The Board considered a report of the Joint Commissioner for Child and Adolescent Mental Health Services (CAMHS) which set out the work undertaken across Leicester, Leicestershire and Rutland to produce a joint multi-agency strategic approach to improving the emotional and mental health of children and young people, the review of CAMHS services for outpatients provided by Leicestershire Partnership Trust (LPT) and the national review of inpatient CAMHS services. A copy of the report marked ‘Agenda Item 7’ is filed with these minutes.
Arising from discussion the following points were raised:-
(i) Concern was expressed that the target waiting time for CAMHS outpatient services (tier 3) was regularly breached. The number of young people suffering harm as a result of the long waiting time was not measured. This matter had also come to the attention of the Local Safeguarding Children Board which was keen to ensure that it was resolved and that the relevant data was correctly captured. It was acknowledged by LPT that the support for young people who were waiting for services was not sufficient.
(ii) Other issues of concern identified included pathways not commonly being followed, a lack of consistency in service provision, low levels of GP satisfaction with the service and that the savings to be made by the County Council could result in less capacity for support of CAMHS services in the future
(iii) It was noted that referral rates were increasing by approximately ten percent each year. It would be important for the review to recognise the need for the model to change. For example, the Clinical Commissioning Groups were currently considering the provision of community based care for young people with eating disorders.
(iv) It was noted that a stakeholder engagement event for the review of CAMHS outpatient services had already taken place. An interim report was expected early in the new year and interim findings would be available by May 2015.
(v) Concern was expressed that report did not feel cohesive or sufficiently action orientated and there was a lack of join up across the spectrum of services and strategies for the emotional health and wellbeing of children and young people. The children’s workstream in the Better Care Together programme would bring all these pieces of work together and provide leadership. With regard to CAMHS service specifically, the fragmentation of commissioning created additional problems. It was proposed that, in order to address the issues identified by the review, a group comprising the commissioners of CAMHS was established to tackle the issues raised in this report.
(vi) A Parliamentary Select Committee had reviewed CAMHS tier 2 and 3 services at a national level. Its most recent findings included that the service was commonly underfunded; there was a lack of data relating to prevalence rates and a need to look at new models of service provision.
(a) That the work across Leicester, Leicestershire and Rutland to produce a joint multi-agency strategic approach to improving the emotional and mental health of children and young people, the review of the Child and Adolescent Mental Health Services (CAMHS) for outpatients provided by Leicestershire Partnership Trust and the national review of inpatient CAMHS services be noted;
(b) That the Director of Children and Family Services be requested to form a group comprising the commissioners of CAMHS Services to provide leadership to work in this area, progress the issues identified in the report and report to a future meeting of the Health and Wellbeing Board;
(c) That the Director of Children and Family Services discuss the recording of data relating to safeguarding of CAMHS patients with the Independent Chair of the Local Safeguarding Children Board and relevant service providers to seek agreement on resolving this issue, in particular with respect to routine recording of adolescent suicide figures.