CAMHS Strategy, CAMHS IG and CAMHS NSF Module Richard Williams

AgendaAgenda Back brief on the English NSF CAMHS Module Review work programmes of the IG’s Sub-groups Relationship between work of CAMHS EWG and that of IG Back brief on the English NSF CAMHS Module Review work programmes of the IG’s Sub-groups Relationship between work of CAMHS EWG and that of IG

The Children’s NSF 6 (now 7) modules Steering Group External Working Groups Relationship between work of EWGs and the final NSF Standards Common standards Evolution in policy Timelines 6 (now 7) modules Steering Group External Working Groups Relationship between work of EWGs and the final NSF Standards Common standards Evolution in policy Timelines

Key Issues CAMHS Module Re-adoption of 4 Tier Strategic Framework Adoption of needs-led approach (rather than diagnosis-led) Structure of Sub-groups Tier 1 Tier 2-Tier 3 Tier 4 Learning Disability CommissioningEvidence-baseOutcomesResearch Re-adoption of 4 Tier Strategic Framework Adoption of needs-led approach (rather than diagnosis-led) Structure of Sub-groups Tier 1 Tier 2-Tier 3 Tier 4 Learning Disability CommissioningEvidence-baseOutcomesResearch

Continuing Work Plan of IG Commissioning Sub-group Completion of commissioning guidance and monitoring of its implementation Work with HCW on implementation and development – e.g.: Advice on equitable policy on admission to inpatient services Advise HCW on construction of CAMHS Advisory Group Allocation of resources and development of a commissioning framework for bi- and tri- partite funded placements and admissions Initiate development of advice on LA commissioning frameworks Commissioning Sub-group Completion of commissioning guidance and monitoring of its implementation Work with HCW on implementation and development – e.g.: Advice on equitable policy on admission to inpatient services Advise HCW on construction of CAMHS Advisory Group Allocation of resources and development of a commissioning framework for bi- and tri- partite funded placements and admissions Initiate development of advice on LA commissioning frameworks

Continuing Work Plan of IG Informatics etc Sub-group Complete and advise on initiation of WORD R&D agenda Complete Stages 1 and 2 and initiate Stages 3 and 4 of All Wales Needs Assessment Review results of placement and admissions research (with Service Development Sub-group) Consider mapping exercise in assoc with Dept of Health Consider outcomes of studies commissioned from ONS Informatics etc Sub-group Complete and advise on initiation of WORD R&D agenda Complete Stages 1 and 2 and initiate Stages 3 and 4 of All Wales Needs Assessment Review results of placement and admissions research (with Service Development Sub-group) Consider mapping exercise in assoc with Dept of Health Consider outcomes of studies commissioned from ONS

Continuing Work Plan of IG Workforce Sub-group Continue to advise the HEIs on development of the funded modular, multi-level professional training curriculum Support implementation and monitor impact of the 3 new Nurse Consultant posts that are linked to WAG’s workforce plans Complete, and advise on interpretation of recently commissioned ‘VFM re-visited’ study and present results to NHS Workforce Development Steering Group New workforce initiatives Advise on database for new NHS workforce data set Initiate development of workforce advice for LAs and voluntary sectors Review and advise on development of competency frameworks relating to delivery of mental health services Advice to WAG and NHS on improving service culture and infra-structure in line with findings from ‘VFM Re-visited’ Advice to WAG and NHS on improving training in line with findings from ‘VFM Re-visited’ Workforce Sub-group Continue to advise the HEIs on development of the funded modular, multi-level professional training curriculum Support implementation and monitor impact of the 3 new Nurse Consultant posts that are linked to WAG’s workforce plans Complete, and advise on interpretation of recently commissioned ‘VFM re-visited’ study and present results to NHS Workforce Development Steering Group New workforce initiatives Advise on database for new NHS workforce data set Initiate development of workforce advice for LAs and voluntary sectors Review and advise on development of competency frameworks relating to delivery of mental health services Advice to WAG and NHS on improving service culture and infra-structure in line with findings from ‘VFM Re-visited’ Advice to WAG and NHS on improving training in line with findings from ‘VFM Re-visited’

