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Child and Adolescent Mental Health Services – Tier 3 Service Specification. Lisa Wells Commissioning and Redesign Lead – Women and Children’s Services Shropshire Clinical Commissioning Group Lisa.wells@shropshireccg.nhs.uk. Structure of CAMHS in Shropshire. Shropshire CCG commissions:
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Child and Adolescent Mental Health Services – Tier 3 Service Specification Lisa Wells Commissioning and Redesign Lead – Women and Children’s Services Shropshire Clinical Commissioning Group Lisa.wells@shropshireccg.nhs.uk
Structure of CAMHS in Shropshire • Shropshire CCG commissions: • ‘Core’ CAMHS Tier 3 Service • CAMHS Learning Disability Service • Reaching Out Service • One provider across Shropshire and Telford and Wrekin – Shropshire NHS Community Trust
Background • A review was commissioned by Shropshire PCT and Shropshire County Council in 2011 to consider comprehensive CAMHS provision in Shropshire (not just Specialist Tier 3 CAMHS) • The two key findings from the Review: • the lack of a robust commissioning strategy for a Comprehensive CAMHS in Shropshire • secondly specialist Tier 3 CAMHS is seen as a service that works in isolation to the broader primary care services, education and social care
Areas for development • A number of areas for improvement were identified: • Data collection and needs assessment • Understanding of pathways • Understanding of criteria/threshold for the service • Long waiting times • Urgent referrals are not seen soon enough • Issues with transition to adult mental health services • Links to other services
Achievements to date • Revised service specification for Tier 3 CAMHS and Reaching Out Service (ROS) across Shropshire and Telford • Single point of access for referrals to CAMHS - via Compass • Service Development and Improvement Plan • Joint CQUIN for transition for 2014/2015 between CAMHS and Adult Mental Health Services (provided by SSSFT) • Clear timescales for referrals • Improved data collection and reporting to commissioners including weekly updates on waiting times
Next steps • Development of Compass including electronic referral form • Development and communication of a range of clear pathways for diagnosis and management of conditions • A scoping exercise exploring the demand for extending hours provision • Improvements to the 24 hour on-call arrangements, including scoping and reviewing the current provision • Development of joint working protocols to support the discharge of patients from acute settings who require Tier 3 CAMHS • Scoping the service requirements identified as a result of Special Educational Needs and Disabilities (SEND) Reforms