Camden's Joint Health and Wellbeing Strategy refresh: March 2019 - Camden Council
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Camden’s Joint Health and Wellbeing Strategy refresh: March 2019
Chair’s introduction
I am pleased to present this progress update and refresh of our Joint Health and Wellbeing Strategy
2016-18, taking stock of progress over the last couple of years and looking ahead to the development of
a new Joint Health and Wellbeing Strategy.
Health and Wellbeing Boards are now in their sixth year of existence. Through this partnership we
are uniquely placed to work together to improve the health and wellbeing of our residents, offering
Content democratic accountability, roots into and knowledge of our local community and the hopes and
aspirations of our citizens.
The role of the Board is to act as a systems leader or
Chair’s introduction 3 ‘anchor of place’ for the local health and care system by:
1 Healthy weight, healthy lives 6
2 Reducing alcohol-related harm 8 Creating the right Involving the
Shaping focused
Having a shared
conditions for community in vision influencing
and targeted
genuine mapping need and priorities of partner
3 Resilient families 10 collaboration designing solutions
priority actions
organisations
4 The first 1,001 days 12
5 Ensuring good mental health for all 15
We continue to focus on tackling the root causes of health inequality and improving the health and
wellbeing of our residents, in spite of the challenging financial context in which we are working.
The past year has been a very busy period in the Health and Wellbeing Board - with a number of new
plans and strategies in place both locally and nationally.
We have been trialling a new approach to ensuring we meet our priorities, with the aim of:
❱❱ Shifting from monitoring delivery to a more influential role as an anchor of place.
❱❱ Looking to develop new priorities focused on people and communities.
❱❱ Adopting a stronger system leadership role and influence joint solutions in addressing local need.
On top of our existing five strategic priority areas, for 2019 the Board has agreed to look in-depth at
two areas. The first is looking in-depth at and exploring all the levers at our disposal to tackle obesity in
Camden. Obesity is one of the most serious public health challenges of the 21st century. Without action,
the health of individuals will continue to suffer, health inequalities associated with obesity will remain and
the economic and social costs will increase to unsustainable levels. Obesity is a complex problem with
2 3
a large number of different but often interlinked causes. No single measure is likely to be effective on its
own. To have a significant impact on obesity levels, it is clear that everybody needs to get involved.
We know to make a positive impact, we require a ‘whole system’ approach, bringing together partners
Health and Wellbeing Board
from across the community to work together to address the multiple drivers of obesity. Among a range of areas of focus and key outcomes
other actions, building on progress to date under our Healthy weight, healthy lives strategic priority (more
detail later in this report) we will think about how health fits into our wider policies and strategic plans,
and where we have the best opportunity to use the levers at our disposal to affect positive change. In
another key initiative, we will shortly be launching a communications campaign which aims to make
Camden a place where everyone has the opportunity to maintain a healthy lifestyle through physical
activity and a healthy diet.
Our second area of focus is around developing a citizen-led approach to health and wellbeing in the west
of the borough (across Kilburn, West Hampstead, Fortune Green and Swiss Cottage) working closely
with residents to explore opportunities to improve health and wellbeing outcomes.
Fundamentally this area of work is focused on engaging and empowering citizens to improve their own
health and wellbeing, and that of their communities and reduce inequalities. It’s about:
❱ Citizen-led health creation, enabling and supporting citizens to be active agents in their health and
wellbeing.
❱ Engaging the community, organisations and partners living and working in a local area to think more
deeply about opportunities and barriers to health and wellbeing, and to work together to find and
test solutions.
Citizen-led Obesity whole
❱ Citizens co-designing what an integrated, place-based health and wellbeing system looks like at a
neighbourhood level (e.g. primary care, community services, mental health, social care, Voluntary and
neighbourhood Focus areas system
approach
approach pilot
Community Sector (VCS), leisure, arts, culture, employment support among others). for 2019
We have reflected on this landscape and the learning and insight we will gather in 2019 will inform the
development of a new Joint Health and Wellbeing Strategy for 2020.
As we work as a partnership and with our citizens on developing our new strategy, throughout 2019
we will remain focussed on drawing on all the levers available to us in tackling obesity in Camden and
piloting new ways of working through our citizen-led neighbourhood approach to health and wellbeing.
Alongside this, we will continue to champion and provide system leadership against our five continuing
Health and Wellbeing Board priorities, which is illustrated on the opposite page.