Continuing Work Plan of IG Service Development Sub-group Complete service development prioritisation framework Monitor trends in service delivery with particular attention to providing advice on avoiding and/or resolving perverse incentives Continue to advise WAG on work with YJB to resolve issues relating to a policy on prioritisation and improve service delivery at all tiers Review priorities as a result of the findings from the placement and admissions research (with Informatics Sub-group) Prioritise any monies that are made available according to the development plan Provide advice on implementation of service developments Service Development Sub-group Complete service development prioritisation framework Monitor trends in service delivery with particular attention to providing advice on avoiding and/or resolving perverse incentives Continue to advise WAG on work with YJB to resolve issues relating to a policy on prioritisation and improve service delivery at all tiers Review priorities as a result of the findings from the placement and admissions research (with Informatics Sub-group) Prioritise any monies that are made available according to the development plan Provide advice on implementation of service developments

General Principles CAMHS should be: Child-centred Respectful and protecting of children and adolescents Lawful Equitable and responsive Comprehensive and appropriate Integrated Competent and accountable Effective, efficient and targeted CAMHS should be: Child-centred Respectful and protecting of children and adolescents Lawful Equitable and responsive Comprehensive and appropriate Integrated Competent and accountable Effective, efficient and targeted

Child-centred Services Focus on Children’s rights (UN Convention on the Rights of the Child) Advocacy services Child friendly services Active steps to hear the voices of children Focus on Children’s rights (UN Convention on the Rights of the Child) Advocacy services Child friendly services Active steps to hear the voices of children

Child-centred Services Professional practice should View each child as a developing person in his/her context View problems in the ways in which children experience them Include a focus on prevention and health promotion Develop relationships that aid young people in tackling their problems Be realistic Professional practice should View each child as a developing person in his/her context View problems in the ways in which children experience them Include a focus on prevention and health promotion Develop relationships that aid young people in tackling their problems Be realistic

Aims – intent and direction Relief from current suffering and problems with the intention of improving, as soon as possible, the mental health of children, adolescents and their families Longer-term interventions to improve the mental health of young people as they grow up and when they become adults and, thereby, to positively influence the mental health of future generations Partnership with families, substitute families and all those who care for children Relief from current suffering and problems with the intention of improving, as soon as possible, the mental health of children, adolescents and their families Longer-term interventions to improve the mental health of young people as they grow up and when they become adults and, thereby, to positively influence the mental health of future generations Partnership with families, substitute families and all those who care for children

ObjectivesObjectives Promote working in partnership Involve parents and carers Cultivate mutual support Establish child-centred services Move to needs and evidence-based services and disseminate good practice across Wales Improve mental health of children and young people through timely and effective interventions Replace reactive services with strategically managed services that forecast and manage projected rises in demand Build in child protection Remove stigma Consider problems of ethnic minority young people Link to programmes on social inclusion, substance misuse and reduction in offending Promote working in partnership Involve parents and carers Cultivate mutual support Establish child-centred services Move to needs and evidence-based services and disseminate good practice across Wales Improve mental health of children and young people through timely and effective interventions Replace reactive services with strategically managed services that forecast and manage projected rises in demand Build in child protection Remove stigma Consider problems of ethnic minority young people Link to programmes on social inclusion, substance misuse and reduction in offending

Delivering the Plan The vision A multi-agency approach The Four Tier Strategic Concept Partnerships with children, young people, families and professionals A CAMHS Implementation Group Establishing priorities for action Ensuring there is an underpinning and supportive infra-structure Monitoring and reporting on local developments The vision A multi-agency approach The Four Tier Strategic Concept Partnerships with children, young people, families and professionals A CAMHS Implementation Group Establishing priorities for action Ensuring there is an underpinning and supportive infra-structure Monitoring and reporting on local developments

Priorities for Action A co-ordinated plan for a greater diversity of services that work together Develop planning and commissioning skills Improve the disposition, effectiveness and complementarity of current services Improving the capability, capacity and volume of present services A co-ordinated plan for a greater diversity of services that work together Develop planning and commissioning skills Improve the disposition, effectiveness and complementarity of current services Improving the capability, capacity and volume of present services

CAMHS Strategy, IG and NSF Module