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

9.4 Inpatient provision
Term of Reference 2 Theme1 Inpatient provision
Criterion HSC Board Level of achievement
2.1.1 The HSC Board should
review the provision of
community and inpatient
services to ensure that
The HSC Board highlighted the investment made to specialist
CAMHS following the trusts’ review of services. Also highlighted
was the need to embrace integration and co-working across and
between other agencies and develop new ways of working - which
provision is effective,
the trusts have already begun doing.
coherent and flexible in
Partially achieved
meeting identified need. The review team saw this as a key task for the HSC Board over
the coming years - to ensure that the increased provision is
indeed coherent, flexible and effective/efficient. This will require
2.1.2 The need for inpatient
provision should be kept
under continuing review.
sufficient, skilled leadership capacity.
A high level review of the inpatient service has just been
completed. The review acknowledged the need to create
intensive treatment and day care services.
The number of young people admitted to adult wards should also
be included in the discussion around review of inpatient provision.
The review team suggested that the number of inpatient beds
currently available in the regional unit was adequate for the
population. However, there continues to be an over reliance on
inpatient beds. The number of young people admitted to adult
wards could be reduced significantly if local community services,
including home treatment and intensive care, are developed.
Partially achieved
The review team also found that access to inpatient provision did
not appear equitable across the trusts; all of the trusts outside
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