There is scope to improve the pathway by developing a more collaborative multi-agency approach to the commissioning and delivery of services to support children, young people and their families. Maintained an integrated plan of work; project managed across health and social care commissioning. Maintained a high profile within CNWL, MKC and CCG Increased investment Improved relationships between services supported by agreed protocols Service user and professional feedback that access to CNWL has improved (supported by data for example reduced waiting list times) There is varied and inconsistent experience, understanding and expectations of the care pathway within universal services, particularly schools. Produced eligibility criteria for CNWL CAMHS. Mapped critical care pathways and provided additional information and support through the Public Health, ‘Healthy Children and Young People’s network and award’ A more coordinated local offer Improved relationships between agencies Improved confidence of staff including clarity of responsibilities Named points of contact within schools and CNWL CAMHS Children and young people will tell us that they have access to better support in schools There is a lack of confidence, knowledge and skills within universal services to meet the needs of children and young people with mild to moderate emotional, behavioural and mental health difficulties. Planned to: Engage with a wide range of non-specialist mental health services to support workforce development opportunities and to identify training needs Review the CNWL CAMH Service training offer to support the emerging identified need A of on-line tools that can be accessed by non CNWL CAMHS teams Improved confidence of staff More integrated service delivery Timely and appropriate support to children, young people and their families
The interventions provided by Tier 2 are effective but there is insufficient capacity to meet existing and increasing demand, along with a more complex service user profile. Evaluation of Tier 2 provision concluded Funding for 2017/8 confirmed Discussions can begin to agree the model for targeted CNWL CAMHS and the transformation plan Consistent support offered to all schools Improved resilience of children, young people and their families. Consistent access to advice and early support for staff and service users Provision of evidence programmes There is identified un-met need within the pathway of care for children displaying significant behavioural difficulties Existing complex behaviour pathways mapped, identified gaps and issues. Proposals to address gaps through pathway development and investment being finalised More integrated service delivery Children, young people and their families receive services in the right place and at the right time are a range of internal clinical and processes within the CNWL CAMHS service which are experienced as not effective or efficient and these impacts on the length of time children and young people are waiting to access the service. Reduced the waiting list to 6 weeks (from 28 weeks) Improved design of the waiting room with input from children and young people Implementation of new duty and referral system Ensured access and waiting time standards for Eating Disorders are 100% compliant Established Perinatal Mental Health service Children and young people are being seen within reasonable timescales Agencies report greater satisfaction with the service Positive feedback about revised waiting area Mothers who require mental health support are appropriately identified and receive timely services Babies are safe and protected are gaps in the pathway for young people in transition from CAMHS to adult services This year the focus has been on transition for CYP in Tier 4 beds. For YP within community services this is priority for the next phase in 2016/7 YP experience a seamless move between services ensuring needs continue to be met is a lack of local provision for children and young people with specific needs Audit of mental health provision for children in need and looked after children underway Work underway between MKC and CCG to develop joint working arrangements supported by protocols Increased numbers of children and young people’s needs met locally Improved outcomes for the most vulnerable groups Increased knowledge and expertise within CNWL CAMHS /CSC
There is emerging evidence that the provision of an intensive liaison support team keeps young people out of the adult MH unit or pediatric beds and provides positive outcomes for children and young people. Recruited to new posts within the Liaison and Intensive Support Team to deliver a more comprehensive service Agreed Integrated Care Pathway with MKUH for care of CYP in crisis accessing mental health care Improved support to children and people in crisis CYP are supported in crisis and have their needs met within local resource Children and young people placed out of area in Tier 4 placements should continue to be case managed by local providers to ensure continuity of care and to facilitate and expedite care being provided closer to home. Strengthened processes for monitoring children and young people who need care in hospital out of area supported by a new protocol to support seamless discharge and transition to community services Developing protocol between CNWL CAMHS and children’s social care Consistent CSC/ CNWL CAMHS response More support for children/young people in Tier 4 beds which is likely to lead to improved outcomes Children and young people have very strong views about every aspect of the care they receive from universal through to specialist provision As part of the CAMHS pathway review there was extensive consultation with children, young people and their families. is provider led conversation with children and young people, using services, which contributes to continuing improvement Children and young people feel able to talk about emotional wellbeing and mental health and seek help without stigmatisation There are significant issues with communication between agencies across the pathway. Many young people and their families have experienced poor communication. One of the key enablers for the is to improve communication. The process of undertaking this programme across the system has meant that the situation has improved but there is work still to do Children, young people and their families experience a seamless more integrated approach Agencies do not duplicate interventions