We Can Talk across North Central London Launch Event 5 March 2019

1. We Can Talk across North Central London Launch Event 5 March 2019

2. Background Healthcare professionals working in hospital settings report a lack of confidence and competency in caring for children with mental health needs and research shows children and young people have overwhelmingly negative experiences of presenting to hospital due to their mental health. We Can Talkis designed to support sustainable changes in practice, hospital culture, and relationships between acute hospitals and Child and Adolescent Mental Health Services (CAMHS) to improve patient experience, reduce risk and improve outcomes for children, young people and their parents / carers. We Can Talkco-produced (with hospital staff, young people and mental health experts) a competency framework for hospital staff in children and young people’s mental health and developed, piloted and evaluated a one-day training day linked to the competencies. All We Can Talk training is co-delivered with a young advisor with experience of presenting to hospital due to their mental health.

3. Background More than one thousand acute hospital staff across nineteen hospital sites have attended the one day We Can Talktraining with 99% reporting it would make a difference to the way they do their job “What I will take from this is talk and listen to young people, ‘Better to say something rather than nothing’“ and it “made an extremely difficult topic easy to discuss and empowered me to realise that we ALREADY do a lot.” The Care Quality Commission (CQC) has recognised We Can Talk an area of outstanding practice and “the only programme of its kind in the NHS”. So far organisations involved in the project have also reported: • Reduction in the use of RMNs to ‘special’ children and young people • Improved management of CYP awaiting assessment • Reduction in ‘conflict’ between wards and with local CAMHS • Improved quality of referrals to CAMHS Research has also shown that if young people have better experiences in hospital when attending due to their mental health they are more able to cope on discharge and are more likely to attend follow-up appointments with community CAMHS.

4. Project Overview North London Partners in Health and Care – North Central London’s Sustainability and Transformation Partnership (NCL STP) is keen to improve the knowledge and confidence of hospital staff in understanding and supporting the mental health needs of children and young people by expanding We Can Talk across North Central London. NCL STP and Health Education England are supporting four partnerships between acute and mental health providers to embed We Can Talk across their organisations. North Middlesex University Hospital NHS Trust Whittington Health NHS Trust Royal Free NHS Foundation Trust University College London Hospitals NHS Foundation Trust Tavistock and Portman NHS Foundation Trust Barnet Enfield and Haringey Mental Health NHS Trust

5. Project Overview We Can Talkis supports partnerships between acute hospital sites and local CAMHS. Project leads from acute and CAMHS work together to develop the project locally. Each partnership delivers the project locally across four phases:1) Engagement 2) Training 3) Utilising Data 4) Sustaining Change We Can Talk supports project leads in each partnership through bespoke training days, regular email/telephone contact and on-site outreach to develop the skills of the team locally to deliver the training, lead the project and sustain the change.

6. Training The one-day We Can Talk training is delivered on-site by child and adolescent mental health and hospital staff and a young advisor. The training is appropriate for any member of hospital staff (porter to paediatrician) who encounters children and young people (up to aged 25) in their job role. The training includes engaging delivery (not ‘death by PowerPoint’), real life examples and case discussions, group work, opportunities for questions throughout and the voice of children and young people coming through clearly. • Morning session focuses on understanding emotional and mental well-being and developing the link with existing practice as well as additional knowledge around common mental health problems and self harm • Afternoon session explores young peoples experience of presenting to hospital due to their mental health and helps staff develop their skills to communicate effectively about mental health concerns and risk Download our evidenced based educational framework here

7. Partnership expectations

8. Challenges and opportunities Consideration of funds for young advisors and any WCT licences Releasing staff and continuity of integrating the programme after first year Engagement of staff at all levels lead by example Challenges Getting staff signed up to project People who resist change - not seeing the benefits How to assess benefit to staff and CYP Time Protection of time for staff to engage in work Risk assessments - confidence in writing them/ scared of patient Admin, co ordination, dates, rooms and publicity

9. Challenges and opportunities Young advisor Youth forum Place of safety Ensuring all staff regardless of role have opportunity to attend creates a positive culture towards CYP Reassurance needs of CYP and staff met Opportunities Patient experience measurement Increased confidence of staff Management buy in Job share Trust buy in Review of incidents pre and post training Empowerment staff and trust Long term plan Lower band staff

10. Next Steps April 2019 Project Lead Training 1 – Engagement May 2019 Engagement including staff surveys June 2019 First training days delivered by Project Team July 2019 Project Lead Training 2 – Training Delivery Sept/Oct 2019 Training days 2 & 3 (Project Leads & Project Team) Nov 2019 Project Lead Training 3 – Utilising Data Dec 2019to Feb 2020 Training days 4 & 5 delivered by Project Leads & Young Advisors Jan 2020 Project Lead Training 4 – Sustaining Change

11. Key Dates Training day dates are allocated on a first come, first served basis by e-mailing Martha.Reilly@annafreud.org. Please wait for confirmation before advertising to ensure the date is still available. All Project Lead training days are mandatory for Project Leads to attend as part of taking on the role.

12. Key Dates Training day dates are allocated on a first come, first served basis by e-mailing Martha.Reilly@annafreud.org. Please wait for confirmation before advertising to ensure the date is still available. All Project Lead training days are mandatory for Project Leads to attend as part of taking on the role.

13. Project team Robin Barker Project Lead robin@healthyteenminds.com Kate Martin Development Lead kate@commonroom.uk.com Beth Ingram Young Advisor beth@commonroom.uk.com Martha Reilly Project Support Officer Martha.Reilly@annafreud.org Luís Costa da Silva Research Associate Luis.Costa@annafreud.org For more information please visit: www.wecantalk.online/ Twitter: @WeCanTalkCYPMH #WeCanTalk

14. We Can Talk across North Central London Launch Event 5 March 2019