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Emotional Wellbeing and Mental Health Service for Children and Young People

 

The tender for this service is now live. Visit the Official Journal of the EU website for further details.

The new service is due to go live on 1st April 2021.

Tender submissions will be evaluated during July and August 2020 with an announcement expected regarding the Preferred Provider in October 2020.

 

On these pages:

 

 

 

Information and Updates

 

 

Picture of young boy and girl with a bike

 

Introduction

 

Emotional Wellbeing and Mental Health (EWMH) services are key to ensuring that Surrey’s children and young people are able to access help they may need when they need it.

Nationally it is recognised that the number of referrals to mental health services has increased significantly over the last few years. The publication of the ‘Future in Mind’ national guidance for children’s mental health and wellbeing sets out ways to make it easier for children, young people, parents and carers to access help and support when required.

In early 2019, following extensive engagement with stakeholders, Dartington Service Design Lab published a series of recommendations around how Emotional Wellbeing and Mental Health (EWMH) in Surrey could be reshaped.

These findings informed Surrey’s strategy for improving children and young people’s emotional wellbeing and mental health. “A thriving community of children and young people in Surrey” sets out a clear vision for all partners working in this field to develop a culture of emotional wellbeing and mental health support that is based on strengthening early intervention to prevent deterioration in children’s and young people’s mental health and in building resilience. The strategy also includes a Children and Young People’s Charter, developed by young people in Surrey.

This contract seeks to deliver a transformative service. If we successfully respond to what we have heard is needed by children and young people, parents, carers, professionals and others with an interest in children’s welfare the following changes will be apparent:

  • Support can be accessed more easily with opportunity to make a direct request for support and quicker responses to providing support or signposting to support.
  • Young people and parents/carers will be aware of online support that is available to them which is ‘approved’ by clinicians for specific difficulties.
  • Young people and parents/carers will feel that communication is good and that they are well-informed about what will happen when a request for support has been made.
  • Young people and parents/carers will feel able to contribute to, and influence service provision and development.
  • Staff in schools/colleges and other professionals working with children and young people will feel that they are offered effective training, guidance and consultation.
  • Children and young people in identified vulnerable groups, such as Children in Care and Care Leavers, children who are identified as needing support for SEND (in particular where those children are struggling to access education), will feel well supported by the Service.
  • Young people aged 16 – 18 receiving emotional wellbeing and mental health support experience a smooth transition to adult services should this be needed.
  • Reduced waiting times for crisis support and specific treatments.
  • A reduction in teenage suicides in Surrey.

 

These changes will be brought about by:

  • More support linked to groups of schools and colleges so that help is offered in or close to those establishments as part of responding quickly to identifying need and enabling children and young people with emerging mental health needs to make good educational progress.
  • An effective single point of access to receive requests for support and offer a quick triage function, signposting, onward referral and ongoing support regardless of how the request is received.
  • A seamless transition between different service offers.
  • The launch and development of an Early Intervention offer involving links with voluntary and community sector organisations. These services will be available stand alone and whilst waiting for a CAMHS referral.
  • Continued delivery of the high level of CAMHS specialist services currently experienced by families in Surrey.
  • Technological solutions which will increase the breadth of support that can be offered e.g. online counselling and Cognitive Behaviour Therapy and the ability to offer virtual clinical appointments to children and young people who may live in a remote location.
  • A Neurodevelopmental Service providing more timely assessments for children and parents seeking a diagnosis for Autistic Spectrum Disorder / Attention Deficit Hyperactivity Disorder and enhanced family support.
  • Effective links with services delivered by partners within the county, such as Surrey County Council’s Children’s Services.
  • Effective links with acute hospital Trusts to improve support when children and young people attend A&E with potential mental health difficulties or are admitted to paediatric wards.
  • Adoption of the i-Thrive conceptual framework to create a coordinated system of support for children and young with a clear focus on all partners in the health, education, social care and wider system helping children and young people ‘to thrive’ and ‘to recover’.
  • 24 hours a day 365 days a year telephone support for professionals who are not experts in emotional wellbeing and mental health to support them in their interactions with children and young adults.


The new service recognises the limitations of a medical service model and will operate in a way that acknowledges children and parents are the experts on their own lives; fully engaging with them to find solutions that reduce the impact of mental distress in their daily lives.

