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

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Assessment by<br />

review team<br />

comprehensive spending<br />

review.<br />

The trust report that no<br />

initial referral is waiting<br />

longer than nine weeks, in<br />

keeping with PFA targets.<br />

Clinical staff reported that<br />

much work is undertaken to<br />

pick up children <strong>and</strong> young<br />

people who present at A&E<br />

<strong>and</strong> the Trust has<br />

implemented the "Card<br />

Before You Leave"<br />

scheme.<br />

<strong>Child</strong>ren's Services.<br />

The trust reported that<br />

no initial referral waits<br />

longer than nine weeks,<br />

in keeping with PFA<br />

targets.<br />

The trust report that<br />

"Card Before You Leave"<br />

operates Monday to<br />

Friday, with young<br />

people being seen the<br />

next day by CAMHS.<br />

Since the validation visit<br />

a weekend service is<br />

being provided by a<br />

voluntary organisation<br />

which sees young people<br />

the next day.<br />

are currently employed for<br />

management <strong>of</strong> referrals but<br />

the principles are not always<br />

applied, e.g. choice <strong>of</strong> first<br />

appointment venue<br />

The trust reported that no<br />

initial referral waits longer<br />

than nine weeks, in keeping<br />

with PFA targets.<br />

The trust follows DHSSPS<br />

Integrative Elective Access<br />

Protocol on the management<br />

<strong>of</strong> referrals <strong>and</strong><br />

appointments.<br />

The trust reported having not<br />

introduced "Card Before You<br />

Leave" scheme, but have a<br />

weekend <strong>and</strong> out-<strong>of</strong>-hours<br />

response which, they feel<br />

adequately covers children<br />

<strong>and</strong> young people presenting<br />

out-<strong>of</strong>-hours.<br />

The trust reported that the<br />

nine week target has been<br />

reached <strong>and</strong> maintained for<br />

assessment <strong>and</strong> routine<br />

referrals. However, staff<br />

suggested that the<br />

treatment quality may be<br />

compromised as a result <strong>of</strong><br />

a follow up appointments<br />

<strong>and</strong> the pressure <strong>of</strong><br />

maintaining the target.<br />

The trust reported having<br />

introduced "Card Before<br />

You Leave" scheme with<br />

the out-<strong>of</strong>-hours services.<br />

Substantially achieved Substantially achieved Substantially achieved Substantially achieved<br />

84

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