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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 />

approach is a variance with<br />

all other trusts <strong>and</strong> contrary<br />

to the recommendations<br />

outlined in Bamford.<br />

would be largely<br />

dependent on future<br />

investment.<br />

develop beyond this.<br />

There are strong links with<br />

other children's services at<br />

senior management level<br />

<strong>and</strong> links with the Belfast<br />

Trust board which is<br />

maintained on a regular<br />

basis to ensure the pr<strong>of</strong>ile<br />

<strong>of</strong> CAMHS is maintained.<br />

Senior management<br />

presented a strategic <strong>and</strong><br />

strong vision for services<br />

over the next three to five<br />

years in a presentation <strong>of</strong><br />

the trust's strategic<br />

document "The Belfast<br />

Way". Staff in the South<br />

Eastern area were<br />

unaware <strong>of</strong> the document<br />

<strong>and</strong> vision for future<br />

services.<br />

The review team believed<br />

that the development <strong>of</strong><br />

services in this area would<br />

be unlikely due to the<br />

current financial<br />

constraints.<br />

CAMHS did not provide<br />

evidence that they<br />

maintained regular links<br />

with the trust board.<br />

Northern Trust has a full<br />

time senior manager with a<br />

range <strong>of</strong> responsibilities,<br />

one <strong>of</strong> which is CAMHS.<br />

The review team were<br />

concerned that that they<br />

found limited evidence <strong>of</strong><br />

leadership. Clinical<br />

leadership <strong>and</strong> direction<br />

was provided by the<br />

consultant child <strong>and</strong><br />

development <strong>and</strong> vision is<br />

required to ensure that the<br />

focus <strong>of</strong> services must aim<br />

to provide alternatives to<br />

hospital admission <strong>and</strong><br />

reduce the number <strong>of</strong> young<br />

people in adult wards.<br />

CAMHS senior manager<br />

outlined that CAMHS issues<br />

are presented to trust board<br />

on a regular basis <strong>and</strong><br />

strong links are maintained.<br />

A full time CAMHS manager<br />

is in post. The catchment's<br />

population is slightly larger<br />

than the population Bamford<br />

recommends for a single<br />

manager.<br />

CAMHS in the Western Trust<br />

do not maintain links at trust<br />

board level. These links<br />

would ensure the pr<strong>of</strong>ile <strong>of</strong><br />

CAMHS within the trust is<br />

maintained.<br />

A full time CAMHS manager<br />

is in post. The catchment<br />

population is in keeping with<br />

the recommendations<br />

outlined in Bamford.<br />

64

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