Agenda Item Brief Notes Actions Who

PresentVicky Shipway (VS) (Chair), Chris Wilcox, Liz Hand, Gareth Taylor, Rachel Marriott, Stuart Talmage, Fran Marriott, Emily Scrace, Jodie Frost, Annabel King, Ruth Houghton, Abi Gee, Paul Trueman, Katie Smith, Claire Turbutt, Jane Waite, Mike Freeman, Emily Faircloth, Carlton Rhodes-Neale, Carole Demuth, ML Wilson, Dot Throssell, Si Parham, Danielle Mathers, Liz Cole, Larissa Milden

1. Welcome/ Apologies

Apologies from: Katrina Bannigan, Debbie Westlake, Nick Axford, Nick Pennell, Hazel Roberts, Helen Fellows, Karen Jones, Stevie Murphy, Lynda Bowyer, Gemma Gowan, Cathryn Keeble, Roger Crabtree, Jane and Sarah, Lyn Pashby, Zoe Copeland, Tina Fox, Jason Searing, Julia Moore, Sophie Currie, Rose Taylor, Lin Walton, Jenny Barnicoat, Jacki Williams, Sarah Lees, Graeme Scott, Olivia Craig, Karen Marcellino,

2. Minute Accuracy/ Matters Arising

The PlymouthMHN website has been updated to now include past meetings.

3. PART 1

Host presentation

Gemma Gowan of Wolseley Trust was unavailable so ML Wilson from Simply Counselling provided a host presentation.

Simply Counselling:

Simply Counselling are a Generic counselling agency in Stoke comprising 35 counsellors all with different approaches. ‘Cradle to grave service’. Have recently been awarded continuation funding from the lottery for a further 5 years.

The Project:

Running a new “Parent and Child” project, focusing on the spoken word, in particular working with children as young as 9 months to 1 year. Talking about abuse, about ‘how I feel now’, talking about how they felt and thought

Plymouth Mental Health NetworkE: info@plymouthmhn.org W: http://www.plymouthmhn.org/

about each other during darker times in order to rebuild family units built on facts.

Children are badly affected by abuse and parents aren’t aware. Children withdraw and become isolated. The focus on the next 5 years of this project is on the child. The brief is to work in therapy with the ‘parent’ (loose term – could be carer).

Offer:

15 one to one sessions – parent and child. Then referred to Plymouth Music Zone. Parenting course. How it affects the brain and how behaviour can be affected. Not all sessions are running from Stoke – Harbour, PIDAS, Refuge, Barnardo’s (“you and me Mum”). Provide informal stepping-stone introductory services in community settings such as ‘coffee shops’ to

encourage clients to come in to counselling – helps to build trust

Referrals:

text, email, website. Only in the City of Plymouth. 2 month waiting list (since Jan 5th launch).

Further Aims:

To make this project long term. Would like the PMHN to cooperate with any monitoring by providing useful feedback.

Ad-Hoc:

Emily Faircloth to exchange contact details with ML to discuss funding.

4. Members Update

Larissa Milden – Improving Lives – Active for All - Supporting adults (MD and LD) to get more active. Walking groups have been running well. More money for barbican walk and talk. Walk for wellbeing on 3rd of Jan with support from the ramblers. Send Chris video. Buddying service – access activities with assistance – 8 sessions.

Liz Cole @ National Marine Aquarium - Slowly but surely been developing community programmes – h&w been a part of it. Work with Livewell SW and Larissa through network. Stress-free place to come for session and activities.

Danielle Mathers @ Life Remedy and Plymouth Sports Charity – Works with pregnant women in the antenatal period with physical activities which then builds trust and includes paediatric first aid. Money from the post-code lottery. Plymouth Sports charity – funding from comic relief for the over 55’s – offering Kurling, dancing etc.

Si Parham @ Heads Count - Network of users and carers – current focus on criminal justice work. Went out to Middlemoor to talk about the police and how they deal with people’s mental health issues. Commented on recent meetings and lack of Service user, carer involvement.

Dot Throssell @Heads Count – part of visit to Aldershot on Friday last week with David McCauley to the Crisis Café to understand how it is run and what clients use it. 2 hours helped opened their eyes – and revealed the difference between being volunteer-led and statutory-led. Procurement to go out this week.

Emily Faircloth @ Commissioning Group – concentrate on crisis care concordat – crisis response – narrative that things move slowly in commissioning – things however are now moving to preventative crisis response which is hugely encouraging. Finding the balance between responding to people in crisis and the preventative work. Reviewing the crisis care concordat. What does a child in crisis look like? Need to be clear on this before we can move further. Crisis Café is moving on.

ML Wilson @ Simply Counselling – Paying service – variety of 35 people – can make sure that the counsellor fits the person. 6 sessions each for free – people can stay on and pay thereafter.

Carlton Rhodes-Neale @ Public Health MSc Student – Claire Turbutt is supervisor – evaluating project called “New Home New You” with PCH aimed at using tenancy changes to look at other life changes such as stopping

Send PMHN Video

Larissa Milden

people from drinking, smoking, better diet, being more active.

