Children with emotional and behavarioural difficulites - Service mapping template 1. General information Organisation name Contact name of person completing form Position Telephone Email Name of service lead Contact details Service mapping template v4 Norfolk County Council Amy Thomas CAMHS Service Development Manager 01603 638322 [email protected]Jonathan Stanley 01603 638321 Page 1 of 22
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Service mapping template v4 - Norfolk · Care (NCH&C) - Starfish Service ... 1171. 6049 referrals for whole of Norfolk & Waveney. ... Service mapping template ...
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Children with emotional and behavarioural difficulites - Service mapping template
Residential, Hospital, GP) Primary, first and middle
schools. Community Community based. Community
In client's homes and
hospital/residential settings.
Client group - (eg
Child/Parent/family
member
Children, however
parents participant in
sessions to explain the
programme. Child, parent/carer
Children and young
people/families
Child/young
person/parent/family
members
Child/young
person/parent/family
members
Age group covered by
service5-11 0-17
0-25, but 0-17 yr old
provision summarised here 5-17 5-17
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Children with emotional and behavarioural difficulites - Service mapping template
Type of interventions used
with client group
Whole school approach,
early intervention and
prevention.
1:1 and or group Talking
therapy, psychosocial, and
professional consultation
• Individual Therapies (CBT,
Psychodynamic Therapy,
Trauma focused Therapy,
Counselling/Support)
• Group Therapy (involving 3
or more service users per
session)
• Family/Systemic Therapy
• Deliberate Self-Harm
Assessment service to Acute
Paediatrics
• Telephone Enquiry
Officer/Duty Clinician for
consultation
• Assessment and treatment
of ADHD (in line with the
Family therapy, advice and
consultation to school and
early years settings.
A range of psychological and
therapy approaches, including
Speech Therapy, tailored to
young person and needs of
carers
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Children with emotional and behavarioural difficulites - Service mapping template
3. Referrals/activity
PATHS Point 1Norfolk and Suffolk Foundation
NHS Trust
Norfolk Community Health &
Care (NCH&C) - Starfish Service
Norfolk Community Health & Care -
Starfish Plus
How do
individuals/children? access
your service?
If the school has chosen
to join the PATHS
programme, children will
be taught the methods at
school.
Self referral, referral by any
agency, health, parent,
school.
Self referral, referral by any
agency, health, parent,
school.
Referral from GP to
paediatrics.
Referral is via Single Point of
Referral ( SPOR )
What are the criteria for
accessing the service e.g.
particular diagnosis?
All children in the school
are included.
Mild to moderate mental
health problem.
Moderate to severe mental
health problem
Significant learning
disability. Supporting young
people with complex
developmental needs as
well as their families.
Learning Disability, evidence
of severe mental health
difficulties with risk of
placement or care breakdown
No. of referrals received
between April 2015 and
March 2016
N/A
3978 received. South
Norfolk CCG - 996, North
Norfolk CCG - 691, West
Norfolk CCG - 548, Great
Yarmouth and Waveney
CCG - 572, Norwich CCG -
1171.
6049 referrals for whole of
Norfolk & Waveney.
Provider not able to extract
data at this point by CCG.
162 ED referrals received.
North Norfolk CCG - 49,
Norwich CCG - 45, South
Norfolk CCG - 39, West
Norfolk CCG - 13, Great
Yarmouth and Waveney CCG
- 16 >1000 27
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Children with emotional and behavarioural difficulites - Service mapping template
No. of referrals accepted
between April 2015 March
2016
N/A 3220 accepted into service.
4462 accepted. West
Norfolk - 713 Gt Yarmouth &
Waveney - 1937 North
Norfolk - 686 South Norfolk -
899, Norwich 817
139 ED referrals accepted.
North Norfolk CCG - 43,
Norwich CCG - 36, South
Norfolk CCG - 33, West
Norfolk CCG - 11, Great
Yarmouth & Waveney CCG -
16 1000 27
No. of referrals which didnt
meet your criteria/threshold
between April 2015 and
March 16
N/A
758 not accepted into
service as did not meet
criteria
1623 for whole of Norfolk &
Waveney. Provider not able
to extract data at this point
by CCG
23 ED referrals didn't meet
criteria/threshold. North
Norfolk CCG - 6, Norwich
CCG - 9, South norfolk CCG -
6, West Norfolk CCG - 2,
Great Yarmouth & Waveney
CCG - 0 <2% 0
Break down of waiting times
to access services between
April 2015 to March 2016
N/A
Waiting time criteria
changed 9 months ago to
provide a more accurate
figure. Waiting times
currently stand at 85% of
clients receive a face to face
assessment within 28 days
of referral, and 89% of
clients receive their first
face to face intervention
within 28 days of their face
to face assessment.
Waiting time standard is 8
weeks until first treatment
intervention. Average
waiting time during 2015/16
was 6.33 weeks.
Average ED waiting time
during 2015/16 was 3.67
weeks.
Clients do not wait for this
service, it is as the need
requires.
Clients do not wait for this
service, it is as the need
requires.
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Children with emotional and behavarioural difficulites - Service mapping template
How do you measure the
impact of your services e.g.
outcomes measures? -
difficult question to answer
Impact shown within 10
months:
15% to 21%
improvement in Social
and Emotional
Competence
16% to 20%
improvement in Pro-
Social Skills
14% improvement in
Concentration and
Attention
Quarterly performance
reports are submitted and a
series of measures are used
to evaluate the
effectiveness of the
interventions including,
CORC, Goal Based
Outcomes, CHI and SDQ
scores.
