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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 />

4. KE Y PR OJ E C T OB J E C TIV E S & B E NE F I TS<br />

The following key objectives have been set <strong>for</strong> this development:<br />

4.1 Int e g ra t ed S e rvi c e<br />

This project will deliver an integrated Tier 4 inpatient service, operating from a single site,<br />

realising all the benefits outlined in the case <strong>for</strong> change.<br />

4.2 Hi gh Qu al i t y, S a fe S e rvi ce s<br />

By achieving the above, this development will support the continued delivery of high quality<br />

services that are more clinically robust <strong>and</strong> safer.<br />

Service delivery will be in line with the national service specifications <strong>for</strong> each unit <strong>and</strong><br />

ensure delivery of safe, effective services based on best evidence <strong>and</strong> ensuring a positive<br />

patient <strong>and</strong> family experience.<br />

Integration of the entire service will enhance the delivery of more clinically robust <strong>and</strong> safer<br />

services. A number of factors which support this are:<br />

■<br />

■<br />

■<br />

■<br />

■<br />

■<br />

Co-location of all services would ensure best use of the entire work<strong>for</strong>ce <strong>and</strong><br />

particularly the nursing <strong>and</strong> medical work<strong>for</strong>ce across the unit. Previous Ocean ward<br />

staff would be integrated into the units using their skills <strong>and</strong> expertise with younger<br />

children <strong>and</strong> adolescents <strong>and</strong> all units would have immediate access to additional<br />

support in a crisis or emergency situation.<br />

Co-location of all units would make improved use of the MDT without the need <strong>for</strong><br />

associated travel time <strong>and</strong> split site working This will there<strong>for</strong>e increase the clinical<br />

time spent on the wards <strong>and</strong> available to young people <strong>and</strong> their families<br />

All senior management support would be located on one site giving additional<br />

support to all the units <strong>and</strong> the work<strong>for</strong>ce <strong>for</strong> example Head of Nursing, CNS <strong>for</strong> Risk<br />

Management <strong>and</strong> Tier 4 Service Manager<br />

More cross-unit training <strong>and</strong> rotation opportunities <strong>for</strong> staff can be implemented<br />

Co-location of services would support more cross-unit training <strong>and</strong> rotation<br />

opportunities <strong>for</strong> all staff; <strong>and</strong><br />

Incidents could be reviewed in a more timely <strong>and</strong> efficient manner.<br />

4.3 F i t fo r Pu rp os e / F l e x i bl e Ac co mm od ati on<br />

The CAMHS new hospital development will enable the Trust to deliver services from a<br />

modern estate fit <strong>for</strong> purpose which provides single bedroom accommodation whilst<br />

embracing new models of service provision.<br />

This will enable the service to be more responsive to the current dem<strong>and</strong> profile of young<br />

people presenting <strong>for</strong> admission with higher acuity needs <strong>and</strong> more challenging behaviour. In<br />

addition the service will not be restricted in terms of gender presentation <strong>and</strong> the ratio of<br />

boys <strong>and</strong> girls as with current dormitory accommodation.<br />

130614 BCH CAMHS Tier 4 Reconfiguration Business Case__Version 1 2- final.docx 20

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