 

Local help and support services

 

 

Downloads

 

 

 

Further Information

 

 

Emotional Wellbeing Mental Health Service for Children and Young People - The Story so Far

  Emotional Wellbeing Mental Health Service for Children and Young People - Information for the Market

 

 

Review Date: 2020-11-23
Review Due: 2021-05-22
Model Publication Scheme Class: Class 6: How we make Decisions

Fort House Surgery Relocation

 

The local NHS wants to convert an empty ward in Walton Community Hospital to a GP practice to benefit the growing Walton community.

 

By relocating Fort House Surgery from its premises on Hersham Road to the vacant Burwood Ward, more local people can register to receive essential GP services.

A previous planning application to relocate the surgery was rejected by Elmbridge Borough Council in February 2019, primarily due to concerns around overspill parking. A new application that addresses these issues was submitted in October 2020.

 

Responding to your feedback

We have listened to local residents, councillors and the Elmbridge Borough Council Planning Committee and used their feedback to address the concerns about potential for overspill parking.

 

Parking

  • 21 car parking spaces will be added to the site, creating a total of 132 spaces for the sole use of patients and staff of the GP practices and Walton Community Hospital. The images below show where the additional parking would be. 

  

 

Digital triage and consultations

  • As a result of the ongoing shift to providing more of our services digitally, the demand for parking at our sites is reducing significantly.
  • Across Surrey patients have consistently given positive feedback about video and telephone consultations and accessing other healthcare services online.
  • Over 60% of Fort House patient requests were managed without the need for a face-to-face appointment in August 2020.
  • The Covid-19 pandemic has resulted in more online and telephone consultations. In the long term we anticipate this continuing and around 40% of people will be supported through digital services without the need to visit their GP practice. In-person GP consultations will continue to be available for patients that need them.

 

Improving care for Walton residents

The demand for GP services in Walton is increasing. More housing has been approved and five local GP practices have stopped registering new patients as they have reached capacity. This means people moving to the area are finding it difficult to access essential healthcare. It is also causing significant pressure on staff and the buildings they work from.

We want to use an empty NHS facility to ensure local residents can access a wide range of GP services from a modern and accessible site. If the planning application is approved, Fort House Surgery will be able to open its list to register new patients. This would be done in a controlled and sustainable way.

 

Watch our online meeting and Q&A with local residents

On 16 November 2020 we held an online meeting where CCG and Fort House Surgery representatives explained our proposal and answered questions from local residents. The meeting was open to everyone and we had 17 local people join us to share their thoughts and a variety of interesting questions. You can replay the meeting by using the link below. 

Click here to watch the session

 

How to share your views

 

1. Submit feedback to Elmbridge Borough Council 

To have your feedback formally considered by the Planning Committee please view the full application and share your comments on the Elmbridge Borough Council website.

Search for the application using the following application number: 2020/2854

  

2. Contact the CCG

If you would like to discuss or ask questions about the proposals you can also contact NHS Surrey Heartlands CCG using the details below. 

  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Telephone: 0300 561 1555

 

Planning Documents and Background Information

You can view the planning permission documents and you can read further information about the overall proposal in the following documents:

 

If you need this information in another language or format, please contact us using the details at the bottom of this page.

The planning consultation was due to end on 10 December 2018. This was extended by Elmbridge Borough Council to 11 January 2019, which the CCG supported in order to ensure local people could express their views.

 

Update following appeal decision - November 2019

In September 2019 the CCG formally lodged an appeal against the planning decision of Elmbridge Borough Council to refuse the change of use of the empty Burwood Ward to house Fort House GP surgery.

This appeal was rejected in November 2019 primarily on the grounds that further information was needed regarding the proposed additional car parking area, the quantifiable impact of digital transformation of services on parking demand and the absence of a cap in patient numbers.

 

Next steps

The CCG and Fort House surgery remain committed to finding a solution to enable the practice to operate from a modern and accessible space that meets the needs of patients.

We are meeting imminently with Elmbridge Borough Planning Officers, with the aim of quickly establishing the availability of feasible alternative estate in the area to house the GP practice. The outcome of this will determine whether we go back to the planning committee with an amended appeal.

In parallel we are working with partners, including CSH Surrey, to consider the future of Burwood Ward. As an empty space that costs the local NHS £200k per year it is essential we find a way to use this for local people’s health and wellbeing.

Activity on this will progress at pace only after all options to house Fort House Surgery on the site have been exhausted. It will also consider the broader context of emerging plans for neighbouring areas such as Weybridge and Molesey.

