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

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Three <strong>of</strong> the trusts clearly demonstrated that children's services, including CAMHS, are integrated <strong>and</strong> managed within one<br />

structure. In all trusts CAMHS is arranged as a distinct service within this structure, in keeping with the Bamford<br />

recommendations. The independent reviewers believe that strategic leadership for CAMHS is a particular challenge for the<br />

Northern Trust. Consideration should be given to the development <strong>of</strong> closer links with the Trust Board so that the service receives<br />

a higher pr<strong>of</strong>ile.<br />

The review team found that the strategic vision for CAMHS in the Western Trust required further development. Implementation <strong>of</strong><br />

the draft operational policy <strong>and</strong> raising the pr<strong>of</strong>ile <strong>of</strong> CAMHS vision with the Trust's Board are the main challenges.<br />

The Belfast Trust, which includes responsibility for CAMH services provided in the South Eastern Trust area has a clear<br />

documented strategy entitled "The Belfast Way" which provides direction for the next three to five years. The review team found<br />

that the title "The Belfast Way" may have led South Eastern Trust staff to be unsure <strong>of</strong> its relevance to them. One specific<br />

challenge for the Belfast Trust in meeting this criterion is the need to be clear as to which directorate CAMHS is currently placed. In<br />

the self assessment the Belfast Trust indicated that it was placed in the Social <strong>and</strong> Primary Care Directorate. The trust also<br />

reported that CAMHS remains a discreet service for children <strong>and</strong> young people with mental health needs within the Primary Care<br />

Directorate. The review team found that the structure did not conform to the Bamford recommendation.<br />

The Southern Trust displayed strong leadership <strong>and</strong> direction, with strong links to children’s services <strong>and</strong> a high pr<strong>of</strong>ile for CAMHS<br />

within the Trust Board.<br />

Criterion 1.1.3 - Bamford states that CAMHS should have their own identifiable budget<br />

All trusts highlighted a desire for increased funding <strong>and</strong> resources for CAMHS. Most trusts reported that budgets are managed<br />

locally. One trust indicated that they have experienced difficulty with alignment <strong>of</strong> budgets. Other trusts referred to attempting to<br />

find new ways <strong>of</strong> working to manage current budget <strong>and</strong> resources.<br />

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