Agenda and Papers for Public Board Meeting June 2013

Finance & Resources Committee
19 June 2013
Item 13.150 Enc 02
Report Title
Developing a new CAMHS hospital - a vision for the future
Sponsoring Director
Tim Atack / Georgina Dean
Author(s)
Marie Crofts, Associate service Director
Previously considered by EMT / OLT
Situation
Currently CAMHS Tier 4 inpatient accommodation is not fit for purpose. The feedback from patient, families and
regulators about our care is excellent yet the environment has not been updated for many years. In addition
CAMHS Tier 4 is subject to a competitive market unlike any other service within the Trust and commissioners
have stated that all of their other providers have single bedroom accommodation often with en suite facilities
for children and young people needing inpatient care.
Alongside this environmental upgrading of our facilities to ensure state of the art facilities for our young people
we are developing innovative and alternative models of care to ensure we deliver care at the right time and
place for young people across the region. This may include outreach to other localities as well as day patient
care where appropriate.
Background
We currently provide 34 beds on our Parkview site across three units and 5 beds at Steelhouse Lane. As phase
one of our re-design the service created a specialist eating disorder unit on Irwin ward which has been very
successful. In addition the second phase is to transfer staff from the Steelhouse lane site to Parkview clinic,
thus enabling all our young people to be cared for on one site and all the added value that brings.
This business case is in response to commissioners and regulators (as well as our families) feedback around our
current accommodation. With no access to single bedrooms and en suite facilities we both marginalise
ourselves regarding patient choice (particularly in the EDU market) and fall below expected standards with
commissioners and regulators.
Parkview has had no upgrading to its facilities for many years and the addition of Ashfield acute assessment
unit over 10 years ago results in a facility which is not welcoming or attractive to potential families.
This has been demonstrated recently where we have had instances of families choosing alternative providers
based on our current environment alone.
Assessment
This business case has been developed with all key stakeholders and sits alongside the development and redesign
work currently underway across the Directorate. This looks not to increase our overall bed capacity but
develop new models of care and alternatives to hospital admission.
This includes day care provision where the evidence base exists and outreach models of care, building on our
current home treatment team for Birmingham whilst using our highly skilled expertise within Tier 4.This will
look to therefore create ‘virtual beds’ as opposed to increasing actual inpatient bed spaces.