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We Can Talk across South East England proposalPlease review and sign the project proposal below noting the organisational commitments. We Can Talk is a project utilising the experience and expertise of children, young people, hospital staff and mental health experts to improve mental health crisis support in acute hospital settings through training.This proposal supports a geographic role out of the We Can Talk project to improve the competency and confidence of professionals caring for children and young people with mental health needs, especially when in crisis.Prepared by Robin Barker, National Director, We Can Talk, and Director, Healthy Teen Minds.robin@ Tel: 07743940180Date: 18 December 2019, updated 20 January 2020PartnersGeographic Leads:Health Education England (Wessex)Health Education England (Thames Valley)Health Education England (Kent, Surrey and Sussex)We Can Talk project team:Healthy Teen MindsChild Outcomes Research Consortium (CORC)OverviewWe Can Talk will support fifteen partnerships between acute trusts and their local Child and Adolescent Mental Health Service (CAMHS) over twelve months (project timeline covers fifteen months) in three geographic clusters (Wessex, Thames Valley, KSS). This proposal includes funding to ensure protected time for 30 project leads, one from each acute hospital trust and one from a linked CAMHS team, to work together to develop the project locally over twelve months.We Can Talk will support each partnership to deliver the project locally across four phases:1) Engagement2) Training3) Utilising Data4) Sustaining ChangeDuring the engagement phase local projects leads will work together to administer a hospital staff survey to obtain a baseline of staff confidence and knowledge about children and young people’s mental health. Each hospital trust will receive an analysed report of the trust wide staff survey on their confidence and competency in understanding children and young people’s mental health needs. Each acute trust will receive five one-day training days for up to 175 members of staff over twelve months. Each acute trust will receive an analysed impact report of all training dates at the completion of the project and a geographic area mid-point analyse of the impact of the training after the first three dates. Health Education England will receive staff survey, mid-point training impact and final training impact reports covering Wessex, Thames Valley and KSS (as well as all local trust reports).Project leads from acute and CAMHS will receive four project lead training days plus additional outreach, supervision and support from the We Can Talk project team to support all phases of the project and to develop the skills of the team locally to deliver the training, lead the project and sustain the change. Working with senior leaders and local Communications teams this project will raise the awareness of children and young people’s mental health across the trusts. Following this engagement work, all sites are encouraged to move towards an in-house model of delivering the one-day We Can Talk training.We Can Talk will work with local young people’s organisations in each geography to coproduce resources to support the project and to identify young advisors to co-deliver on future training dates. This proposal includes funding for local young people’s organisations to support the project by identifying appropriate young people who can become co-trainers.Following the completion of the project, partnerships sites will be able to continue to deliver the We Can Talk training post-project without further funding to the project team.Key outputs and deliverables1500+ hospital staff surveyed to identify learning needs.We Can Talk will run an online staff survey for six weeks for each hospital trust.All project leads (acute and CAMHS) are expected to lead on promoting the survey locally including at least 6 hours on site encouraging returns.Each acute trust is expected to promote the survey using their Communications teams.We Can Talk will provide each acute trust and their linked mental health trust with an analysed report on the staff survey data.175 hospital staff trained per partnership, 2500+ across South East England.The one-day We Can Talk training is appropriate for groups of up to 35 peopleEach acute hospital trust is expected to provide an appropriate venue (including tables for small groups and PowerPoint facilities) for five one-day trainings per partnership suitable for groups of 35.Each acute hospital trust is expected to support study leave applications for 175 members of staff who see children and young people in their role (clinical and non-clinical) per partnership.Five training days delivered on-site at each acute trust over a twelve-month period.We Can Talk will provide members of our project team to deliver the training on the first two days of training at each hospital site.We Can Talk will provide a member of our project team to support trust project leads on the third day of training (project leads expected