CAMHS Strategy, CAMHS Strategy, CAMHS IG andCAMHS IG and

CAMHS NSF CAMHS NSF ModuleModule

CAMHS Strategy, CAMHS Strategy, CAMHS IG andCAMHS IG and

CAMHS NSF CAMHS NSF ModuleModule

Richard WilliamsRichard WilliamsRichard WilliamsRichard Williams

AgendaAgendaAgendaAgenda

Back brief on the English Back brief on the English NSF CAMHS ModuleNSF CAMHS Module

Review work programmes Review work programmes of the IG’s Sub-groupsof the IG’s Sub-groups

Relationship between work Relationship between work of CAMHS EWG and that of of CAMHS EWG and that of IGIG

Back brief on the English Back brief on the English NSF CAMHS ModuleNSF CAMHS Module

Review work programmes Review work programmes of the IG’s Sub-groupsof the IG’s Sub-groups

Relationship between work Relationship between work of CAMHS EWG and that of of CAMHS EWG and that of IGIG

The Children’s NSFThe Children’s NSFThe Children’s NSFThe Children’s NSF

6 (now 7) modules6 (now 7) modules

Steering GroupSteering Group

External Working GroupsExternal Working Groups

Relationship between work Relationship between work of EWGs and the final NSFof EWGs and the final NSF

StandardsStandardsCommon standardsCommon standards

Evolution in policyEvolution in policy

TimelinesTimelines

6 (now 7) modules6 (now 7) modules

Steering GroupSteering Group

External Working GroupsExternal Working Groups

Relationship between work Relationship between work of EWGs and the final NSFof EWGs and the final NSF

StandardsStandardsCommon standardsCommon standards

Evolution in policyEvolution in policy

TimelinesTimelines

Key Issues CAMHS Key Issues CAMHS ModuleModuleKey Issues CAMHS Key Issues CAMHS ModuleModule

Re-adoption of 4 Tier Strategic Re-adoption of 4 Tier Strategic FrameworkFrameworkAdoption of needs-led approach Adoption of needs-led approach (rather than diagnosis-led)(rather than diagnosis-led)Structure of Sub-groupsStructure of Sub-groups

Tier 1Tier 1Tier 2-Tier 3Tier 2-Tier 3Tier 4Tier 4Learning DisabilityLearning DisabilityCommissioningCommissioningEvidence-baseEvidence-baseOutcomesOutcomesResearchResearch

Re-adoption of 4 Tier Strategic Re-adoption of 4 Tier Strategic FrameworkFrameworkAdoption of needs-led approach Adoption of needs-led approach (rather than diagnosis-led)(rather than diagnosis-led)Structure of Sub-groupsStructure of Sub-groups

Tier 1Tier 1Tier 2-Tier 3Tier 2-Tier 3Tier 4Tier 4Learning DisabilityLearning DisabilityCommissioningCommissioningEvidence-baseEvidence-baseOutcomesOutcomesResearchResearch

Continuing Work Plan Continuing Work Plan of IGof IGContinuing Work Plan Continuing Work Plan of IGof IG

Commissioning Sub-groupCommissioning Sub-groupCompletion of commissioning Completion of commissioning guidance and monitoring of its guidance and monitoring of its implementationimplementationWork with HCW on implementation Work with HCW on implementation and development – e.g.:and development – e.g.:

Advice on equitable policy on Advice on equitable policy on admission to inpatient servicesadmission to inpatient servicesAdvise HCW on construction of CAMHS Advise HCW on construction of CAMHS Advisory GroupAdvisory GroupAllocation of resources and Allocation of resources and development of a commissioning development of a commissioning framework for bi- and tri-partite framework for bi- and tri-partite funded placements and admissionsfunded placements and admissions

Initiate development of advice on Initiate development of advice on LA commissioning frameworksLA commissioning frameworks

Commissioning Sub-groupCommissioning Sub-groupCompletion of commissioning Completion of commissioning guidance and monitoring of its guidance and monitoring of its implementationimplementationWork with HCW on implementation Work with HCW on implementation and development – e.g.:and development – e.g.:

Advice on equitable policy on Advice on equitable policy on admission to inpatient servicesadmission to inpatient servicesAdvise HCW on construction of CAMHS Advise HCW on construction of CAMHS Advisory GroupAdvisory GroupAllocation of resources and Allocation of resources and development of a commissioning development of a commissioning framework for bi- and tri-partite framework for bi- and tri-partite funded placements and admissionsfunded placements and admissions

Initiate development of advice on Initiate development of advice on LA commissioning frameworksLA commissioning frameworks