Mike Freeman @ Service User and Volunteer - Involved as a volunteer with Plymouth Options, Improving Lives, (buddying, boccia), clinical psychology service receiver group, looking at the theoretical end of service receivership. Helping with staff in the teaching profession. Inundated with professional people suffering with stress and anxiety.

Jane Waite @ Livewell SW – Plymouth Options provide primary care for patients with mild to moderate anxiety and depression – self-referral courses are now around. Patient experience is hugely important – Jane’s role is to follow up with patient experiences.

Claire Turbutt @ Public Health – Worked on the “One You” campaign, helping to improve health. Year 4 of Thrive on MH and wellbeing – runs Thrive Plymouth Network. Holding 5 network events this year based on 5 ways to wellbeing – “learning” topic is at the central library at 12th Feb 2pm-4pm. Encouraging people to learn.

18 – 25 year olds – transition can be difficult for some people – City College – did a presentation to those students.

PMHN offered to help deliver some of Thrive Plymouth Year 4. Help to celebrate end of Thrive Year 4. This will tie in with the POST-16 group tie-in. Network to look at a “mental wealth festival” to celebrate the end of thrive year 4.

Implementing Thrive should be easy – the difficult part is how can we measure how people’s lives have improved? Difficult to evaluate. Public Health collect data such as life expectancy, have a base-line before Thrive Plymouth. Recruit PHD student to carry on with evaluation of research. Working with Plymouth University to evaluate parts of Thrive.

Qualitative data is very difficult to collect and recruit students. Please share evaluation framework.

Katie Smith @ Wave Project – volunteering with charity for a couple of years – South Devon – take young people from the age of 8 – children in need funding – after initial courses - surf club. Trial day to run out of Paignton. Can help with transport such as taxis and other services. Volunteering can be taken up by others.

Paul Trueman @ DWP – Plymouth and Devonport are now going fully to universal credit for any new claimants. All

changes are being changed over to new system: PL1 – PL19 postcodes.

Specialist staff supporting people in 30 days to facilitate the process – claimant has to go away and sign up / do things on their accounts to minimise payment delay.

Work and health programme – due to launch on Tuesday – anyone with a health disability can be supported to get into employment. Delivered by PLUSS or DWP. An update DWP presentation to feature in the next few meetings.

Abi Gee @ City College – learning support manager – City College Plymouth – Thrive/PMHN POST-16, event 28th Feb.

Ruth Houghton @ CAMHS – new in service – training uni students to be children and young person’s childcare practitioner – bringing on 2 further trainees in CAMHS service and others.

Annabelle @ Crossline – St Judes, counselling service 16+ doing more of the same.

Jodie @ The Zone – 28 schools in the city – linked in with CAMHS, Young Devon, The Zone; all working together to provide further safeguarding provisions for children.

Starting work with parents and carers – piloting parents and carer peer support group in schools. Peer support in secondary schools to upskill young people.

Focus is on the system for young people – does it work, if not why not? Stop people falling through the gaps. Progeny Plus is

Emily Scrace @ Barnardo’s – based in Whitley- supporting families team leader – inundated with a huge number of referrals relating to H&W from people who cannot access statutory services. Barnardo’s then link in to other services. People can self-refer, referral form to be made available and support signposting people in the community – help and advice on domestic abuse, money advice, housing, shelter. Prioritise those who are in more need and without social care involvement.

Send Chris Evaluation Framework

PMHN to contact Paul re: DWP Presentation at future network meeting

Paul Trueman

Chris Wilcox

Fran Marriot @ Dental Hygienist – for people who wouldn’t/couldn’t access dental hygienist facilities. Facilitates having the tricky conversations that start with “Is the mouth OK with that person?” Some people don’t have the confidence to be able to have those conversations. People may have issues with eating disorders, substance misuse, alcohol etc… these people can be prevented from engaging with services to help them simply because their mouths are in poor states. Groundswell Homeless Trust work with service users in homeless settings and have provided a health action guide which gives questions which service users can fill out prior to an appointment.

Stuart @ NHS Volunteer - attached to Plymouth Options and Plymouth University – ex service user, trying to raise awareness on general mental health issues where he can.

Rachel Marrion @ Livewell South West – works with adults with severe and enduring mental health problems

Gareth Tanner @ Yourway Support – based in Peverell – currently offer various services to LD and Autistic adults – Gareth co-runs the arts facilities. Helps people to develop solid cooking skills and daily living skills.

Liz Hand @ Cass+ - Plymouth Coordinator - working with defendants and their families –feedback from criminal justice board meeting – meeting was statutory-led and few people from the sector – service users were not present to give feedback.

Liaison and diversion – working with mental health treatment requirement training – very interesting work. New service in Newton Abbot operating 2 days per week.

Vicky @ Colebrook – Support for vulnerable clients, increased referrals from adult social care – things are very busy at the moment. Community strand to the organisation delivers a time bank, community garden scheme – community centres are currently running various projects and can be hired. To send info on centres out to network. Also deliver Heads count and Healthwatch Plymouth – user-voice groups which are taking on more work – Healthwatch have been commissioned to look at Health and wellbeing hubs in the City. At the next network meeting including an update on the Hubs development and Social Prescribing.

