Surrey CAMHS Engagement

September 2014

• We identified improvements to CAMHS services for children and young people as one of our priorities in Surrey

• We have an opportunity, with the re-procurement of CAMHS services, to address concerns and issues about the current CAMHS service and how it can be improved

• We have the opportunity to specify a much more joined-up model of service provision

CAMHS RE-PROCUREMENT

Re-commissioning (procurement) of mental health services for children & adolescents (young adults) – Tiers 1 to 3

● Stage 1: Consultation (Jul-Sept 2014)

● Stage 2: Service specification (Sept-Nov 2014)

● Stage 3: Procurement (Nov onwards)● Pre Qualification Questionnaire (PQQ) – Nov 2014● Invitation to Tender (ITT) to provide the specified

service – Feb 2015

● Stage 4: Award the contract (May 2015)

● Stage 5: New service starts (Sept 2015)

CAMHS RE-PROCUREMENT

Governance Joint procurement led by NHS Guildford &

Waverley CCG, involving all Surrey CCGs and Surrey County Council

Programme Board, Programme Team and Steering Group

GP Clinical Leads from each CCG

Evaluation panel to score PQQ and ITT

Governing Bodies from each CCG:

Approve finance, service specification and contract award

CAMHS – who commissions?Tier Type Description Commissioner In or Out of

Scope

Tier 1 Universal All children and young people including children and young people at risk of emotional and behavioural mental health needs

Surrey County Council

CCGs

In scope

Tier 2 Targeted Vulnerable children and young people with mild to moderate emotional, behavioural mental health needs

Surrey County Council

CCGs

In scope

Tier 3 Specialist Children and young people with moderate to severe mental health needs

CCGs In scope

Tier 4 In-patient Children and young people with severe and highly complex mental health needs

NHS England Surrey & Sussex Area Team

Out of scope

Services in each tierTier Needs Interventions currently provided

1 Good/positive emotional wellbeing and mental health

Training Psycho educational programmes

Information Support groups

2 ADHD Anger and BullingAnxiety disorders ASD Behaviour Bereavement Toileting Problems

Self harm Eating Issues Low Mood Relationships School Issues Self Esteem Sleep problems

Consultation (Practical advice)Psychosocial interventionRelapse prevention advice Cognitive behaviour therapy (CBT) Art therapy

Coping and social skills training Motivational intervention Group and 1 to 1 sessions Short term family support interventions

3 Hyperkinetic disorders Emotional disorders Eating disorders Psychotic disorders Habit disorders Neurosis disorders

Autistic spectrum disorders Developmental disorders Conduct disorders Deliberate self harm Substance misuse

Recovery support planningMental health care planningEvidence-based psychosocial therapies

PsychotherapyFamily therapy

4 Deliberate self harmEating disordersPsychosis

Medically supervised interventions

Stabilisation

Needs assessment - Surrey

National prevalence: 1 in 10 children between age 5 and 16 years have a mental health problem

“There is an estimated increase in the number of children with mental health disorders in Surrey from 5,884 in 2009 to 6,014 in 2012, based on an increase in the population estimates.”

Surrey Health Needs Assessment, Jan 2014

Thinking differently….

What can we do to make the most effective clinical use of current investment?

How can we identify need earlier and get better outcomes for patients?

Which patients require Specialist CAMHS assessment, intervention and review? Which ones can be seen in primary care?

Are there other services in the community which we can make use of e.g. counselling?

Consultation Questions

for discussion

together or in groups

Also, online survey are available at:http://www.guildfordandwaverleyccg.nhs.uk/info.aspx?p=14

Consultation questions:

Question 1• What are the current

mental health and emotional needs of children and young people in Surrey?

• Consider mental health and behavioural disorders.

Question 2• Does the service provision

as currently established and delivered, actually meet these needs?

• • What are the gaps?

Question 3• How can we ensure that

future services meet the needs that you have identified?

• What does good look like?

• What would it feel like?

• What, if anything, needs to change?

• What are the main priorities for 2015 and beyond

http://www.guildfordandwaverleyccg.nhs.uk/info.aspx?p=14

HAVE YOUR SAY