People's Plan (CYPP). This plan will consolidate health, social, and safety issues, building upon the foundation of the Children and Young People's Needs Assessment. A consultation process, including engagement with children and young people, is planned, with an extraordinary meeting of the Children's Strategic Partnership scheduled for January 2017. The final plan is anticipated to be presented to the Council in March 2017 and published shortly thereafter. The CYPP will be brought back to the Health and Wellbeing Board in March 2017 for further review.

Joint Dementia Strategy 2016-21

The Board endorsed the Joint Dementia Strategy 2016-21, recognising it as a significant step towards enhanced joint working between Richmond Council and the Richmond Clinical Commissioning Group. The strategy outlines a five-year vision for individuals living with dementia and their carers in the London Borough of Richmond upon Thames. It is estimated that approximately 2,000 residents in the borough are living with dementia. A core objective of the strategy is to foster an integrated approach to health and social care services, covering all facets of dementia care. This includes a focus on prevention, timely diagnosis, supporting individuals to live within their communities, ensuring access to health and social care, and providing patients with choice regarding end-of-life care. The strategy is accompanied by a needs assessment and has received sign-off from Richmond CCG and the Cabinet at the London Borough of Richmond upon Thames. In discussions about dementia prevention, it was highlighted that lifestyle choices beneficial for preventing heart disease, such as avoiding smoking, moderate alcohol consumption, a healthy diet, and regular exercise, are also conducive to preventing dementia. Ageing was identified as the primary risk factor. The Board also noted progress on the delivery of the Health & Well-being Board's Strategy.

Joint Primary Care Strategy 2016-21

The Health and Wellbeing Board approved the Joint Primary Care Strategy (JPCS) 2016-21, viewing it as a crucial step in further embedding integration and joint working between the council and the CCG. This three-year roadmap aims to increase investment in the primary care workforce, education, training, premises, and information technology. The overarching vision is to place patients at the centre of service delivery, transforming services to ensure sustainability while enhancing capacity and affordability. The strategy acknowledges the challenges posed by Richmond's ageing population and increasing service demand, as identified in the Richmond Joint Health Needs Assessment. Key challenges include prevention, reducing health inequalities, minimising harm, and adapting to demographic changes. These will be addressed through an expanded workforce and new models of accessible, co-ordinated care, with services intended to be available seven days a week from 8am to 8pm, maintaining a patient-centric focus. The strategy includes a roadmap detailing year-on-year improvements. The Board endorsed the JPCS in recognition of its progress towards the Health & Well-being Board Strategy's aspiration for service integration.

The Richmond CAMHS Transformation Plan 2016-2020

The Health and Wellbeing Board ratified the refreshed Richmond CAMHS Transformation Plan 2016-20. This plan outlines the service's aspirations for the next five years and identifies key issues to be addressed. It details how children will access services, emphasising a model without rigid tiers to ensure free movement in service access. A consultation conducted in partnership with Healthwatch, involving children and young people, provided valuable insights for support mechanisms. Prevention and building resilience in schools are central components, with the importance of a trusted adult in supporting resilience highlighted. Early intervention and prevention are key to reducing the number of children requiring treatment and decreasing waiting times. The plan aims to reduce treatment times and address Richmond's high rates of self-harm. The Board also agreed to receive a six-month progress report in early 2017.

Improving Emotional Wellbeing for Young People 2016 - Report

The Health and Wellbeing Board noted the survey report on improving emotional wellbeing for young people and considered the recommendations for forthcoming commissioning rounds.