Strategy priorities 2016-2019
Cllr Georgia Gould
Chair
Healthy weight, Resilient Reducing alcohol- The first Ensuring good
healthy lives families related harm 1,001 days mental health for all
4 5
with over three-quarters from Black, Asian
or Minority Ethnic groups. The programme What impact has this had?
has recently expanded to include peer-led
sessions. We set out to:
Double the number of
❱❱ Launched an Innovation Fund, providing Camden businesses signed
funding and support to people, communities up to a commitment to make
and organisations with new ideas for tackling healthier improvements to
the issue of overweight and obesity, with seven their food offering, from 24 in
new initiatives launched. 2016 to 50 by 2018.
58 organisations have
Worked with families, schools, community signed up to the Camden
settings and businesses to develop healthier Can Pledge, with a wider
lifestyles: focus on encouraging and
enabling access to healthy
❱❱ Supported 14 nurseries to achieve the Healthy diet and increasing physical
London Early Years award; 38 schools to activity.
achieve Healthy School status; and four youth
clubs to achieve the Healthy Futures status,
Reduce the proportion of
embedding a whole setting approach to health
Camden residents who
Healthy weight, improvement with a key focus on healthy diet
and physical activity.
are physically inactive by
5%, from 21% in 2016.
healthy lives: Making
1
❱❱ Supported 13 businesses in Camden to Latest data shows 15%
Camden a place where achieve Healthy London Workplace Charter of residents are now
accreditation, through which organisations physically inactive.
everyone has the
actively encourage and enable staff to eat
opportunity to maintain healthily and be physically active.
a healthy lifestyle ❱❱ Launched the Camden Can Pledge scheme
in which organisations sign up and pledge What we will
actions to enable access to a healthy diet and
physical activity.
do in 2019
One-in-five children in What have we achieved over Launch a large scale, long term, borough
Camden start primary Embedded a greater focus on tackling
the last three years? obesogenic environments in spatial planning,
wide physical activity campaign under
school overweight or obese, Camden Can.
development and regeneration:
and by the time they leave at Since the launch of the strategy in 2016, we have:
Embed active travel within the new
11, this figure has risen to one-in-three. ❱❱ Increased consideration of the health impact in Camden Transport Strategy 2019 – 41.
Supported more residents to access planning and development applications to the
Just under half the adult population in programmes to help them maintain a healthy
Camden is overweight or obese, which Council, as set out in the Camden Local Plan Ensure the re-procurement of the leisure
weight: 2017.
considerably increases risk of a range of contract in Camden includes a focus on
❱❱ Trained over 600 staff in Camden under the enabling physical activity among those
diseases that reduce length and quality ❱❱ Developed the Somers Town and St Pancras
Making Every Contact Count programme, least active within the borough.
of life. The factors contributing to this Healthy Living Partnership, a three year
to support them in signposting residents to collaboration with residents and community
are complex, with social, economic and programmes and services. Implement a new Green Spaces for Health
groups in the ward to draw on existing local programme maximising the use of parks in
cultural drivers influencing our diet and
assets and new opportunities to support increasing physical activity and reducing
levels of physical activity. This requires ❱❱ Increased the number of residents accessing
residents to have a healthy weight, eat well social isolation.
a whole system response, bringing adult weight management and exercise on
and be physically active.
referral programmes each year to over 1,000.
together partners from across our In 2017-18, three-quarters of service users Building capacity across the workforce to
community to make Camden a place ❱❱ Launched a schools ‘superzones’ pilot, using improve support for severely overweight
were from the most deprived areas in Camden. data and geographical analysis to look at the
where everyone has the opportunity children with more complex needs, by
environment immediately surrounding the providing training for frontline staff, clinical
to maintain a healthy lifestyle, through ❱❱ Supported just under 600 families in making
schools, including food outlets and advertising advice and improved peer support among
positive changes to their diet and activity
physical activity and a healthy diet. and working with the local community to use parents.
through our Families for Life programme,
locally available levers to tackle these.
6 7
Promoted responsible retailing of alcohol:
What impact has this had?
❱❱ Increased the focus on reducing the adverse
impacts of alcohol on health and wellbeing We set out to:
within Camden’s Licencing Policy 2017 – 2022,
used in consideration of applications for new Increase the number
licences. of dependent drinkers
accessing treatment.
