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

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

When a young person requires access to specialist services which are not

currently available in Northern Ireland, the Belfast Trust asks the HSC Board

to meet the cost of these services. These are known as extra contractual

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

ECRs for specialist services such as intensive care and eating disorders.

Belfast Trust did not provide information on waiting times for ECRs, however

the average length of stay was 24 weeks, ranging from three-116 weeks.

There are no formal processes to measure the quality or effectiveness of

these high cost, externally commissioned services. The HSC Board has

suggested that a more formal and systematic approach will be used in the

future to commission services outside Northern Ireland.

The Belfast Trust reported a low level of complaints about the CAMH service

during 2009. There were five complaints about treatment and care quality;

two complaints regarding treatment and care; and, one regarding clinical

diagnosis discharge/transfer. As part of the review process children and

young people told VOYPIC that they were not aware of the complaints

procedure, however a number of parents suggested that they were aware of

the complaints procedure.

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