Group Discussions - Collated

1)What are the implications of what you have heard today for your local CAMHS service?

Bristol / -More time to talk to colleagues in Bristol
-Uniform outcomes across tiers / transferable. Monitoring /insuring pathways are effective long term
-Commissioning, values to deliver / inform commissioning. Who / what group holds the vision of services in area
Somerset / -Strong need for community services
-Definition between tiers of services to allow for challenge
BANES, Swindon / -Move towards each NHS area, being more self-sufficient – are the beds the right ones, and in the right geographical areas? E.g. may need more eating disorder and high dependency beds
-Mismatch between money ‘taken out’ by NHS England & what is currently being spent
South Devon / -Pathways and Protocols
-Transition across tiers and into adults
-Working together, multiagency care pathways
-Other pathways of support and re-modelling current resources
-OOH / Urgent care provision
-Integration & co-location, what stops it happening?
Cornwall / -Developing a new model (based on commissioning better CAMHS document) which can feel like…. “Redesigning the jet engine whilst in flight”
-The relationship between young people / service users, clinicians, managers and commissioners
-The importance of strong universal services / early help e.g parenting support
-Issue of Young people not always wanting their parents involved, but parents saying they want to be involved
-Any outcomes based model leads to it being a more pessa-centred approach
Wiltshire, Swindon, BANES / -Raising awareness in Schools about MH, reducing stigma
-Self-referral – advertising, explanation
-Films, welcome to CAMHS, what we are, need to know exactly what it is, and where they are going
Gloucestershire / -Useful resource to inform local action, highlights and re-enforces over area of need
NEW Devon / -
North Somerset / -Need to map tier / 2 provision in schools / community
-Review criteria / thresholds for specialist CAMHS
-Increase participation / engagement

2)Can you agree on the top 3 priorities for change?

Bristol / -Liaison time. Resources to ensure commissioning are adequately informed.
-Local meetings between clinicians and young people, to be held on regular basis and effectively changed
Somerset / -Assessment of community services, impact on T4 services
-Out of hours services, can this be at a local level, or combined with this
-Paediatric liaison, effectiveness of processes and needs of services, cut of hours
BANES, Swindon / -Meeting needs of 18-25 year olds to make transition to adult services better. Focus on certain groups IAC, send & more holistically recognise the differences in services on offer to adult services, perhaps through increasing upper age limit
-Getting Parity with adult service especially over spend of funding available, probably will result in a saving as less CYP may need access to adult services
-More support and investments in pre + tier 1/2 level work – prevention / reduction in CYP / adults in Crisis
South Devon / -Integration
-Executive Champion
-Transition
Cornwall / -Emotional wellbeing mental health strategy has been written – the issues have been identified
-Training and information for GP’s and staff in schools
-Money for Crisis care
Wiltshire, Swindon, BANES / N/A
Gloucestershire / -Self-harm pathways
-Crisis and Liaison services for Young People
-Whole system pathways / outcome services
NEW Devon / N/A
North Somerset / -Transitions
-Crisis Service
-Assertive Outreach (CAMHS Social Care)

3)Can you identify 3 actions that you will take, and named leads to co-ordinate each one?

Bristol / N/A
Somerset / -17+ requirements / transition arrangements
-Day services, City v Countryside needs
BANES, Swindon / -Investigate Liverpool Model or single point of access to statutory + vol services – CCG
-Investigate new funding and joint bid for Swindon, Wilts + BANES RE: Crisis Liaison – CAMHS providers / CCG
South Devon / N/A
Cornwall / -The EWMH strategy in Cornwall & IOW has identified named leads for actions to be taken
Wiltshire, Swindon, BANES / -Raising awareness in Schools, LA
-Self-Referral – CAMHS
-Films – Gill and Young People
Gloucestershire / -Yes, already underway
NEW Devon / N/A
North Somerset / -Pull together one document which maps current state of play in N.Somerset, to share with all stakeholders and agree priorities for action
-Develop a written protocol / Pathway for agencies to support (work together to support) young people in crisis
-Continue to dialogue with limits to transitions and suicide (self-harm) prevention