❱❱ Expanded the Reducing the Strength initiative, Between 2014/15 and
to include 283 of the total 311 off-licences 2017/18, the number of
in Camden to remove from sale cheap, high people accessing specialist
strength beers and ciders. alcohol treatment has
fallen from 523 to 419. This
Strengthened the links between primary care, is in line with regional and
local hospitals and alcohol support services national trends. While the
to improve identification and support recovery numbers entering treatment
among those who are alcohol dependent: have fallen, the proportion
of those who successfully
❱❱ Established 14 alcohol satellite clinics in complete treatment has
primary care across Camden delivered by the increased, from 40% in
Integrated Camden Alcohol Service. 2014/15 to 46% in 2017/18.
Reducing alcohol- ❱❱ Further embed the Alcohol Assertive Outreach Increase the number
related harm: Team, working closely with local hospitals,
primary care and the mental health teams to
of residents receiving
evidence based
2
Working together to identify appropriate referrals and to proactively interventions for their
reduce alcohol-related offer a range of assertive interventions to alcohol use in primary care,
individuals with complex alcohol dependency so that at least 370 people
harm with a reduction who frequently present to hospital. each year receive enhanced
in health inequalities, brief interventions in primary
care, from a baseline of
crime and disorder 270 in 2014/15. The latest
available data from 2016/17
records 261 people as
receiving this.
Alcohol can have significant What have we achieved over
detrimental impacts on Provide at least 550
the last three years? residents in substance
the health and wellbeing
misuse treatment services
of individuals, families Since the launch of the strategy in 2016, we have:
(including alchohol and drugs)
and communities. It is associated with with specialist support to
Increased awareness of the harms caused by
increased risk of developing a number of alcohol to promote lower risk drinking:
access education, training
diseases, including cancers, cirrhosis of and employment each year,
the liver, mental ill health and premature ❱❱ Delivered training to a range of frontline staff from a baseline of 450 in
including job centres, colleges, care providers, 2014/15. In 2017/18, the figure
mortality. At the family level, it can was below the target, at 448.
Age UK Camden, and Camden Carers, to
impact on family relationships, children’s
health and wellbeing and has a clear link
support the delivery of identification and brief What we will do in 2019
advice in reducing alcohol consumption.
with domestic violence and abuse. At the
community level, alcohol is associated ❱❱ Increased the focus on alcohol and its effect as Further strengthening partnerships cross- onward referral for vulnerable adults via a
part of Personal Social and Health Education council and with primary care to increase specialist hub.
with a range of anti-social behaviour the numbers of people accessing alcohol
in schools.
and violent crime. Camden experiences treatment. Complete comprehensive reviews of
significant levels of alcohol-related harm. ❱❱ Enabled more than 11,500 residents to access substance misuse provision for young people
One-quarter of residents who drink do an online screen to better understand the Improving outcomes among the street and adults across Camden to inform future
impact of their level of drinking and receive population with substance misuse support commissioning intentions. The review will
so at levels of increased or high risk and needs, including mobilising a new integrated consider a range of options including how
tailored advice on cutting down and how to
more than 3,000 residents are alcohol service delivering assertive interventions in services can work to better meet the needs
access additional support.
dependent, a higher rate than nationally. a street setting and structured support and of families as well as individuals.
8 9
Simplified pathways to make it easier for
families to get the right help at the right time: What impact has this had?
❱❱ Formation of the Children and Families Contact We set out to:
Service, made up of staff from the Multi Agency
Safeguarding Hub (MASH) and the First Increase the number of
Stop Early Help Community Team. This has family assessment that
created a single access point providing advice, are for early help. This
information and support for children and young has increased from 377 in
people who are vulnerable and at risk. Around 2014/15, to 710 in 2017/18.
40% of all contacts now go direct to early help.
❱❱ Introduced a shared system and single record
facilitating improvements in support that can be Increase the number of
provided by the network already involved with family and family plans that
the family and reducing the need for onwards increase parental resilience
referral. and improved parent child
relationships. Baseline data
Building a partnership workforce promoting is not available. At the end
Resilient Families: resilience and preventing escalation of of 2018, 75% of families
problems:
building family and closed to early help stayed
free from further early help
community resilience ❱❱ More than Camden 200 staff trained in the
3
or social work intervention
Resilient Families early help systemic model. A for at least 12 months.
and shifting the balance version of the training has been co-produced
of service delivery with the VCS to expand the approach across
partners in Camden.