to lead the training).Local Project Leads are expected to co-deliver dates four and five alongside a locally identified young advisors.We Can Talk will provide a young advisor for the first three training days at each hospital site.Local hospital & CAMHS staff delivering training alongside young advisors.We Can Talk will provide four additional training days for all project leads (in each geography) over the year to ensure they are able to deliver the one-day training and lead the projectWe Can Talk will identify and provide venues for local project leads to travel to (including tables for small groups and PowerPoint facilities) for the four additional project lead training days and any young advisor training days taking place in their geography.All local Project Leads across the geography are required to attend all four project lead training dates. It is their host trusts responsibility to cover their travel expenses.We Can Talk will provide a young advisor for the first three training days at each hospital site and all project lead and young advisor training days.Trust project leads are expected to attend all five locally agreed training days and to train independently on two of those dates.We Can Talk project leads from acute and CAMHS are required to have 2 days per month (each) of protected time to support the project covering duties as outlined in the Project Lead job descriptions for 12 months.Young advisors developed locally to co-deliver training.We Can Talk will seek to work with local organisations who already employ young advisors to identify those who could be appropriately trained up to deliver We Can Talk.We Can Talk will work with any identified young people’s organisations to identify appropriate young people and offer a bespoke training day (or other agreed development opportunities) to support them in delivering the training.We Can Talk will seek to fund local young people’s organisation to employ and support young advisors 18-25 as co-trainers on training dates 3, 4 and 5.Geographic leads are expected to support this process and ensure systems are in place post-project to employ young advisors to co-deliver on future training dates6) Resources co-produced with young people to support those attending due to mental health concernsWe Can Talk will aim to engage and work with local young people’s organisations to develop suitable resourcesFunding is not included in this bid to produce resources requiring printing, however, they will be publicly available online via the wecantalk.online website7) Fully evaluated staff survey and impact assessment data of trainingWe Can Talk will provide online –pre and –post training questionnaires for all five training datesWe Can Talk will provide a training impact report for dates 1-3 at a geographic levelWe Can Talk will provide a final training impact report for all completed dates to each acute trust.Local Project Leads are expected to ensure all delegates complete online questionnaires for dates 4 and 5.8) Project summary reportOn completion of the projects detailed above, We Can Talk will deliver a summary of the programme and evaluation in slidepack or other agreed formIncluding qualitative and quantitative data and recommendationsSummary of analysis of staff survey and impact data across the geography9) Partnerships can continue to deliver We Can Talk post-project without further funding to the project teamFollowing the completion of the We Can Talk project, partnerships can continue to offer training under the We Can Talk banner if the following conditions are met:Training is delivered to the We Can Talk principles and meets the underlying educational standardsData is shared with the central We Can Talk team (number of attendees, pre/post survey info – e.g. number and characteristics of trainees, trainee feedback and impact data)Written permission is obtained for the use of the We Can Talk name and logo on any products or publicationsLocal Project Leads co-delivering training have attended the relevant We Can Talk project lead training or agreed equivalent experience (with We Can Talk project team)The views of young people are meaningfully represented either through paid young advisors co-delivering training or other approaches agreed with the We Can Talk project team.BackgroundWe Can Talk is the first project of its kind to use co-production to improve the skills and confidence of the acute healthcare workforce in supporting children and young people’s mental heath and has benefited from previous investment by Health Education England and NHS England. The pilot project was a finalist for the Nursing Times Awards 2017 in the children and young people’s category and We Can Talk has featured at a number of high profile national and international events. In addition, 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”.Hospital staff consistently report that they lack the confidence and competency to understand and support children and young people’s mental health. Similarly, the research evidence of young people’s experience of attending acute hospital settings