Emily to send Chris referral form for distribution

Vicky to send Chris info on community projects

Emily Scrace

Vicky Shipway

PART 2 Claire Hill – GDPR (see slides sent out)Training can be expensive so hopefully this presentation will prepare people for GDPR.GDPR replaces Data Protection Act 1998. Standardised data protection laws across all member countries. No changes once exit EU. New bills won’t replace GDPR.Main aim is to give citizen’s more rights – as an individual, gives people more rights.Principles do not change; but areas of practice are improved. Must give enhanced consent to give and use data. Main focus is on transparency. Organisations need to show that they are compliant. We must all evidence.Some key areas discussed….

BreachesIf there is a data breach then we must inform the ICO. Our process must be compliant with GDPR such as emails – must make sure other organisations that we work with are compliant with GDPR as well.

Key rolesMust identify certain people with organisations:

Data controller IAO – Information asset owner SIRO – senior information rights owner Data Processors

It is our responsibility to check that contractors who process data on our behalf are GDPR compliant. Can use an indemnity in working agreements to protect from mistakes.

Data Protection Officer – required in four areas: Public authorities Core activity is monitoring special categories Large scale monitoring in criminal convictions Where a high level of transparency is required

DPO must be someone who is objective and not tied into service delivery – requires a job descriptionInvolved in all areas of where data is involved:

Be involved in areas where personal data is involved Necessary resources Point of contact for ICO Cannot be given instruction on how to carry out the role

Must remain quite objective – can therefore be quite tricky to have a DPO within the organisation.

Processing dataConditions to processing:

Subjects must now opt in – must have yes/no options Someone cannot give consent by email – must be verbal, on the telephone/face to face, in post or online –

issue for disability? Looks like it will be a while before they even consider disability. Power of attorney consent – MH laws and child protection laws stay the same. Applies only above the age of 13 Can only collect information to enable organisations to do what they need to do now

o Cannot be for a future need/purpose Legally required information can be collected if required

Principles of Processing – how will we use the data?For new projects, consider looking at conducting a GDPR assessment.Transferring of data under a different project requires consent, even within the same agency.

Organisations cannot just take people’s details. And orgs cannot just keep details for ex-amount of years. They must be justified and specific to what that data has been requested for, rather than just keeping information. Data can be anonymised thereafter.It’s all about getting into a ‘Health and Safety’ mind-set with Data Protection and evidence thought process as to doing it. Children in need and UK safer internet centre have a really simplified blog on GDPR.

SharingThird party is responsible for sending data and then ‘we’ are responsible for contacting that person to keep it. Need specific agreement to be able to share information with anyone else.Consent:

Unambiguous Freely Given Demonstrable Specific Informed

Additional Regs:PECR: Privacy and Electronic Communications Regulation – check out in relation to online processing.Article 13: guidance on what should be included in consentArticle 14: if data is obtained from a 3rd partyMay need to use different data protection statements for different projects.

Subject access requestsEveryone has the right to ask for information that organisations hold on them. Media will promote this and we can expect increase in requests. There are exemptions to what has to be shared (legally sensitive, safeguarding risk, third party info if not agreed). Worth thinking about how we store data to make it easier to retrieve in event of a request. Photographs – only store/keep with consent

Preparing for GDPR:Data Mapping – helps to identify what data and where it is kept, for how long etc…ICO require Orgs to have a data map.

Claire Turbutt – WEMWEBS:WEMWEBS stands for ‘Warwick-Edinburgh Mental Well-Being Scale’ and is used by healthcare professionals and government agencies to assess levels of mental well-being.It is an academically rigorous questionnaire, using questions and language to gauge how people may be feeling about certain aspects of their life, such as relaxation, clarity of thought, relationships with others. There is a short and long version.Public health would like providers to adopt this so that there is a common measure and services can be compared.After years of testing the questionnaire is now a standardised test which has been shown to assess health and wellbeing.Common issues are that the words used may be construed subjectively and therefore people may give answers which may not relate to how they are genuinely feeling. However its re-test reliability aims to negate or reduce this issue as far as possible.Another issue is that staff that administer the test may not have sufficient training to deliver it properly and therefore not yield the correct results. In the absence of a script for administration, training must therefore be given before it can be administered.

***Due to time constraints we were unfortunately unable to finish Claire’s presentation***

Further information and a video on WEMWEBS can be found online here:https://warwick.ac.uk/fac/med/research/platform/wemwbs/researchers/userguide/wemwbs_user_guide_jp_02.02.16.pdf The website for the WEMWBS tool is here:https://warwick.ac.uk/fac/med/research/platform/wemwbs/

5. AOB N/A

6. Date of next meeting

March 15th

1pm – 4:30pmWilliam Sutton Village Hall, Mitchell Avenue, Crownhill, Plymouth, Devon PL6 5LY http://www.plymouthmhn.org/event/pmhn-meeting-william-sutton-village-hall/