towards earlier help and
❱❱ Resilience Families Framework Train the What we will
prevention Trainer has been implemented to ensure there do in 2019
is a sustainable training programme, with
eight trainers recruited from across early help Accelerating the Resilient Families approach
services in place to deliver the training over the by developing community-led early help,
The resilient families What have we achieved over next 12 months. strengthening natural networks in building an
programme is a partnership enduring circle of support for families. This will
the last three years? ❱❱ Developed closer working between early help include:
response across the whole and the primary and secondary care workforce,
network of support for Since the launch of the strategy in 2016, we have: including trial of an early help adviser based Working closely with partners to
children and their families to improve the with the safeguarding team at the Royal Free trial innovative community problem
Increased the preventative role of universal Hospital, and closer collaboration with GP solving models, including Full Circle, a
identification of need earlier, streamline services: practices across Camden to improve early help community-led problem solving approach
access to early help services and ensure advice and guidance in surgeries. This includes inspired by the values of Family Group
a consistent approach to building ❱❱ Implemented the Growth Mindset in schools
early help input in GP multi-disciplinary Conference.
across Camden, encouraging challenge,
resilience in families. Significant health perseverance and resilience among children
meetings.
Community-led Resilient Families training.
and educational inequalities among and young people.
children in Camden remain. Estimates Problem solving booths that promote
suggest that 39% of children and young ❱❱ Launched the Young Camden Foundation, mutual aid.
a community of cross-sector organisations
people in Camden are living in poverty1 working together to improve opportunities for Earlier help in youth offending.
and one-in three-children in Camden all young people in Camden.
start school with skills and knowledge Family-led early help information and
significantly lower than expected for advice via parent champions.
their age.
1. Centre for Research in Social Policy (2018), Child Poverty Map of the UK.
Available at: www.endchildpoverty.org.uk/poverty-in-your-area-2018
10 11
Improved the mental health support we provide programmes such as Stay and Play. In 2017/18
to parents early on: 81% of children attending these sessions
were from a vulnerable group, a small increase
❱❱ Improved understanding of perinatal mental compared with 2016/17.
health needs through completion of a needs
assessment and implementation of new ❱❱ Trained Family Workers and Stay and Play
pathways into support from mild to moderate to Workers in speech and language development
more severe needs. to support high quality adult-child interactions
using the Adult Child Tally (ACT) model to help
❱❱ Launched Camden Blossoms, a new peer parents and carers support their child’s speech
support programme for women with additional and language development through play
support needs including mild to moderate activities.
mental health problems, lack of support
networks, homeless, experience of domestic Developed an integrated offer for children and
violence, previous difficulties with pregnancy/ families:
birth/post birth, or with English as a second
language. In 2017/18, more than 300 women ❱❱ Embedded an integrated health promotion offer
First 1001 days: received support through the Camden
Blossoms programme.
across our children’s centres and beyond. This
includes implementation of the Little Steps to
Ensuring the support Healthy Lives programme supporting children
❱❱ Delivered a programme of perinatal mental and families to have a healthy diet and to be
we provide from health training three times a year. The training is physically active; ‘Teeth for Life’ oral health
pregnancy through to delivered by Perinatal Mental Health Champions training programme for nursery staff, with a
4
and to date has been attended by 85 staff particular focus on disadvantaged 2-year olds
the first two years of from a range of agencies including early years, and a fluoride-varnish programme providing
life focuses on the most health visiting and maternity services, VCS protection for children’s teeth; alongside the
organisations and parent champion volunteers. Healthy Start vitamin programme.
important outcomes
Strengthened our approach in supporting the
for children development of strong communication and
❱❱ Co-located early years and health visiting staff
and recently launched a new locality based
language skills in infancy: model to further enhance collaborative working,
including improving the join up of delivery
❱❱ Expanded the range of services in our children’s strands across maternity and early years and
centres that support parents as their children’s
The first 1001 days takes What have we achieved over first educators, embedded throughout
enabling us to more effectively support our
a specific life stage most disadvantaged families.
the last three years?
focus within the Resilient
Families priority, focussed Since the launch of the strategy in 2016, we have:
on bringing together all partners to
Increased support for mothers, fathers and
ensure the best outcomes for children other carers to prepare for parenthood:
in the critical first stages of life where
we can make the biggest differences to ❱❱ Launched the bump to baby programme, a
children’s life chances. 5 week targeted preparation for parenthood
group which is delivered jointly by children’s
centre staff, health visitors and midwives.
More than 230 families have attended the
programme between its launch in January
2017 and October 2018.2
❱❱ Embed a series of programmes across
our children’s centres promoting sensitive
parenting and attachment, including baby play
and baby massage.
