Board Meeting Agenda July 2012 - Birmingham Children's Hospital

CAMHS Tier-4 (Child & Adolescent Mental Health Service)
The West Midlands service is provided by BCH and other providers (some private) with BCH
providing the assessment of all requests.
7 patients could not be supported by BCH CAMHS.
Flow
3 patients’ discharge was delayed due to non-hospital reasons and all 3 patients have
discharge plans.
Cancelled Operations remains as the key performance concern with 23 patients or 1.2% of
all operations cancelled on the day due to hospital reasons. This is above the national 0.8%
standard. The reasons for this are broken down as:
No PICU (Paediatric Intensive Care Unit) bed 11
Operation overrun 9
Staff sickness 2
More urgent patient 1
No patients with Learning Disabilities had their operation cancelled and the ethnic
breakdown of the 23 patients is:
15 - white/British, 1 – asian/asian British Indian, 3 - asian/asian British Pakistani, 1 -
mixed white/Caribbean, 1 – not stated, 2 – white/any other white
A further 4 patients had their operation cancelled by the hospital before the day of the
operation.
Whilst the 18-week standards were met, a total of 46 patients had to wait over 18-weeks for
treatment to start. During the month, 1 urology patient was treated at their 34 th week, the
delay in part due to not being fit for previous operation dates. At the end of June 1 ENT
patient (33 rd week) and 1 cardiology patient (35 th week) have requested to wait longer.
The total surgical elective waiting list is 15% higher than this time last year (due to demand).
When the plans to increase capacity come to fruition, this will lead to a short-term drop in 18-
week performance as we treat all the patients waiting > 18 weeks.
The local 90% CAMHS 18-week standard was not met, performance being 88.8%. With
support from commissioners, additional staffing is being recruited to reduce waiting times.
PICU (Paediatric Intensive Care Unit)
The West Midlands (WM) PICU service is provided by BCH, University Hospitals of North
Staffordshire NHS Trust and the KIDS (Kids Intensive care Decision Support) service run by
BCH.
PICU has remained under significant demand. A new KIDS activity graph is included that
demonstrates the increase in demand over the past year.
2 WM patients could not be supported with 1 patient going to Leicester and 1 out of region.
1 non-WM request could not be supported, however a total of 5 non-WM requests were