Contrasting behaviour in public and in private
| Challenge frontstage | ||
|---|---|---|
| NED 1 | 1 | My question is probably two-fold; one is – if I have understood it correctly – so please correct me if I am wrong |
| 2 | we have set ourselves a target of 35% of the children in this catchment that we will provide a service to, and we are running at about 31% so we are a bit short, trying to catch up. Why such a low target? What is the primary restraint? Why isn't it 100% of the children? | |
| Manager | 3 | That is a very good question … |
| 4 | … The target was set by NHS England … and it is something in the long-term plan that they are beginning to extend … | |
| 5 | … And it does seem low, doesn't it, because you think, why aren't we looking after all the children who might have a need? … | |
| 6 | … Some children who may be having early signs of emotional distress … needs are being met by school pastoral services [or] they might be supported by … youth services | |
| 7 | … There is a whole range of other services out there and about 35% is children with a diagnosed health illness | |
| 8 | … So, I think we need to think broader going forward | |
| 9 | but yes, I agree with you it does look quite low when you look at it in those terms | |
| (Board A, public) | ||
| Continuation of challenge backstage | ||
| Chair | 10 | Any items that people want to talk about from Part 1? |
| NED 1 | 11 | We had a presentation on children's mental health. First of all, I was really disappointed with the 35%. I understand we don't know if 65% of the kids are being serviced elsewhere, but it seemed – especially for public consumption – a very unambitious target. And then we're talking about a £6 m spend on [other initiatives], and yet we're talking about – the rest of it is peanuts, an investment in the hundreds of thousands … If it's a priority for us, what sort of investment should we be putting in? Is that the constraint? Is it that the target should really be 80%, and we just need more resources and more money, or are we just living within our means? … I'd just like to make sure I understand |
| CEO | 12 | I think we should … I mean … eh … [the presenter] tried to answer the question and I agree the answer was problematic. I'll try to answer it. 35% doesn't represent everybody … it's not named people, these are just, kind of, statistical norms and that kind of stuff. So, it's a kind of rough benchmark and the 35% target has been set nationally. You [need to] invest in the 65% so they don't become the 35% … I think we need to explain that better, I think you're right, the answer wasn't good enough |
| NED 2 | 13 | I wanted to pick up about quick access … that did not come across in the presentation at all. It goes back to the 35% and how we can show the pathway and really target that early intervention |
| NED 3 | 14 | So that's exactly it, that's the key thing for me: how quickly do people get seen and how quickly do they get treated |
| Chair | 15 | There is something about the system not recognising the severity of the changes and … what we are seeing. The question is how do we prioritise more and have a bit more scale of ambition within the system we have got? … So we can take that away, and bring it to the clinical leads … and feed in some of this with the NHS plan |
| (Board A, private) | ||
| Challenge frontstage | ||
|---|---|---|
| NED 1 | 1 | My question is probably two-fold; one is – if I have understood it correctly – so please correct me if I am wrong |
| 2 | we have set ourselves a target of 35% of the children in this catchment that we will provide a service to, and we are running at about 31% so we are a bit short, trying to catch up. Why such a low target? What is the primary restraint? Why isn't it 100% of the children? | |
| Manager | 3 | That is a very good question … |
| 4 | … The target was set by NHS England … and it is something in the long-term plan that they are beginning to extend … | |
| 5 | … And it does seem low, doesn't it, because you think, why aren't we looking after all the children who might have a need? … | |
| 6 | … Some children who may be having early signs of emotional distress … needs are being met by school pastoral services [or] they might be supported by … youth services | |
| 7 | … There is a whole range of other services out there and about 35% is children with a diagnosed health illness | |
| 8 | … So, I think we need to think broader going forward | |
| 9 | but yes, I agree with you it does look quite low when you look at it in those terms | |
| (Board A, public) | ||
| Continuation of challenge backstage | ||
| Chair | 10 | Any items that people want to talk about from Part 1? |
| NED 1 | 11 | We had a presentation on children's mental health. First of all, I was really disappointed with the 35%. I understand we don't know if 65% of the kids are being serviced elsewhere, but it seemed – especially for public consumption – a very unambitious target. And then we're talking about a £6 m spend on [other initiatives], and yet we're talking about – the rest of it is peanuts, an investment in the hundreds of thousands … If it's a priority for us, what sort of investment should we be putting in? Is that the constraint? Is it that the target should really be 80%, and we just need more resources and more money, or are we just living within our means? … I'd just like to make sure I understand |
| CEO | 12 | I think we should … I mean … eh … [the presenter] tried to answer the question and I agree the answer was problematic. I'll try to answer it. 35% doesn't represent everybody … it's not named people, these are just, kind of, statistical norms and that kind of stuff. So, it's a kind of rough benchmark and the 35% target has been set nationally. You [need to] invest in the 65% so they don't become the 35% … I think we need to explain that better, I think you're right, the answer wasn't good enough |
| NED 2 | 13 | I wanted to pick up about quick access … that did not come across in the presentation at all. It goes back to the 35% and how we can show the pathway and really target that early intervention |
| NED 3 | 14 | So that's exactly it, that's the key thing for me: how quickly do people get seen and how quickly do they get treated |
| Chair | 15 | There is something about the system not recognising the severity of the changes and … what we are seeing. The question is how do we prioritise more and have a bit more scale of ambition within the system we have got? … So we can take that away, and bring it to the clinical leads … and feed in some of this with the NHS plan |
| (Board A, private) | ||
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