Spending on children's mental health

This is the information we provided to the local media about how much we spend on mental health services for children and young people in Norfolk and Waveney. It makes clear that we spend double the East Anglia average and appear to be among the higher spending areas.

Over the last two years spend per head on universal and targeted mental health services for children and young people has increased by nearly a third and is now more than double the regional average (£11.97 for the 2018/19 year). Separate to this, there has also been an extra £1.3m of investment into eating disorders services for children and young people.

We completely agree with the Children’s Commissioner that there needs to be even more focus on helping children and young people earlier, to prevent more serious health problems from developing.

That’s why we recently started work to transform children and young people’s mental health services within the Sustainability and Transformation Partnership. This brings together all of those working across mental health in Norfolk and Waveney so that we can create a joined-up system that delivers the very best for our children.

Together, we will be developing services for those aged up to 25, with a focus on early support and well-being. As part of this, we expect there to be more support within homes and schools.

Recent reports into children’s mental health services in Norfolk have also highlighted several strengths in practice in Norfolk, not least the dedicated, caring and compassionate staff working across mental health and children’s services. We want to give them the environment to make the biggest difference for families and we know that change is needed to achieve that.

Figures relating to CCG and NCC spend on ‘Tier 1 and 2 CAMHS’ otherwise known as universal and targeted CAMHS:

2016/17 - £1,728,719 = £9.08 per head aged 0-17 in Norfolk & Waveney
2017/18 - £2,192,794 = £11.51 per head aged 0-17 in Norfolk & Waveney
2018/19 - £2,279,521 = £11.97 per head aged 0-17 in Norfolk & Waveney

Diabetes Prevention Week - 1-7 April 2019

Know your risk of Type 2 diabetes

Norfolk and Waveney residents are being encouraged to know their risk of developing Type 2 diabetes, as part of Diabetes Prevention Week.

Diabetes Prevention Week runs from 1-7 April 2019, and the focus of the week is #PreventingType2. There are two main types of diabetes – Type 1 diabetes and Type 2 diabetes. Type 2 diabetes is far more common than type 1.

In the UK, around 90% of all adults with diabetes have Type 2. There are 3.8 million people diagnosed with diabetes in the UK, and this figure has more than doubled in the last 20 years. In Norfolk and Waveney, around 60,000 people are living with Type 2 diabetes and many more are likely to be at risk.

Type 2 diabetes risk factors:

• Age. The older you are, the more at risk you are.
• Family history. You’re two to six times more likely to get Type 2 diabetes if you have a parent, brother, sister or child with diabetes
• Ethnicity. You’re more likely to get Type 2 diabetes if you’re Chinese, South Asian, African-Caribbean or Black-African
• Weight. You’re more at risk if you’re overweight, especially if you’re large around the middle
• Blood pressure. You’re more at risk if you’ve ever had high blood pressure.

Anyone can find out if they are at high risk of developing Type 2 diabetes by visiting www.diabetes.org.uk/knowyourrisk

Dr Clare Hambling, a GP and West Norfolk CCG’s clinical lead for diabetes, said: “It is very important that you find out if you are at risk of developing Type 2 diabetes because then you can get support to lower your risk. Using Diabetes UK’s online tool to measure your risk takes just a couple of minutes, and you can be sent useful tips on reducing your risk.

“If you think you might be at risk of developing Type 2 diabetes, visit your GP practice. You may be eligible to join the Healthier You NHS Diabetes Prevention Programme. This programme is in place across Norfolk and Waveney, and supports you to make changes to your weight if appropriate, your levels of physical activity, and your diet. You will get advice from professionals and be able to talk to other people using the Healthier You service. We know making changes can be tough, but with our support you can take control of your health and significantly reduce your risk of developing Type 2 diabetes.”

Shelley Ames, Inactivity and Health Development Manager at Active Norfolk, said: “Being physically active can reduce your chances of developing Type 2 diabetes by as much as 40%. Reducing time spent sitting and taking regular exercise helps to lower blood pressure and manage weight, which all help cut the risk of developing diabetes. Finding ways to incorporate activity into your day, from simple things like taking the stairs where possible, brisk walking, through to taking up aerobic and strength building exercises, can make a real difference.”