due to their mental health are overwhelming negative (NICE). We Can Talk’s co-production work with hospital staff, including an on-going survey of over 2000 acute hospital staff, and young people, supports these findings. Young people and hospital staff also report frequent negative experiences of the use of agency Registered Mental Health Nurses (RMNs) to provide care for young people. For example, they report that agency RMNs often lack the skills to work with children and young people, and frequently do not engage or interact with them in a meaningful way. Poor experiences in hospital result in young people less able to cope on discharge and increase their chance of non-attendance at follow-up appointments in community Child and Adolescent Mental Health Services (CAMHS) and re-attending at acute hospital settings ( HYPERLINK "" RCPscyh).We Can Talk is designed to support sustainable changes in practice, hospital culture, and in relationships between acute hospitals and Child and Adolescent Mental Health Services (CAMHS). To improve practice, We Can Talk has?co-produced with hospital staff, young people, and mental health experts an evidence-based competency framework in children and young people’s mental health for hospital staff and a one-day training based on the competencies. Organisations have reported a range of benefits including improved working relationships between acute and mental health providers, reduction in the use of agency staff to support young people presenting due to their mental health, improved quality of referrals to CAMHS and improved risk management of young people awaiting specialist assessment. Currently We Can Talk is also working with the University of Surrey on further economic evaluation.We Can Talk was piloted at Barts Health NHS Trust, the largest acute trust in the country, in 2017/2018 and is currently supporting 24 partnerships between acute hospitals and local CAMHS across England.-634023-44830200TimelineFundingIn addition to the We Can Talk project team costs Health Education England has agreed to fund ?10,000+VAT per partnership (split between acute and CAMHS) to help support the roll out of the We Can Talk project locally.Acute TrustsFollowing the return of this signed proposal (at Director or Nursing level or above) each acute trust may invoice Healthy Teen Minds Limited (lead We Can Talk partner) for ?5000+VAT on or after 6 April 2020.We Can Talk will support up to two project leads per acute trust (e.g. trusts with more than one hospital site),however, no additional funding is available from Health Education England. We Can Talk will absorb the additional costs to allow them to access the Project Lead training and other support available.Mental Health TrustsFollowing the return of this signed proposal (at CAMHS Service Manager or above) the nominated mental health trust may invoice Healthy Teen Minds Limited (lead We Can Talk partner) for ?5000+VAT on or after 6 April 2020.In areas where more than one mental health trust delivers local CAMHS provision (e.g. different hospital sites with different CAMHS providers) organisations may agree to split this funding and, in agreement with their local acute trust, agree that the CAMHS Project Lead responsibilities will only cover attending the project lead training days and the We Can Talk training days. This must be confirmed in writing to the We Can Talk project team and noted in the returned, signed, proposal document. We will then accept an invoice for the locally agreed split of funds.Funding for Project Leads is expected to go towards protecting their time, travel and any other costs associated with the project (training rooms, etc). No funding for any additional trust costs are included in the We Can Talk project team costs.Invoicing DetailsP.O. Number – Not required, please reference WE CAN TALK – [YOUR TRUST NAME]?Company Name: Healthy Teen Minds LimitedCompany Registration Number:?11238563VAT?Registration Number:?290254018Registered Office:?First Floor, Lipton House,?Stanbridge Road?,?Leighton Buzzard,?Bedfordshire,?LU7 4QQInvoice Address: Healthy Teen Minds Limited, 135 Lavenders Road, West Malling, Kent, ME19 6HRContact Name: Robin BarkerPosition: DirectorE-mail:?robin@Telephone: 07743940180Proposal sign-offAcute trusts – Director of Nursing or above.Mental health trusts – CAMHS Service Manager or above.Please ensure you have read the above proposal and are able to support your organisation to deliver on the commitments outlined anisation*Mental health trusts please also confirm the CAMHS team name this relates to. If more than one please include both.Funding requestPlease delete as appropriate:A) ?5000+VAT (acute)B) ?5000+VAT (CAMHS)***Mental health providers please amend if supporting more than one acute trust (please name them).NameJob TitleE-mailTelephoneSignatureDatePlease return this signed proposal to Robin Barker, National Director, We Can Talk, robin@ copying Neil Parker, Programme Manager, Health Education England, neil.parker@hee.nhs.uk ................
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