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Agenda and Papers for Public Board Meeting June 2013

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CAMHS TIER 4 RECONFIGURATION<br />

Business Case<br />

2. B AC KG ROU ND TO T HE B U SI NE S S C ASE<br />

2.1 B i rmi n gh am Chi l d r e n’s H os pi t al N HS F o und a ti on T ru s t<br />

Established as the Birmingham <strong>and</strong> Midl<strong>and</strong> Free Hospital in 1862 on the Steelhouse Lane<br />

site, Birmingham Children’s Hospital NHS Foundation Trust (“BCHFT”) has been offering<br />

medical <strong>and</strong> surgical services to children <strong>for</strong> 150 years. It provides general Paediatric care<br />

<strong>for</strong> south <strong>and</strong> central Birmingham, as well as being a regional, national <strong>and</strong> international<br />

centre <strong>for</strong> specialised treatments, with an international reputation in several areas. It has<br />

circa 230 beds - excluding Child <strong>and</strong> Adolescent Mental Health Services (CAMHS) - on the<br />

main Steelhouse Lane site.<br />

In addition to this, the Trust has one of the largest CAMHS services in the Country. This<br />

consists of multi-disciplinary Community based services <strong>for</strong> the city of Birmingham as<br />

commissioned by the local CCGs <strong>and</strong> other partner organisations, an inpatient facility with<br />

three units on the Parkview site in Moseley <strong>and</strong> an additional unit on the Steelhouse Lane<br />

site.<br />

2.2 CA M HS<br />

BCHFT provides inpatient (Tier 4) services – <strong>and</strong> associated outpatient / day care facilities - to<br />

children <strong>and</strong> young people from across the West Midl<strong>and</strong>s footprint, in additional to children<br />

from outside this area.<br />

The majority of the service is located at the Parkview clinic in Mosley, which provides 34<br />

beds. Historically, there has been a further 10 beds provided at the Steelhouse Lane site on<br />

Ocean Ward giving a total occupancy of 44 beds. However, the capacity has been recently<br />

reduced to provide 5 beds on this site giving a current total of 39 beds.<br />

There<strong>for</strong>e the current bed configuration underpinning this Business Case is as follows:<br />

Steelhouse Lane<br />

■<br />

Inpatient facility <strong>for</strong> children <strong>and</strong> younger adolescents with 5 beds currently in use, <strong>for</strong><br />

children aged between 5 – 18 years old – the only CAMHS unit that admits children of<br />

primary school age.<br />

Parkview Clinic<br />

■<br />

■<br />

■<br />

The Acute Assessment Unit on the Ashfield Ward, with 8 beds;<br />

The Eating Disorders Unit on Irwin Ward, with 12 beds; <strong>and</strong><br />

General Adolescents on Heathl<strong>and</strong>s ward, with 14 beds.<br />

In addition to the above, BCHFT provides tertiary CAMHS services which includes hospital<br />

play specialists, Paediatric psychology <strong>and</strong> liaison psychiatry.<br />

130614 BCH CAMHS Tier 4 Reconfiguration Business Case__Version 1 2- final.docx 10

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