8. Welsh Conservatives Debate: Community Mental Health Teams

Part of the debate – in the Senedd at 5:57 pm on 3 April 2019.

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Photo of Vaughan Gething Vaughan Gething Labour 5:57, 3 April 2019

Thank you, Llywydd. I'm pleased to have an opportunity today to restate this Government's recognition of the importance of continuing to improve mental health services. I do want to say that I welcome the general tone of the debate today, with lots of thoughtful contributions, including those that I agree with and those where I don't agree with every single part. I think it is helpful to have a genuinely healthy debate where there are differences of view and, overall, I think, a shared ambition to see improvements in experience and outcomes through our mental health services, and, importantly, the point that this isn't just a matter for the health service. The improvements and the things that give people resilience around their mental health are often not about the health service itself.

Now, one of the major parts to today's motion and debate is the thematic report by Healthcare Inspectorate Wales and the Care Inspectorate Wales. It highlights key themes and issues arising from their joint inspections of community mental health teams. The joint inspections reflect the integrated nature of these services between local health boards and local authorities, but the thematic report focuses on adult services. We have, of course, discussed in-patient CAMHS earlier today in the topical question, and we have a large amount of work in train to try and improve mental health services at an earlier, more preventative stage in the joint ministerial task and finish group in response to the 'Mind over matter' report. The thematic report recognises that progress is being made, including increasing collaboration between health and social care and in providing a responsive service during a period where we are experiencing increased scrutiny and demand for mental health services. The report makes 23 recommendations for improvement, and I can confirm the Government will respond to each of those recommendations.

Now, in an initial response to the report, the chief exec of NHS Wales wrote to Healthcare Inspectorate Wales on 20 March. That set out the Welsh Government's expectations that health boards will engage with local authority partners to provide robust improvement plans as their response to the recommendations in the report, and I can confirm that supporting community mental health teams will be a priority area in our 'Together for Mental Health' delivery plan. We will consult on the delivery plan within the next few months, and the delivery plan will also take forward the recommendations from the recent review of care and treatment planning by the NHS delivery unit. To support these improvements,  we'll target additional investment over the next financial year. That will include funding to increase the range of and access to psychological therapies, and that will build on the additional £5.5 million made available in the year just ended.

The joint review also makes recommendations in relation to the Welsh community care information system. We've committed significant funds to support the implementation of this ICT system across our 22 local authorities and seven health boards. It addresses that information-sharing interface within health boards and between health boards and local authorities, including our community mental health team. I do want to respond to some of the points about the mental health core data set, which we are committed to finalising. It will include identifying appropriate and meaningful targets and developing a more outcome-focused approach to this work. These data items are being developed by a multi-agency national project steering board, and are currently being taken through the Welsh innovation standards board to ensure they're collected in a consistent way. I don't want to be explaining how the statistics we eventually produce are actually different in different parts of the country. The work is currently phased but is due to conclude by the end of this calendar year, and the data set will be captured within the Welsh community care informatics system. From a mental health perspective, we've employed staff to support work directly with teams across Wales throughout 2019 to pilot forms and data collection using our existing IT systems in preparation for the implementation within the Welsh community care information system. [Interruption.] I will.

This will include work to inform outcome-focused practice, capture service user experience and improve consistency in using outcome measures and to measure progress and recovery. That work we'll look to extend across all teams in 2020-21, so mental health data will be published on a regular basis when that system is properly and fully operational.