Date: 2 February 2011
REPORT TITLE: COMMISSIONING OF CAMHS TIER 2 SERVICE FROM APRIL 2011 TO MARCH 13
Report by: Lonica Vanclay, LA Lead CAMHS Commissioner
Contact details: ; phone 07920 466967
1. Purpose of report
1.1 The purpose of the report is to update the Schools Forum on the planning for recommissioning of CAMHs Tier 2 and invite their ongoing involvement and continuing investment in the service.
2. Recommendations
2.1 The Schools Forum is recommended to continue to help shape the vision and plans for CAMHS including through the 2 representatives on the CAMHS working group.
3. Relevance to Strategic Plans
3.1 The Schools Forum is an important and valued partner in the CAMH service. As emotional wellbeing is fundamental to the achievement of pupils, CAMHS is directly relevant to the future strategic and financial plans of the Schools Forum.
4. Finance Implications
4.1 The Schools Forum has agreed that £648,980 of DSG is provided per annum to support the CAMHS Tier 2 service and this continuing involvement with CAMHS plans through the working group will support service improvement and maximum impact for the resource.
5. Other Resource Implications
6. Background
6.1 Following the Schools Forum discussion on 13th October, Debbie Rogan and John Hunter agreed to join the panel for the selection of possible alternative providers for the Tier 2 service.
6.2 Two providers were interviewed and the conclusion of the panel (which John attended though Debbie was unable to) was that both would proceed to the next stage.
6.3 It was also agreed that a multi-agency working group would be set up to further develop the specification for Tier 2. The paper outlining functions and membership of this group is attached at Appendix 1.
6.4 The group met in both December and January. The working group will develop plans for the full resource for Tier 2 for April 2011 – March 2013 and will plan for a full review and recommissioning of the provision of Tier 2 and Tiers 3 and 4 from April 2013. Tier 3 contracts are fixed until March 2013 and to change arrangements, the process would need to commence in early 2012, with detailed planning during 2011.
6.5 Once the strategy and commissioning plan is developed (by end January) there will be further discussion with the potential alternative providers for Tier 2 with a decision about its provision end February/early March.
6.6 Appendix 2 shows the full details of the resource and provision in 2010-11. It is expected that levels of resource for next year will be confirmed in January but in light of the 28% reduction in funding to the Local Authority announced in the CSR and reductions to PCT funding, it is likely that the total resource will be less.
6.7 The working group will plan for the most effective utilisation of the full resource.
6.8 Benefits: It is anticipated that by integrating management and provision more effectively, introducing a single gateway access point and maximising the involvement and expertise of the voluntary sector through local commissioning, we will increase numbers supported and achieve greater cost-effectiveness.
6.9 By contributing resource to and being involved with planning the overall service, the impact of the Schools Forum resource is maximised.
6.10 Plans for 2011-12 CAMHS.
The working group has agreed the following principles and broad plans:
· Service delivery is as local as possible
· Good links are developed with schools and the service is responsive
· Advice and support is provided to all schools including special schools on responding to the emotional wellbeing and mental health needs of children
· While early intervention and prevention are important, we also need to provide services for those with mental health needs.
· Specific provision for the Children’s Support Service continues and develops
· The needs of Looked After Children and those on a child protection plan and other vulnerable groups are prioritised and appropriately responded to.
· That a single gateway phone access point to CAMHS using an appropriate screening tool is developed to provide swift and easy access to the service
· That integration with Tier 3 is maximised and that the Tier 3 service specifications are appropriately aligned with the revised Tier 2 specification
· That plans for commissioning some 25% CAMHS resource via Local Children’s Commissioning and Delivery Boards are developed and LCCDBs are supported with details of effective interventions to inform their local commissioning.
6.11 A toolkit is being developed to support schools with their own commissioning of interventions to support emotional health and wellbeing of pupils.