Continuing Work Plan Continuing Work Plan of IGof IGContinuing Work Plan Continuing Work Plan of IGof IG

Informatics etc Sub-groupInformatics etc Sub-groupComplete and advise on initiation Complete and advise on initiation of WORD R&D agendaof WORD R&D agendaComplete Stages 1 and 2 and Complete Stages 1 and 2 and initiate Stages 3 and 4 of All Wales initiate Stages 3 and 4 of All Wales Needs Assessment Needs Assessment Review results of placement and Review results of placement and admissions research (with Service admissions research (with Service Development Sub-group)Development Sub-group)Consider mapping exercise in Consider mapping exercise in assoc with Dept of Healthassoc with Dept of HealthConsider outcomes of studies Consider outcomes of studies commissioned from ONScommissioned from ONS

Informatics etc Sub-groupInformatics etc Sub-groupComplete and advise on initiation Complete and advise on initiation of WORD R&D agendaof WORD R&D agendaComplete Stages 1 and 2 and Complete Stages 1 and 2 and initiate Stages 3 and 4 of All Wales initiate Stages 3 and 4 of All Wales Needs Assessment Needs Assessment Review results of placement and Review results of placement and admissions research (with Service admissions research (with Service Development Sub-group)Development Sub-group)Consider mapping exercise in Consider mapping exercise in assoc with Dept of Healthassoc with Dept of HealthConsider outcomes of studies Consider outcomes of studies commissioned from ONScommissioned from ONS

Continuing Work Plan Continuing Work Plan of IGof IGContinuing Work Plan Continuing Work Plan of IGof IG

Workforce Sub-groupWorkforce Sub-groupContinue to advise the HEIs on development of Continue to advise the HEIs on development of the funded modular, multi-level professional the funded modular, multi-level professional training curriculumtraining curriculumSupport implementation and monitor impact of Support implementation and monitor impact of the 3 new Nurse Consultant posts that are the 3 new Nurse Consultant posts that are linked to WAG’s workforce planslinked to WAG’s workforce plansComplete, and advise on interpretation of Complete, and advise on interpretation of recently commissioned ‘VFM re-visited’ study recently commissioned ‘VFM re-visited’ study and present results to NHS Workforce and present results to NHS Workforce Development Steering GroupDevelopment Steering GroupNew workforce initiativesNew workforce initiatives

Advise on database for new NHS workforce data setAdvise on database for new NHS workforce data setInitiate development of workforce advice for LAs and Initiate development of workforce advice for LAs and voluntary sectorsvoluntary sectorsReview and advise on development of competency Review and advise on development of competency frameworks relating to delivery of mental health frameworks relating to delivery of mental health servicesservicesAdvice to WAG and NHS on improving service culture Advice to WAG and NHS on improving service culture and infra-structure in line with findings from ‘VFM Re-and infra-structure in line with findings from ‘VFM Re-visited’visited’Advice to WAG and NHS on improving training in line Advice to WAG and NHS on improving training in line with findings from ‘VFM Re-visited’with findings from ‘VFM Re-visited’

Workforce Sub-groupWorkforce Sub-groupContinue to advise the HEIs on development of Continue to advise the HEIs on development of the funded modular, multi-level professional the funded modular, multi-level professional training curriculumtraining curriculumSupport implementation and monitor impact of Support implementation and monitor impact of the 3 new Nurse Consultant posts that are the 3 new Nurse Consultant posts that are linked to WAG’s workforce planslinked to WAG’s workforce plansComplete, and advise on interpretation of Complete, and advise on interpretation of recently commissioned ‘VFM re-visited’ study recently commissioned ‘VFM re-visited’ study and present results to NHS Workforce and present results to NHS Workforce Development Steering GroupDevelopment Steering GroupNew workforce initiativesNew workforce initiatives

Advise on database for new NHS workforce data setAdvise on database for new NHS workforce data setInitiate development of workforce advice for LAs and Initiate development of workforce advice for LAs and voluntary sectorsvoluntary sectorsReview and advise on development of competency Review and advise on development of competency frameworks relating to delivery of mental health frameworks relating to delivery of mental health servicesservicesAdvice to WAG and NHS on improving service culture Advice to WAG and NHS on improving service culture and infra-structure in line with findings from ‘VFM Re-and infra-structure in line with findings from ‘VFM Re-visited’visited’Advice to WAG and NHS on improving training in line Advice to WAG and NHS on improving training in line with findings from ‘VFM Re-visited’with findings from ‘VFM Re-visited’

Continuing Work Plan Continuing Work Plan of IGof IGContinuing Work Plan Continuing Work Plan of IGof IG

