Transcript NHS North West Surrey CCG

Surrey CAMHS Engagement
September 2014
CAMHS RE-PROCUREMENT
• 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)
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
Tier 1 Universal
Tier 2 Targeted
Description
Commissioner
In or Out
of Scope
All children and young people including
children and young people at risk of
emotional and behavioural mental health
needs
Surrey County Council
In scope
Vulnerable children and young people with
mild to moderate emotional, behavioural
mental health needs
Surrey County Council
Tier 3 Specialist
Children and young people with moderate to
severe mental health needs
Tier 4 In-patient
Children and young people with severe and
highly complex mental health needs
CCGs
In scope
CCGs
CCGs
In scope
NHS England Surrey & Out of scope
Sussex Area Team
Services in each tier
Tier
Needs
Interventions currently provided
1
Good/positive emotional wellbeing and
mental health
Training
Psycho educational
programmes
Information
Support groups
2
ADHD
Anger and Bulling
Anxiety disorders
ASD
Behaviour
Bereavement
Toileting Problems
Self harm
Eating Issues
Low Mood
Relationships
School Issues
Self Esteem
Sleep problems
Consultation (Practical advice)
Psychosocial intervention
Relapse 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 planning
Mental health care planning
Evidence-based psychosocial
therapies
Psychotherapy
Family therapy
4
Deliberate self harm
Eating disorders
Psychosis
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
HAVE YOUR SAY
http://www.guildfordandwaverleyccg.nhs.uk/info.aspx?p=14