We will continue to keep this page updated and share the latest information with partners when available.

 

Update following planning committee decision - February 2019

The CCG’s planning application to change the use of Burwood Ward in Walton Community Hospital from C2 to D1 (and so suitable for a GP practice) was refused by local councillors at the North Area Planning Committee on Monday 4 February 2019. It had been recommended for approval with conditions by the council’s Planning Officer whilst the County Highways Authority recommended the Transport Assessment and Travel Plan.

The reason for refusal was given as follows:

"The proposed development would fail to provide sufficient car parking for the numbers of users of the application site and the wider Walton Community Hospital and Walton Health Centre which would result in an increase in parking stress in the local area and have a detrimental impact on the users of that site and the amenities of the neighbouring properties and locality. This would be contrary to policies DM2, DM7 and DM9 of the Elmbridge Development Management Plan 2015."


For further information:

  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Telephone: 0300 561 1555

 

 

Review Date: 2020-11-10
Review Due: 2022-05-19
Model Publication Scheme Class: Class 6: How we make Decisions

Improving Access to Psychological Therapies in Surrey Heartlands - Provider Information

 

The current contracts are due to expire on 31 March 2022.  Therefore, commissioners are now seeking views of potential bidders to help inform the future service model.

 

Background

The current Service started in July 2016 and is delivered by six providers under an Any Qualified Provider (AQP) on a cost-per-case commissioning model using a locally determined tariff.

The Service is informed by NICE guidelines outlined in the ‘IAPT Manual’.

Adults over the age of 18 registered with a GP in Surrey Heartlands or Surrey Heath are eligible to access the Service.  A pilot to reduce the age of access to 17 is currently on-going.

Providers offer face-to-face, telephone and online appointments.

Since the Covid-19 pandemic, the Service has continued to deliver appointments virtually.

Providers are co-located in Primary Care Networks to deliver the Service to people with long-term conditions (LTCs).

 

Service targets

The main key performance indications (KPIs) are set by the NHS Long-Term Plan:

  • Access (numbers of people entering treatment)
  • Waiting times
  • Recovery
  • Reliable Improvement

 

The target for numbers entering treatment increases yearly, the 2019/20 target was 22% of the estimated mental health prevalence in Surrey.  The target for 2020/21 is 25%, with the NHS Long Term Plan stating a future expansion of the estimated prevalence target.

 

Provider events

Two virtual events were available to potential bidders to attend and participate shaping the future model on weds 21st October 2020 and Thursday 5th November 2020.  The events are exactly the same in content to enable participation.  The event details and registration process can be found below:

pdf Re Commissioning Surrey Adult IAPT Service Provider Event Oct-Nov2020 (213 KB)

pdf Market Engagement Event 21 October 2020 - Slides (854 KB)

pdf Market Engagement Event 21 October 2020 - Notes (163 KB)

pdf Market Engagement Event 5 November 2020 - Slides (854 KB)

pdf Market Engagement Event 5 November 2020 - Notes (180 KB)

The events were also advertised on contracts finder and TED:

 

If you have any questions, relating to the above or about the procurement, please contact us:

  • This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Potential providers

  • What would you suggest we change in our current service model and why?
  • Do you have any experience of IAPT service delivery, outside of Surrey? If so, what worked well?
  • How will you embed patient choice and experience into your service delivery?
  • What innovation will you bring?
  • How would you deliver IAPT for the residents of Surrey Heartlands to meet local needs?

 

Please share your suggestions and experiences with us via:

 

   

This email address is being protected from spambots. You need JavaScript enabled to view it.

   

 

Deadline for comments is midnight Thursday 26 November 2020.

 

 

Review Date: 2020-11-13
Review Due: 2021-11-12
Model Publication Scheme Class: Class 4: Procurement and Tendering

Improving Access to Psychological Therapies in Surrey Heartlands - GP Information

 

We know that many people who access IAPT hear about these services through their GP. In Surrey Heartlands, our current contracts with IAPT providers are now coming to a close and we are seeking GPs’ views on how the services could be improved when new contracts begin in 2022.

 

Things we’d like to know:

  • What do you like or dislike in our current delivery model?
  • What is the optimum referral method to benefit your patients?
  • What feedback have you received from your patients about IAPT services?
  • Would telephone or online IAPT services overcome barriers to access for your patients?
  • Has IAPT for your patients with LTC (long term conditions) and MUS (multiple unknown symptoms) been effective?