Rebecca Jones, East of England Improving Care Manager for Diabetes UK, said: “Type 2 diabetes is a serious condition and it is on the rise. There are 12.3 million people at risk of Type 2 diabetes, but it could be delayed or prevented by healthy eating, being more active and losing weight if overweight.

“The dramatic increase in obesity rates is the main driver behind the rise in Type 2 diabetes. Three in five adults in England are overweight or obese, and while not every case of Type 2 diabetes is caused by excessive weight, it is the single greatest risk factor for the developing the condition.

“We urge people people over 40 to get an NHS Health Check and advise everyone to find out their risk of developing Type 2 diabetes with our Know Your Risk tool.”

Funding boost for new GP Assistants

Norfolk and Waveney Sustainability and Transformation Partnership (STP) has been successful in its bid for £100,000 to lead the roll out of General Practice Assistants across the area.

The year-long pilot will train 40 GP Assistants in Norfolk and Waveney, who will provide high level non-clinical support to GP practices and reduce the administrative burden on clinical professionals.

Recruiting more administration staff is part of Norfolk and Waveney STP’s primary care workforce strategy and through our work we have already identified that we will need an additional 120 admin staff over the next five years.

The GP Assistants programme is funded by Health Education England and will be led by Norfolk and Waveney’s five GP Provider organisations; OneNorwich; North Norfolk Primary Care; South Norfolk Healthcare; West Norfolk Health and Coastal Health.

The programme will also involve working with key partners in the East of England, such as primary care networks, Clinical Commissioning Groups and training hubs, to support the spread of the GP Assistant role across the region.

Norfolk and Waveney STP will be one of seven ‘lead’ Primary Care Training Hubs across the country.

The GP Assistant role will include:

• Acting as a focal point for patient/carer enquiries
• Providing an in-depth understanding of health demographics and the cultural needs of patient groups
• Signposting patients to the most appropriate services where the GP surgery may not be the best option
• Where appropriate, acting on test results in line with local policy and procedures
• Managing referrals and prescriptions
• Sorting clinical post and prioritising directly
• Taking accurate minutes of complex and sensitive meetings
• Transcribing and preparing medical reports
• Using patient related electronic systems

Tracey Bullard, Head of Transformation at the GP alliance OneNorwich, said: “We are thrilled to be supporting and leading on this new and very exciting GP Assistant role for Primary Care. The role will be a very welcome enhanced addition to an ever busy and changing workforce and practice environment.”

Dr Emma Brandon, a GP at Paston Surgery in North Walsham and Chair of the Norfolk and Waveney STP Training Hub, said: “This is really exciting news. We know from earlier pilot projects that GP Assistants can help relieve pressure on busy GPs by helping to reduce the burden of clinical correspondence and day to day tasks. We are delighted to have been chosen as the only area in the Eastern region to pilot this scheme and look forward to welcoming the GP Assistants in our practices.”

Kirstie Baxter, Head of Workforce Transformation, Health Education England, said: “Health Education England is supporting local Primary Care Training Hubs with the introduction and spread of General Practice Assistants. General Practice Assistants will be great additions to GP teams, easing the administrative workload, releasing highly-qualified staff to concentrate on patients with complex conditions, and improving patients’ experience. We are looking forward to supporting Norfolk and Waveney Training Hub as they host and co-ordinate this exciting development in the East of England as part of our wider Workforce Transformation programme.”

New future for SOS Bus

The Norich city centre SOS Bus which offers a vital resource to the bustling nightlife In Norwich city centre on Friday and Saturdays nights is to have a new future.

The volunteer-run service has for the past 11 years been managed by city centre youth charity, OPEN Youth Trust (OPEN) and during that time has helped more than 11,500 people.

From April 2019 the SOS bus will be managed by volunteering charity Voluntary Norfolk, which in addition to running the Friday & Saturday night SOS service, has plans to take the bus out and about into the county during the week to promote and support other health & wellbeing and voluntary activities. Voluntary Norfolk will also support and mentor the volunteer group to increasingly take an active role in the management of the SOS Bus and all its activities.