❱❱ Made good progress towards achieving Unicef
Baby Friendly Status, having achieved stage 1
in early years and health visiting and working
towards stage 2 and 3.
12 13
What impact has this had? What we will
We set out to: do in 2019
Increase the proportion of Building on our parent engagement
mothers breastfeeding at approach, expanding the role of our
six to eight weeks after birth Early Years Parent Champion programme
to 80%. Data collection and Early Years Volunteer Partnership
methods have changed in systems leadership, increasing
since the launch of the the number of parents with English
strategy, and baseline as a second language and fathers’
data is not available. In participation.
2017/18, the proportion of
mothers totally or partially Establishing and embedding the
breastfeeding at six to eight integrated service model between health
weeks is 82%.3 visiting and early years and the new
locality model.
Ensuring good
Decrease the number of Develop a new approach, incorporating
mental health for
pregnant women smoking
by 5%, from a baseline of
a pathway of services to support all: Promoting positive
vulnerable parents in the perinatal period,
5.7% in 2013/14. In 2016/17, including young parents, to ensure early mental health and
3.4% of all deliveries in
5
Camden were to mothers
identification of additional needs in outcomes for people
pregnancy and sustained engagement in
who smoked at the time of services during pregnancy and the first with serious mental
delivery. year. health conditions and
Increase the proportion of Complete an audit of father inclusive preventing suicide
2 year old children taking practice, establish an action plan for
up free education places, improving fathers’ engagement in services wherever possible
from 41% in 2015. In 2018, and deliver a training programme to
this figure had risen to 64%. support all early childhood professionals
to have the knowledge, confidence and
skills to engage fathers and support them Mental health conditions are who may be experiencing mental health
to find specialist help when needed. common across all age and problems and supporting recovery
Increase the number of social groups in Camden among people with mental health
children who reach a good and are the leading cause conditions.
level of development at 5
of ill health and disability among working
years old to 70%, from 63%
in 2014/15. In 2017/18, this age adults. Over 4,100 people in Camden
figure had risen to 71%. are diagnosed with a psychotic disorder What have we achieved over
and 19,300 adults have a diagnosis
of depression. It is estimated that in the last three years?
Camden, around 4,000 children and Since the launch of the strategy in 2016, we have:
young people aged 5-16 years and 6,000
young people aged 16-24 years have a Worked with communities to help change
attitudes to mental health and build resilience:
diagnosable mental health condition. The
prevalence of diagnosed mental health ❱❱ Trained more than 750 residents, volunteers
conditions in Camden is higher than and frontline staff in Mental Health First Aid
London and England. Our ambition is to Training to better understand the effects
improve mental health outcomes for local of stigma and discrimination, and be able
2. Hear what parents in Camden have taken from the programme at: youtube.com/watch?v=l6-fZ9yih4I to recognise early signs of mental health
3. This is based on the total number of infants receiving a 6-8 week review who had breastfeeding status recorded. communities and people of all ages and problems and to respond appropriately.
In 2017/18, 85% of all infants due a 6-8 week review received this on time, and 78% of these had breastfeeding reducing inequalities, through promoting
status recorded. Data collection methods for breastfeeding have changed, and recording has improved throughout good mental health and wellbeing, ❱❱ Established the Cultural Advocacy Project,
2017/18. ensuring access to early help for people focused on developing bottom up community
14 15
approaches to identify and engage with target understanding of how to support people with
Black, Asian and Minority Ethnic communities mental health conditions in the workplace. Help at least 540 people with Increase the number of
and develop community awareness around mental health conditions in Dementia Friends by 10% per
mental health. Improved integration of physical and mental to employment, training or year, from 2,750 in 2014/15
health care: volunteering. Between 2016 to 3,650. In 2017/18, 3,750
❱❱ Creation of the Resilience Network a and 2018, 250 people with people became a Dementia
partnership of VCS organisations, Camden ❱❱ Expanded the Integrated Practice Unit, working mental health conditions were Friend.
and Islington Foundation Trust, Tavistock and across primary and secondary care services so supported in to and remained
Portman, commissioners and residents with that people with serious mental illness receive in employment for at least 6
the aim of building a network of services that an effective range of screening and interventions months. Data on the number Double the number of women
support people in their community to access to improve their physical health, alongside their of people gaining training and experiencing, or with a previous
the right support at the right time, and to be mental healthcare. This includes wellbeing volunteering opportunities history of mental health
better able to address and manage their mental clinics in each of the mental health community is not available, however conditions accessing perinatal
health and take part in community life. bases, alongside primary care based mental this is supported throughout mental health services, from
health nurses delivering physical health checks commissioned mental health a baseline of 121 in 2014/15.