 

You can share your feedback in three ways.

 

1. Join a lunchtime Q&A session

To share your experiences and discover more, GPs can join a lunchtime Q&A with the Procurement Team via Microsoft Teams:

Wednesday 18 November 2020
12.00 – 1.00pm

Friday 20 November 2020
12.30 – 1.30pm

Monday 23 November 2020
1pm – 2pm

To join one of these sessions:

  • email This email address is being protected from spambots. You need JavaScript enabled to view it. with your preferred date and time, contact email and surgery location.

 

2. Complete our short survey

You can complete a short survey.

  • Request a link here This email address is being protected from spambots. You need JavaScript enabled to view it.. Please provide your contact email address and which surgery you are from.

 

3. Email us

Share your suggestions and experiences with us via:

  • This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

Deadline for comments is midnight Thursday 26 November 2020.

 

 

 

Review Date: 2020-11-06
Review Due: 2021-11-06
Model Publication Scheme Class: Class 4: Procurement and Tendering

Improving Access to Psychological Therapies in Surrey Heartlands - Public Information

 

In Surrey Heartlands, IAPT services are commissioned by the CCG. This year around 25,000 local residents will access psychological therapies through the IAPT programme. That will increase to 30,000 by 2023.

 

How we provide IAPT locally at the moment

 

In Surrey Heartlands, IAPT is provided by six organisations that deliver the service across the area under an Any Qualified Provider (AQP) commissioning model.

Our 6 AQPs are:

  • Centre for Psychology
  • DHC Talking Therapies
  • IESO Digital Health
  • Mind Matters Surrey NHS
  • Talking Therapies Surrey online
  • We Are With You Surrey
  Current IAPT AQPs: Centre for Psychology, DHC Talking Therapies, IESO Digital Health, Mind Matters Surrey NHS, Talking Therapies Surrey online, We Are With You Surrey

  

We don’t have to have six providers. We could have fewer. It’s about offering choice, but how much is too much?

 

Choice or Simplicity; What’s best when it comes to IAPT services?

  • Having different providers means more choice for service users both for location and for types of sessions available.
  • But having lots of choice can be confusing. It also takes time to research different options and not everyone has the confidence or resources to carry out research.

 

Here are some examples of why having a choice of IAPT services can be important.

 

MANDEEP is 35 and after feeling depressed she has decided she would like to start face to face therapy.

She would like to see a female Asian IAPT therapist but there aren’t any offering sessions near her. There are two in other areas of Surrey Heartlands. She has her own car and is prepared to travel. For Mandeep, being able to choose face-to-face therapy and a provider by gender and culture is important.

 

 

 

 

JAMES is 19 and a student.

He’s suffering with anxiety. He’d like to have online therapy. The gender of the therapist is not important to him. For James, being able to select online therapy is important.

 

 

SALLY is a single parent and works shifts.

She can’t be available for IAPT sessions at evening or weekends because of child care. She’d like to know if she can have therapy near where she works. For Sally, depending on her work situation, one option would be to have a mixture of online, phone, and face to face sessions to fit around her shift work and child care. She would need to be able to choose a provider who can offer this.
 

 

 

 

PETE is 57. His wife died a few years ago and he’s struggling to cope.

He’s physically disabled and uses his wheelchair to get around. He’s not very confident with technology and doesn’t own a personal computer. His GP has offered to refer Pete for IAPT therapy. If Pete didn’t want to travel, he would need to be able to choose therapy by phone. His GP might feel that group therapy could help Pete with any isolation issues. The GP would need to be able to select a provider that offers this type of therapy.

 

What do you think?

 

  • If you’ve experienced IAPT, how were you referred to the service and what was that experience like?
  • Would you prefer lots of choice of services or something simple?
  • What access issues might you face when using IAPT services for example, sight or hearing problems or other physical issues?
  • What about using public transport or using technology?
  • What would you change about our IAPT delivery approach so it works for you?

 

Please share your suggestions and experiences with us by:

 

   

Completing our
quick survey

   

This email address is being protected from spambots. You need JavaScript enabled to view it.

 

  

 

Deadline for comments is midnight Thursday 26 November 2020.

 

 

Review Date: 2020-11-05
Review Due: 2021-11-05
Model Publication Scheme Class: Class 4: Procurement and Tendering
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