Service Development Sub-groupService Development Sub-groupComplete service development Complete service development prioritisation frameworkprioritisation frameworkMonitor trends in service delivery with Monitor trends in service delivery with particular attention to providing advice on particular attention to providing advice on avoiding and/or resolving perverse avoiding and/or resolving perverse incentivesincentivesContinue to advise WAG on work with YJB Continue to advise WAG on work with YJB to resolve issues relating to a policy on to resolve issues relating to a policy on prioritisation and improve service delivery prioritisation and improve service delivery at all tiersat all tiersReview priorities as a result of the findings Review priorities as a result of the findings from the placement and admissions from the placement and admissions research (with Informatics Sub-group)research (with Informatics Sub-group)Prioritise any monies that are made Prioritise any monies that are made available according to the development available according to the development planplanProvide advice on implementation of Provide advice on implementation of service developmentsservice developments

Service Development Sub-groupService Development Sub-groupComplete service development Complete service development prioritisation frameworkprioritisation frameworkMonitor trends in service delivery with Monitor trends in service delivery with particular attention to providing advice on particular attention to providing advice on avoiding and/or resolving perverse avoiding and/or resolving perverse incentivesincentivesContinue to advise WAG on work with YJB Continue to advise WAG on work with YJB to resolve issues relating to a policy on to resolve issues relating to a policy on prioritisation and improve service delivery prioritisation and improve service delivery at all tiersat all tiersReview priorities as a result of the findings Review priorities as a result of the findings from the placement and admissions from the placement and admissions research (with Informatics Sub-group)research (with Informatics Sub-group)Prioritise any monies that are made Prioritise any monies that are made available according to the development available according to the development planplanProvide advice on implementation of Provide advice on implementation of service developmentsservice developments

General PrinciplesGeneral PrinciplesGeneral PrinciplesGeneral Principles

CAMHS should be:CAMHS should be:Child-centredChild-centredRespectful and protecting of Respectful and protecting of children and adolescentschildren and adolescentsLawfulLawfulEquitable and responsiveEquitable and responsiveComprehensive and appropriateComprehensive and appropriateIntegratedIntegratedCompetent and accountableCompetent and accountableEffective, efficient and targetedEffective, efficient and targeted

CAMHS should be:CAMHS should be:Child-centredChild-centredRespectful and protecting of Respectful and protecting of children and adolescentschildren and adolescentsLawfulLawfulEquitable and responsiveEquitable and responsiveComprehensive and appropriateComprehensive and appropriateIntegratedIntegratedCompetent and accountableCompetent and accountableEffective, efficient and targetedEffective, efficient and targeted

Child-centred Child-centred ServicesServicesChild-centred Child-centred ServicesServices

Focus onFocus onChildren’s rights (UN Children’s rights (UN Convention on the Rights Convention on the Rights of the Child)of the Child)

Advocacy servicesAdvocacy services

Child friendly servicesChild friendly services

Active steps to hear the Active steps to hear the voices of childrenvoices of children

Focus onFocus onChildren’s rights (UN Children’s rights (UN Convention on the Rights Convention on the Rights of the Child)of the Child)

Advocacy servicesAdvocacy services

Child friendly servicesChild friendly services

Active steps to hear the Active steps to hear the voices of childrenvoices of children

Child-centred Child-centred ServicesServicesChild-centred Child-centred ServicesServices

Professional practice shouldProfessional practice shouldView each child as a developing View each child as a developing person in his/her contextperson in his/her context

View problems in the ways in View problems in the ways in which children experience themwhich children experience them

Include a focus on prevention Include a focus on prevention and health promotionand health promotion

Develop relationships that aid Develop relationships that aid young people in tackling their young people in tackling their problemsproblems

Be realisticBe realistic

Professional practice shouldProfessional practice shouldView each child as a developing View each child as a developing person in his/her contextperson in his/her context

View problems in the ways in View problems in the ways in which children experience themwhich children experience them

Include a focus on prevention Include a focus on prevention and health promotionand health promotion

Develop relationships that aid Develop relationships that aid young people in tackling their young people in tackling their problemsproblems

Be realisticBe realistic

Aims – intent and Aims – intent and directiondirectionAims – intent and Aims – intent and directiondirection

Relief from current suffering and Relief from current suffering and

problems problems with the intention of improving, as with the intention of improving, as

soon as possible, the mental health of children, soon as possible, the mental health of children,

adolescents and their familiesadolescents and their families

Longer-term interventions to Longer-term interventions to improve the mental health of improve the mental health of young people young people as they grow up and when as they grow up and when

they become adults they become adults andand, thereby,, thereby, to to

positively influence the mental positively influence the mental health of future generationshealth of future generations

