RQIA Independent Review of Child and Adolescent Mental Health ...

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Term of Reference 2 Theme 4 Young people on adult wards Criterion: BHSCT & SEHSCT NHSCT SHSCT WHSCT Shared care planning The trust holds regular Admission bed days are following admission interface meetings monitored. Policy clearly includes discussion on between adult and CAMHS states that discharge discharge arrangements. to discuss discharge. planning starts from admission. 2.4.7. Discharge planning should be initiated as soon as possible after the service user is admitted to inpatient psychiatric facility. Assessment by review team The trust highlighted in the self assessment that discharges can be delayed on occasions when community supports are unavailable. This is routinely monitored by the trust. A detailed summary is agreed with all staff involved. Have review meeting five working days after admission, discharge arrangements discussed. Policy clear. Substantially achieved Substantially achieved Substantially achieved Substantially achieved 113
Term of Reference 2 Theme 4 Young people on adult wards Criterion: BHSCT & SEHSCT NHSCT SHSCT WHSCT The Belfast Trust The Northern Trust does At the time of review the notification to RQIA is not routinely provide all the Southern Trust did not timely and appropriate. information required to provide the relevant Report contains assurance provide RQIA assurance information providing of necessary safeguards in that the necessary assurance of the place, in keeping with the safeguards are in place necessary safeguards in DHSSPS guidelines. and are in accordance with place in accordance with DHSSPS guidelines. DHSSPS guidelines. 2.4.8. All incidents of under 18 admission to adult mental health facilities are reported to RQIA. Assessment by review team South Eastern Trust's medical records inform RQIA that a young person has been admitted, they do not routinely provide information to RQIA assuring necessary safeguards are in place in keeping with the DHSSPS guidelines. This has recently been addressed with the Southern Trust and a template of the details required has been suggested. The Western Trust notification to RQIA is timely and appropriate. From May 2010 report contains assurance of necessary safeguards in place, in keeping with guidance from DHSSPS. Template of information used has been recommended as an exemplar of good practice to other trusts. Partially achieved Partially achieved Partially achieved Fully achieved 114
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Place your message here. For maximu
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Chapter 6 Risk Assessment and Manag
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Executive Summary Context The revie
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Findings • Staff in each of the f
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Terms of Reference 2 Risk Assessmen
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CHAPTER 1: Context of the Review 1.
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1.3 Relevant legislation The follow
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Key areas for improvement identifie
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Quality Improvement Network for Mul
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Self-assessment The five trusts and
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Chapter 3: Profile of CAMHS in Nort
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When a young person requires access
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When inpatient CAMHS or an alternat
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Trust Number of Admissions Age Rang
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Number of Referrals 700 600 500 400
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3.6 HSC Board profiling Following t
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Chapter 4: Regional Views of Servic
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It was agreed that the consultation
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Of the young people who did not fin
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Trust Name (Total no. of participan
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medication changes. In the Belfast
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Young people stated: “I have five
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Care Plan Young people were asked a
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Young people discussed a range of e
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that they did not have a good relat
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Trust Name (Total no. of participan
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Waiting Times Parents were asked if
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Figure 20: Parents’ views on supp
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32% 5% 63% Happy with crisis respon
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Of the parents surveyed only two ha
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Chapter 5: Access and Availability
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Criterion 1.1.4 - Service delivery
Page 65 and 66: The following scoring system has be
Page 67 and 68: Term of Reference 1 Theme 1. Organi
Page 73 and 74: 5.2 Theme 2: Information and Commun
Page 75 and 76: Term of Reference 1 Theme 2. Inform
Page 77 and 78: 5.3 Theme 3: Access and Availabilit
Page 79 and 80: specialist CAMHS in some areas prac
Page 81 and 82: Term of Reference 1 Theme 3. Access
Page 87 and 88: Assessment by review team comprehen
Page 89 and 90: It would appear that all trusts att
Page 91 and 92: Term of Reference 1 Theme 4 Access
Page 95 and 96: Term of Reference 1 Theme 5 CAMHS f
Page 97 and 98: Theme 2: Clinical and Social Care G
Page 99 and 100: 6.2 Theme 2: Clinical and Social Ca
Page 101 and 102: 6.3 Theme 3: Human Rights Term of R
Page 103 and 104: appropriate care was delivered on t
Page 105 and 106: Criterion 2.4.8 - All incidents of
Page 107 and 108: hospital. They stated that at times
Page 109 and 110: Assessment by review team person on
Page 111 and 112: Term of Reference 2 Theme 4 Young p
Page 113 and 114: Term of Reference 2 Theme 4 Young p
Page 115: Term of Reference 2 Theme 4 Young p
Page 119 and 120: All of the trusts indicated that th
Page 121 and 122: Term of Reference 3 Theme 1 Transit
Page 123 and 124: 3.1.4. All service users, their fam
Page 125 and 126: Chapter 9 Assessment of HSC Board 9
Page 129 and 130: 1.2.7 CAMHS Clinical psychology (Co
Page 133 and 134: Term of Reference 1 Theme 3 Commiss
Page 135 and 136: Belfast reported they had poor acce
Page 137 and 138: ased services and interventions. 8.
Page 139 and 140: Theme 5: CAMHS Facilities No recomm
Page 141 and 142: Southern Trust - Recommendations Th
Page 143 and 144: DAMHS DART DHSSPS DNA ECRs FACE Fou
Page 145 and 146: Tier 4 Specialist Multi-disciplinar
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