6.12 Discussions about priorities will be a focus at the next meeting as
Numbers in Essex / Tier 2 individual casework / Tier 3 & 4CYP 332,900
(10% ehwb need – Tier 1)
(6 - 10%mental health issues – Tier 2,3,4 - 28,000) / 5000 ECC T2 + consultation
+ X (pvi, school) / 6000 T3
300 T4
2600beddays
11,000 Children with LDD (36% mh need – ie 3,500) / 84 SEN statement / 123
Children Looked After – 1400 ECC + XX other LAs (45% mh need) / 136 + advice to foster carers & residential staff / 112
700 in Short Stay schools / 142 + advice to CSS staff
Children on a Protection Plan – 750 / ? / 96 (N only)
7. Consultation with stakeholders
7.1 The working group is being established to provide stakeholders with the opportunity to help shape and plan the CAMHS service. The draft strategy and commissioning plan will be circulated mid January for comment.
Appendix 1
CAMHS STRATEGY TASK AND FINISH GROUP (updated 2.12.10)
The purpose of the task and finish group is to:
· involve partners in the development of the overall CAMHS strategy
· help shape and develop the outline specification for the CAMHS Tier 2 service from April 2011 – March 2013
· help ensure there is improved integration between Tiers 2 and 3
· help shape and promote a single gateway access to CAMHS services
· help shape and develop plans for the recommissioning of all CAMHS provision from April 2013 onwards
· support and advise on implementation of plans.
Governance/Reporting
This is a working group reporting to the Essex Joint Commissioning Unit via the CAMHS Joint Commissioning Committee (JCC).
Its role is to advise and support the CAMHS JCC which is responsible for developing plans and proposals to present to the JCU.
Final decisions are to be taken by Essex Strategic Children’s Joint Commissioning Group or its Executive.
The group will discuss plans with and seek views from the wider CAMHS Partnership Group as appropriate.
Outputs and Timescales
CAMHS strategic plans for 2011-2013 to be confirmed by end January 2011 (March 2013 is when the existing contracts for Tier 3 with the existing providers continue until).
Final specifications for Tiers 2 and 3 in line with above strategic plan and the allocated resource for 2011 – 13 to be confirmed by end January 2011
Proposals for Tier 2 for 2011-13 to be discussed with identified possible providers with decision about whether to proceed by mid March 2011
Proposals for recommissioning of whole CAMHS service to be delivered from April 2013 to be discussed and developed during 2011 with final proposals and timescales to be finalised end December 2011
Recommissioning process for April 2013 onwards to commence January 2012 and to be fully completed end August 2012 so there is at least 6 months for any decommissioning and recommissioning.
CAMHS Strategy Task Group Membership:
Chair: Stewart McArthur, Director, Joint Commissioning Unit
Organisation / Representative Name / Job title / Contact detailsECC Lead CAMHS Commissioner / Lonica Vanclay
Lauren Jones / Head of Locality Commissioning – West
Transformation Support Unit /
PCT Lead CAMHS Commissioners / Catherine Burns, Maureen Fitzgerald and Ros French /
ECC Social Care / Russell Coward
Rosemarie Cronin / Service Manager – Permanency West Quadrant
Service Development Officer, Fostering /
ECC Childrens Support Services / Cate Hollett / SEN provision Dev Officer /
Early Years and Childcare Service / Gill Holland / Children’s Community Dev Officer /
Voluntary sector – ECVYS / Dan Kessler / Colchester MIND /
Schools Forum / John Hunter / Schools Governor rep /
Schools Forum / Debbie Rogan / Head rep /
ASHE / TBC
EPHA / Mike Blant /
Assoc Special Schools / Chris Bent /
Tier 2 clinician / Jubeida Adams / Team Manager, Mid Quadrant Community CAMHS /
NEPFT clinician / Julet Butler /
SEPFT clinician / Anne Possamai
McLaughlin Mark /
ESGA – Essex Association of School Governors / Gina Field /
West Essex LCCDB / Ros French /
Mid Essex LCCDB / Pat Jackson /
North Essex LCCDB / Paul Rogers / NEPCT /
South West LCCDB / Chris Bent /
South East LCCDB
ECC Procurement / James Sinclair /
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Appendix 2 Child and Adolescent Mental Health Services in Essex 2010-11
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