Partnership with Partnership with families, substitute families, substitute

families andfamilies and all those who care for all those who care for childrenchildren

Relief from current suffering and Relief from current suffering and

problems problems with the intention of improving, as with the intention of improving, as

soon as possible, the mental health of children, soon as possible, the mental health of children,

adolescents and their familiesadolescents and their families

Longer-term interventions to Longer-term interventions to improve the mental health of improve the mental health of young people young people as they grow up and when as they grow up and when

they become adults they become adults andand, thereby,, thereby, to to

positively influence the mental positively influence the mental health of future generationshealth of future generations

Partnership with Partnership with families, substitute families, substitute

families andfamilies and all those who care for all those who care for childrenchildren

ObjectivesObjectivesObjectivesObjectivesPromote working in partnershipPromote working in partnership

Involve parents and carersInvolve parents and carersCultivate mutual supportCultivate mutual supportEstablish child-centred servicesEstablish child-centred services

Move to needs and evidence-based Move to needs and evidence-based services and disseminate good practice services and disseminate good practice across Wales across Wales Improve mental health of children and Improve mental health of children and young people through timely and effective young people through timely and effective interventionsinterventionsReplace reactive services with Replace reactive services with strategically managed services that strategically managed services that forecast and manage projected rises in forecast and manage projected rises in demand demand Build in child protectionBuild in child protectionRemove stigmaRemove stigmaConsider problems of ethnic minority Consider problems of ethnic minority young peopleyoung peopleLink to programmes on social inclusion, Link to programmes on social inclusion, substance misuse and reduction in substance misuse and reduction in offendingoffending

Promote working in partnershipPromote working in partnershipInvolve parents and carersInvolve parents and carersCultivate mutual supportCultivate mutual supportEstablish child-centred servicesEstablish child-centred services

Move to needs and evidence-based Move to needs and evidence-based services and disseminate good practice services and disseminate good practice across Wales across Wales Improve mental health of children and Improve mental health of children and young people through timely and effective young people through timely and effective interventionsinterventionsReplace reactive services with Replace reactive services with strategically managed services that strategically managed services that forecast and manage projected rises in forecast and manage projected rises in demand demand Build in child protectionBuild in child protectionRemove stigmaRemove stigmaConsider problems of ethnic minority Consider problems of ethnic minority young peopleyoung peopleLink to programmes on social inclusion, Link to programmes on social inclusion, substance misuse and reduction in substance misuse and reduction in offendingoffending

Delivering the PlanDelivering the PlanDelivering the PlanDelivering the Plan

The visionThe visionA multi-agency approachA multi-agency approachThe Four Tier Strategic ConceptThe Four Tier Strategic ConceptPartnerships with children, young Partnerships with children, young people, families and professionalspeople, families and professionals

A CAMHS Implementation GroupA CAMHS Implementation GroupEstablishing priorities for actionEstablishing priorities for actionEnsuring there is an underpinning Ensuring there is an underpinning and supportive infra-structure and supportive infra-structure Monitoring and reporting on local Monitoring and reporting on local developmentsdevelopments

The visionThe visionA multi-agency approachA multi-agency approachThe Four Tier Strategic ConceptThe Four Tier Strategic ConceptPartnerships with children, young Partnerships with children, young people, families and professionalspeople, families and professionals

A CAMHS Implementation GroupA CAMHS Implementation GroupEstablishing priorities for actionEstablishing priorities for actionEnsuring there is an underpinning Ensuring there is an underpinning and supportive infra-structure and supportive infra-structure Monitoring and reporting on local Monitoring and reporting on local developmentsdevelopments

Priorities for ActionPriorities for ActionPriorities for ActionPriorities for Action

A co-ordinated plan for a A co-ordinated plan for a greater diversity of services greater diversity of services that work togetherthat work togetherDevelop planning and Develop planning and commissioning skillscommissioning skillsImprove the disposition, Improve the disposition, effectiveness and effectiveness and complementarity of current complementarity of current servicesservicesImproving the capability, Improving the capability, capacity and volume of capacity and volume of present servicespresent services

A co-ordinated plan for a A co-ordinated plan for a greater diversity of services greater diversity of services that work togetherthat work togetherDevelop planning and Develop planning and commissioning skillscommissioning skillsImprove the disposition, Improve the disposition, effectiveness and effectiveness and complementarity of current complementarity of current servicesservicesImproving the capability, Improving the capability, capacity and volume of capacity and volume of present servicespresent services

CAMHS Strategy, IG CAMHS Strategy, IG and NSF Moduleand NSF ModuleCAMHS Strategy, IG CAMHS Strategy, IG and NSF Moduleand NSF Module