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

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Term <strong>of</strong> Reference 1 Theme 3. Access <strong>and</strong> availability to CAMHS<br />

Criterion: BHSCT & SEHSCT NHSCT SHSCT WHSCT<br />

Young people gain access<br />

to CAMH services usually<br />

via GP or community health<br />

<strong>and</strong> social care staff. A<br />

team member from Tier 3<br />

will prioritise the referral,<br />

with support from a<br />

consultant. Referrals are<br />

classified as either urgent<br />

or non urgent, which will<br />

determine how quickly the<br />

young person is seen.<br />

1.3.3 Young people<br />

have timely access<br />

to CAMHS<br />

The review team noted that<br />

without a referral<br />

coordinator/ PMHW the<br />

provision <strong>of</strong> a referral<br />

pathway culture <strong>of</strong> right<br />

person seen at right time in<br />

right place, may not be fully<br />

implemented.<br />

The trust reported having<br />

introduced CAPA to help<br />

reduce referral rate,<br />

however dem<strong>and</strong> has<br />

Young people gain<br />

access to services<br />

usually via a referral from<br />

a GP or from community<br />

health <strong>and</strong> social care.<br />

The trust will accept self<br />

referrals, however they<br />

are usually asked for a<br />

GP referral. Referrals<br />

are prioritised by the<br />

referral co-ordinator into:<br />

emergency - seen within<br />

24 hrs via a two hour slot<br />

provision from the<br />

community teams; urgent<br />

- seen within six weeks;<br />

<strong>and</strong> routine - seen within<br />

nine weeks.<br />

Good links with<br />

Community services<br />

especially Multi-Agency<br />

Support Team (MAST)<br />

with emphasis on early<br />

year's involvement.<br />

Clinical referral co-ordinators<br />

are in place to ensure timely<br />

access to referrals which<br />

originate from a GP or<br />

community health <strong>and</strong> social<br />

care staff. There are clear<br />

<strong>and</strong> direct access routes to<br />

CAMHS. The trust plans to<br />

have one access system for<br />

all new referrals. The trust<br />

reported that this will provide<br />

an opportunity to match the<br />

needs <strong>of</strong> young people to<br />

most appropriate clinician<br />

<strong>and</strong> will incorporate a culture<br />

<strong>of</strong> being seen by the right<br />

person at the right time in<br />

the right environment.<br />

The review team noted that<br />

clinical referral co-ordinators<br />

appear to be doing the job <strong>of</strong><br />

PMHW, as they are<br />

networking with GPs,<br />

voluntary <strong>and</strong> statutory<br />

agencies to ensure<br />

There is a range <strong>of</strong> referral<br />

entry points, GPs are<br />

largest group <strong>of</strong> referrers to<br />

CAMHS.<br />

All potential referrers can<br />

discuss referrals with<br />

CAMHS staff in order to<br />

facilitate appropriate<br />

pathways <strong>and</strong> ensure the<br />

most beneficial route is<br />

accessed. However, there<br />

appears to be a less<br />

proactive <strong>and</strong> more<br />

informal approach to<br />

referrals from schools <strong>and</strong><br />

other potential referral<br />

sources. The trusts has<br />

developed a referral<br />

pathway from A&E to<br />

CAMHS.<br />

The trust reported having<br />

weekly multi disciplinary<br />

discussions re priority <strong>of</strong><br />

referrals ensuring timely<br />

82

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