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

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When a young person requires access to specialist services which are not<br />

currently available in Northern Irel<strong>and</strong>, the Belfast Trust asks the HSC Board<br />

to meet the cost <strong>of</strong> these services. These are known as extra contractual<br />

referrals (ECRs). Within a three year period (2006-09) Belfast Trust had 20<br />

ECRs for specialist services such as intensive care <strong>and</strong> eating disorders.<br />

Belfast Trust did not provide information on waiting times for ECRs, however<br />

the average length <strong>of</strong> stay was 24 weeks, ranging from three-116 weeks.<br />

There are no formal processes to measure the quality or effectiveness <strong>of</strong><br />

these high cost, externally commissioned services. The HSC Board has<br />

suggested that a more formal <strong>and</strong> systematic approach will be used in the<br />

future to commission services outside Northern Irel<strong>and</strong>.<br />

The Belfast Trust reported a low level <strong>of</strong> complaints about the CAMH service<br />

during 2009. There were five complaints about treatment <strong>and</strong> care quality;<br />

two complaints regarding treatment <strong>and</strong> care; <strong>and</strong>, one regarding clinical<br />

diagnosis discharge/transfer. As part <strong>of</strong> the review process children <strong>and</strong><br />

young people told VOYPIC that they were not aware <strong>of</strong> the complaints<br />

procedure, however a number <strong>of</strong> parents suggested that they were aware <strong>of</strong><br />

the complaints procedure.<br />

20

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