Monthly performance
reporting to the local CSU
against a number of KPIs,
including waiting times.
Routine outcome monitoring
reports to commence during
2015/16, in readiness for the
CYP IAPT and new national
CAMHS minimum dataset
requirements.
Service has own outcome
measures; a mix of carer
and practitioner reported
measures
Service has own outcome
measures; a mix of carer and
practitioner reported
measures
Page 7 of 22
Children with emotional and behavarioural difficulites - Service mapping template
4. Staffing and funding
PATHS Point 1Norfolk and Suffolk Foundation
NHS Trust
Norfolk Community Health &
Care (NCH&C) - Starfish Service
Norfolk Community Health & Care -
Starfish Plus
Number staff (WTE)
delivering service
Approx 860 school staff
delivering the
programme in schools,
1.5 delivering the training
and coaching support
across Norfolk.
43.1 WTE
See NSFT Tab 3.5 WTE 3.5 WTE
Skills mix/grade of staff
involved in service
Teachers, teaching
assistants, admin staff,
midday supervisors.
Talking Therapists,
Psychosocial practitioners,
admin, managers, assistant
psychologist, psychologist. See NSFT Tab
1 x full time clinical
psychologist, 1 x full time
communication worker, 0.4
days Speech therapist, 0.8
family support worker
1.3 x full time clinical
psychologist, 1 x full time
communication worker, 0.4
days Speech therapist, 0.8
family support worker
Length of funding/contract?
Once purchased and the
staff are instructed the
system stays with the
school for as long as they
keep teaching it.
5 years - contract ends
1/10/2017 and waiting
decision regarding contract
extension or the start of the
re-commissioning process
Recurrent, but negotiated
year by year. Recurrent Recurrent
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Children with emotional and behavarioural difficulites - Service mapping template
Cost of service/ value of
contract
£105,000 funding from
NCC.
£1,626,024pa. Nth Norfolk
CCG - £145,800. Norwich
CCG - £145,800. Sth Norfolk
CCG - £165,600. West
Norfolk CCG - £145,800. Gt
Yarmouth & Waveney CCG -
£125,000. Norfolk CC -
£898,024
North Norfolk CCG -
£1,502,389. Norwich CCG -
£2,875,585. South Norfolk
CCG - £1,458,306. West
Norfolk CCG - £1,241,540. Gt
Yarmouth & Waveney
£4,106,960
LTP Eating Disorder Contract
Value 2016/17 - £472,580
Small part of large block
contract. Not separately
costed
Small part of large block
contract. Not separately
costed
Page 9 of 22
Children with emotional and behavarioural difficulites - Service mapping template
5. Service gaps
What are the current gaps
in services for children and
young people with
emotional and behavioural
difficulties?
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Children with emotional and behavarioural difficulites - Service mapping template
6. Other comments
Please use this section to
discuss any futher issues not
already covered by the
above questions
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Children with emotional and behavarioural difficulites - Service mapping template
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Children with emotional and behavarioural difficulites - Service mapping template
Service 6 Service 7 Service 8 Service 9 Service 10
NCH&C ADHD Pathway LD CAMHS Team, Waveney
JPUH/ECCH/NSFT ADHD
pathway
LD assessment and
treatment bed 6 Airey
close provided by NSFT
Norwich CCG (for West
Norfolk and Central
Norfolk)
Gt Yarmouth & Waveney
CCG GYWCCG GYWCCG
Specialist assessment and
support for young people
with behaviour disorders.
To support children &
young people with a
learning disability and
additional mental health
difficulties.
Specialist assesment and
support for young people
with behaviour disorders
Targeted, structured, skilled intervention and support for learning disabled young people with long-term and enduring challenging behaviours and/or mental health conditions, offering assessment and treatment 1 bed currently commissioned by GYWCCG
Page 13 of 22
Children with emotional and behavarioural difficulites - Service mapping template
Multi-disciplinary
diagnosis, and post
diagnostic support and
review (including parent
support)Diagnostic and post
diagnostic support and
treatment. One to one and
community based
interventions.
Multi-disciplinary
diagnosis and support.
Tageted ,structured
skilled interevention and
support for learning
disabled young people
with long term and
enduring challenging
behaviours and /or
mental health issues.
1-4 on average, with
ongoing medical followup
by Paediatricians/Nurses
where needed 35
4 conultant clinics a month and 8 nurse led clinics a month
I bed commissioned by GYWCCG
Central Norfolk CCGs and
West Norfolk CCG Waveney GYW area WAVENEY
schools, clinics, children's
centres
Community schools,clinics, Inpatient facility
Child/young
person/parent/family
members
Children, young people and
parents/carers
children/young people
and parents and carers
children/young
people.familiy
5-17
0-17 0-17 years 12-18 years
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Children with emotional and behavarioural difficulites - Service mapping template
Parent support, medical
interventions, behaviour
advice
A range of medical and
psychological approaches
tailored to the particular
presenting needs.
Parent support,medical
interventions behaviour
advice.
A range of psychological
and therapy approaches
tailored to young peoples
needs
Page 15 of 22
Children with emotional and behavarioural difficulites - Service mapping template