Child and Adolescent Mental Health Services – Tier 3
Service SpecificationLisa Wells
Commissioning and Redesign Lead – Women and Children’s Services
Shropshire Clinical Commissioning [email protected]
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