Minutes:
The following questions were put to the
Chairman under Standing Order 35.
Question by Ms. Sue Whiting, resident:
“Having accessed
the Review Report of the NHS Child and Adolescent Mental Health Services
(CAMHS) Tier 3 Services in Leicester, Leicestershire, and Rutland Report
published on 28 October 2014, could the Chairman of the Committee please
tell me:
(a)
What
training do school staff receive to be able offer a
Tier 1response for CAMHS services?
(b)
At what
point would a Tier 2 service be accessed and how would this be accessed?
(c)
As
waiting times for Tier 3 are 13 weeks (reference to this figure is made in a
reply to a question I had put to the Overview and Scrutiny Committee on 24
March 2014) does this mean a child would previously have had to go through
Tiers 1 and 2 before getting to referral, and if so, how old would a five year
old be before getting specialist help?
(d)
How
many children under the age of 18 in the County have access to Tier 4
provision?”
Reply by the Chairman:
“(a) In
June 2014, the Department for Education produced new guidance for schools
regarding mental health and behaviour in schools. This includes guidance for schools about
learning and development for teachers and other school based staff. Schools are responsible for securing their
own training needs.
The Leicestershire Healthy Schools Programme offers training to schools
based staff. The programme offers a
range of resources to schools to support emotional health and wellbeing. Full information about the programme can be
found at:
leicestershirehealthyschools.org.uk
Public Health undertook a mapping of services available to support child
mental health and well being between July and October
2014. The report produced as a result of
the mapping contained a recommendation to co-ordinate training across Tiers 1
and 2 across agencies, including schools.
(b) Services
can be accessed directly at any Tier of service, as appropriate to the
identified need. The report referred to
at (a) recommended establishing a single point of access to services to improve
the speed and efficiency of access to services for young people.
(c) No,
services can be accessed directly at any Tier of service, as appropriate to the
identified need. However, as part of the
Better Care Together Programme, the children’s work stream has identified the
need to develop a service pathway and this work has recently started.
Referrals
to Tier 3 are made if clinical thresholds are met. Most young people in receipt of Tier1 and
Tier 2 support will not need a Tier 3 service.
(d) A
request has been made to the Clinical Commissioning Group to obtain this
information from the Tier 4 provider. It
is hoped that this will be made available in time for the Overview and Scrutiny
meeting. If not, it will be provided as
soon as possible following the meeting.”
Ms. Whiting asked the
following supplementary question in relation to question
(a):
“How is this co-ordinated training going to be monitored? How are any shortfalls going to be addressed?”
The
Director of Children and Family Services, on behalf of the Chairman, undertook
to respond to this question in writing.
Ms. Whiting asked the
following supplementary question in relation to question (b):
Has this single point of access to services been established yet? If not, when is it hoped that this single point of access will be established?”
The Director of Children and Family Services, on behalf of the Chairman, undertook to respond to this question in writing.
Ms. Whiting asked the
following supplementary question in relation to question (c):
“When is the service pathway going to be published and available for children to access? How is data collected for children and young people in receipt of Tier 1 and Tier 2 support collected to inform future need?”
The Director of Children and Family Services, on behalf of the Chairman, undertook to respond to this question in writing.