Progress against recommendations in 2009 CAMHS HNA
18 A review of Tier 4 service provision should be undertaken, which aims to prevent the need for
admission (such as the developing role of the HOPE service for children and young people with complex needs), and considers how best to provide -appropriate in-patient facilities. The contract should include out of hours service and an expectation that access to creative therapies is increased
A review of Tier 4 was undertaken and during 2012/13 there was a marked decrease in Tier 4 admissions.
With new national Tier 4
commissioning arrangements by NHS England this has severely impacted on our ability to achieve this
SABP plan to call a summit soon to take this further with the Partnership. They have fed into the national and regional reviews currently being undertaken
APPENDIX 3
Glossary
Child and Adolescent Mental Health Service (CAMHS) - Multidisciplinary teams comprising of psychiatrists, social workers, community psychiatric nurses and psychologists providing support to children and young people with severe mental health problems, both out of hospital and within hospital settings
Carer - A person who provides care on a regular basis, who is not employed to do so.
Looked After Children (LAC) - Child who is either provided with accommodation by a local authority social services department for a continuous period more than 24 hours, or someone who is subject to a relevant court order under part IV or V of the Children Act, 1989. Could refer to children subject to accommodation under an agreed series of short term placements like short breaks, family link placements or respite care. Most looked after children cease to be looked after, after reaching their 18th birthday. Some are looked after until their 21st birthday under Section 20 (5) of the Children Act
Clinical Commissioning Groups (CCGs) - are groups of GPs that are responsible for planning and designing local health services in England.
Emotional wellbeing – A holistic, subjective state which is present when a range of feelings, among them energy, confidence, openness, enjoyment, happiness, calm, and caring, are combined and balanced. (Department of Education and Skills, 2003)
Health and Wellbeing Board - The Health and Wellbeing Board established in April 2013, and a shadow board is currently in operation. The Board focuses on promoting integration and partnership working, and improving democratic accountability of health and social care services. Joint Strategic Needs Assessment (JSNA) - An assessment that provides an objective analysis of the current and future health and wellbeing needs of local adults and children, bringing together a wide range of quantitative and qualitative data, including user view. CCGs and local authorities, including directors of public health, will in future have an obligation to prepare the assessment, and to do so through the arrangements made by Surrey’s Health and Wellbeing Board.
Mental health problem - A phrase used as an umbrella term to denote the full range of diagnosable mental illnesses and disorders, including personality disorder. Mental health problems may be more or less common and acute or longer lasting, and may vary in severity. They manifest themselves in different ways at different ages and may present as behavioural problems (for example, in children and young people)
National Institute for Clinical Excellence (NICE) -. A body promoting clinical excellence and the effective use of resources within the health service
Social Care - Services provided by statutory and independent organisations, helping people to live their daily lives
Specialist Services - A specialised multi-disciplinary service for more severe, complex or persistent disorders
Targeted Services - Services provided by specialist individual professional relating to workers in community and primary care settings including paediatricians, community nurses and educational psychologists, as well as child and adolescent mental health professionals
Universal Services - Professionals working in universal services, providing a primary level of care, including primary and community health care (e.g. health visitors, GPs, school nurses), education (teachers, school, colleges) social care (local authority children’s services, children’s centres) and voluntary organisations
Vulnerable Children & young people - The Framework for the Assessment of Children in Need and their Families (Department of Health) defines vulnerable children as ‘disadvantaged children who would benefit from extra help from public agencies in order to make the best of their life chances’.
Adapted from:
Glossary, Richmond Council. QPMI Child Glossary V2.doc, DH Glossary, www.theparentcentre.gov.uk Glossary, www.teachingnet.gov.uk
APPENDIX 4
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APPENDIX 5
Contacts
Karina Ajayi, Commissioner - Children's Social Care and Wellbeing Commissioning Team Children, Schools and Families Directorate, SCC
Tina Fenwick, Children's Social Care and Well-being Commissioning, Children, Schools & Families Directorate, SCC