RQIA Independent Review of Child and Adolescent Mental Health ...
RQIA Independent Review of Child and Adolescent Mental Health ...
RQIA Independent Review of Child and Adolescent Mental Health ...
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Term <strong>of</strong> Reference 1 Theme 1. Organisational structures<br />
Criterion: BHSCT & SEHSCT NHSCT SHSCT WHSCT<br />
The organisational chart The organisational chart The organisational chart<br />
provided by the Belfast provided by the Northern outlines that CAMHS is<br />
Trust indicates that<br />
Trust outlined that CAMHS placed in the <strong>Child</strong>ren's<br />
CAMHS is part <strong>of</strong> the is placed in the <strong>Child</strong>ren’s Service directorate,<br />
social services, family <strong>and</strong> Service directorate, integrated within a wider<br />
child care directorate. But, integrated within a wider children's services network.<br />
the self-assessment children's services<br />
provided by the trust network.<br />
The Southern Trust<br />
reports that CAMHS is part<br />
demonstrated strategic<br />
<strong>of</strong> the Primary Care The review team felt that leadership which attempted<br />
directorate. The review the development <strong>of</strong> a clear to address current financial<br />
team was unclear if <strong>and</strong> strategic vision for challenges through creative<br />
CAMHS is managed future services was a thinking <strong>and</strong> service<br />
alongside all other<br />
particular challenge for the redesign.<br />
children's services in the Northern Trust <strong>and</strong><br />
Belfast <strong>and</strong> South Eastern leadership in CAMHS<br />
trusts.<br />
needed to be strengthened<br />
to enable any vision to be<br />
realised.<br />
1.1.1.<br />
Organisational<br />
structures are in<br />
place to provide a<br />
comprehensive<br />
CAMH service <strong>and</strong><br />
are included within<br />
children's services<br />
directorate.<br />
(Bamford)<br />
During the course <strong>of</strong> the<br />
review, plans for internal<br />
restructuring which would<br />
result in CAMHS being<br />
organised within the mental<br />
health directorate were<br />
discussed with the review<br />
team. This planned<br />
In the validation visit a<br />
senior clinician outlined a<br />
vision for the development<br />
<strong>of</strong> future services,<br />
however, it was clear that<br />
any further development<br />
The Southern Trust outlined<br />
a clear <strong>and</strong> ambitious vision<br />
for future services. The<br />
review team found that this<br />
may be an over ambitious<br />
plan, however it was evident<br />
that recent changes to<br />
service delivery had been<br />
managed effectively.<br />
Some further strategic<br />
The organisational chart<br />
provided by the Western<br />
Trust outlines that CAMHS is<br />
placed in the Women <strong>and</strong><br />
<strong>Child</strong>ren’s directorate <strong>and</strong><br />
integrated within a wider<br />
children's services network.<br />
The review team found that<br />
the Western Trust<br />
demonstrated strong<br />
leadership <strong>and</strong> cohesiveness<br />
within the CAMHS<br />
management structure.<br />
The trust's strategic vision is<br />
clearly outlined in its draft<br />
corporate plan. The plan<br />
provided evidence <strong>of</strong> a good<br />
strategic approach <strong>and</strong><br />
analysis <strong>of</strong> need. Many <strong>of</strong><br />
the areas for development<br />
were outlined as work in<br />
progress; however, the<br />
review team found that many<br />
areas have continued to<br />
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