Children and young people's emotional well-being

What is the programme and its aims?
In 2015, NHS England published pdfFuture in Mind: a report which focused on promoting, protecting and improving children and young people’s mental health and well-being. 75 per cent of adults who have a mental health condition first showed symptoms in childhood and the report addresses the challenges preventing high quality care for children and young people. It focuses on promoting resilience, prevention and early intervention, improving access to effective support, care for the most vulnerable, accountability and transparency, and developing the workforce. The Department of Health has committed significant funding to support the implementation of the Future in Mind recommendations, and all health communities have developed transformation plans and secured local funding.

The children and mental health clinical networks are facilitating the improvement in health and well-being, and specialised mental health, for children and young people. Our aim is to improve the quality of care and access to mental health service as set out in Future in Mind and to improve the outcomes for children and young people with mental health and emotional well-being problems through the support to local clinical commissioning groups and local authority commissioners within the service transformation programme. All partners will have a shared vision and plan of what needs to happen locally with joint working arrangements in relation to children and young people’s mental health and emotional well-being within health and justice.

Why is the programme required?
We know that many children and young people with significant mental health problems are not seen by any professional, including school staff. Within the East Midlands, the mental health needs of children and young people are increasing, leading to greater service demand. However, there is fragmented commissioning and variable delivery, with particular gaps in early intervention and prevention, crisis support, and bed availability. It is essential that children and young people have appropriate access to health and well-being services, at the right time, in the right place, and with the right care.

Who are the partners?
  • Clinicians
  • Specialist advisors
  • Commissioners

How are we making a difference?
We commissioned Dr Fiona Warner Gale to complete an East Midlands children and adolescent mental health service mapping project and the data from this was used to inform transformation plans in the region and identify gaps. We have established an East Midlands local ‘spoke’ team to support local partners and have developed our work programme, which will embed key national deliverables. As part of this work we have appointed two clinical leads and will recruit a local authority specialist advisor. Our Future in Mind Steering Group made up of local transformation plan leads from clinical commissioning groups, local authority, Health Education England, Public Health England, Health and Justice and Specialised Commissioning is now established and meets every other month. The steering group will steer and drive regional service transformation and through establishing task and finish groups for eating disorders, liaison psychiatry, crisis care and inpatient provision, will improve services for children and young people in line with national guidance.

What’s next?
We plan to continue to support improvement in local commissioning arrangements around transformation plans and support the assurance of these plans. We aim to improve access to effective support, ensure appropriate care for the most vulnerable and work towards development of skilled workforce.

What are the key resources?

Who to contact for further information?
This email address is being protected from spambots. You need JavaScript enabled to view it., Senior Quality Improvement Manager