❱❱ Launched the Camden Dementia Action among people with serious mental illness. services in Camden as being In 2017/18, more than 380
Alliance, bringing together 55 local an important part of recovery. women accessed perinatal
organisations to support and encourage Improved co-ordination in suicide prevention: mental health services.
communities and organisations to take
practical actions to enable people to live well ❱❱ Implementation of a new suicide prevention
with dementia. plan bringing together a wide range of partners
to improve data collection; build better
What we will Introducing the ‘three conversations’6
innovation sites into primary care to ensure
Worked with schools and young people awareness of suicide risk among a wide body of do in 2019 that frontline staff focus on people’s
services and parents to promote better frontline staff; focussed prevention on high risk strengths and community assets when
groups; improved crisis care; and the provision Embedding a public mental health approach supporting those with mental ill health.
emotional and mental health and early
of support to those bereaved by suicide. through the adoption of the Prevention
intervention: Reviewing acute care pathways for all
Concordat for Better Mental Health to
promote good mental health and prevent mental health patients, including developing
❱❱ Implemented a Mental Health and Resilience
mental health problems.4 a jointly-funded Crisis Cafe model to ensure
in Schools framework in 18 schools to date, What impact has this had? appropriate and timely support in the
supporting schools to identify opportunities for Engaging eight more schools in the Mental community.
improvement against seven components that We set out to: Health and Resilience in Schools framework
effectively develop children and young peoples’ and 100 more parents in our resilience Developing an alternative model for
resilience, promote positive mental health Promote good mental workshops. preventing mental health crisis through
and support those at risk of, or experiencing, health with 360 vulnerable providing appropriate accommodation and
Expanding our approach to early wraparound support for those in need.
mental health problems. mothers-to-be and new intervention mental health services for
mothers and their partners, young people through implementation of Convening a partnership group to ensure
❱❱ Trained just under 400 staff and volunteers in through an innovative baby two new Mental Health Support Teams we are providing more effective support
Youth Mental Health First Aid. steps programme. Since (MHSTs) targeting young people with mild to and services for adults with Severe
its launch in January 2017, moderate mental health difficulties as part Multiple Disadvantage (i.e. people who
❱❱ Developed a series of workshops for parents on
230 families have attended of CAMHS across our 10 secondary school face a combination of problems including
helping build resilience and promoting positive
the bump to baby antenatal and 20 of our primary schools. homelessness, substance misuse, contact
mental health for their children. 300 parents
programme. with the criminal justice system and mental
have attended to date since launching in 2017. Further developing our primary care model ill health), and to improve outcomes for this
Increase the proportion to improve the physical health of people group of people.
Worked with employers to improve workplace with mental ill health, building on the work of
mental health and wellbeing and improve of children and young
the Integrated Practice Unit and adherence Further development of our suicide
employment outcomes: people referred to child
to NHS England guidance on health checks prevention approach, with establishment of a
and adolescent mental
for people with serious mental illness5. new multi-agency prevention steering group;
❱❱ Established a series of pilot programmes health services (CAMHS)
increasing the emphasis on prevention; and
testing different approaches in supporting seen within 8 weeks of
refreshing our suicide action plan.
people with mental health conditions into referral from 50% to 90%.
work. Learning from the pilots has fed in to In 2014/15, 50% of young
the development of the new Camden Work & people referred to child
4. Public Health England (2017), Prevention Concordat for Better Mental Health. Available at: www.gov.uk/
Wellbeing service which launched in late 2017. and adolescent mental
government/collections/prevention-concordat-for-better-mental-health
health services (CAMHS) 5. NHS England (2018), Improving physical healthcare for people living with severe mental illness (SMI) in primary
❱❱ Launched a new training programme for were seen within 8 weeks care: Guidance for CCGs. Available at: www.england.nhs.uk/wp-content/uploads/2018/02/improving-physical-
employers, Mental Health in the Workplace, of referral. By 2017/18, this health-care-for-smi-in-primary-care.pdf
attended by over 350 staff in Camden to improve figure had risen to 70%. 6. Partners 4 Change, The P4C 3 Conversation Model. Available at: partners4change.co.uk
16 17
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