Service mapping template v4 - Norfolk · Care (NCH&C) - Starfish Service ... 1171. 6049 referrals...

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

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2. Services

Service 1 Service 2 Service 3 Service 4 Service 5

Name of service?

PATHS Point 1

Norfolk and Suffolk

Foundation NHS Trust

Norfolk Community Health

& Care (NCH&C) - Starfish

Service

Norfolk Community Health &

Care - Starfish Plus

Who commissions the

service?

Norfolk County Council

Norfolk County Council on

behalf of the County

Council, West Norfolk CCG,

North Norfolk CCG, Norwich

CCG, South Norfolk CCG,

Great Yarmouth and

Waveney CCG

3 contracts - one with West

Norfolk CCG, one with Gt

Yarmouth & Waveney CCG

and one with North, Norwich

and South CCGs (known as

Central Norfolk)

Norwich CCG (for West and

Central Norfolk). Gt

Yarmouth & Waveney CCG

for its area.

Norwich CCG (for West

Norfolk and Central Norfolk)

What is the purpose of the

service?

To deliver the evidence

based programme to

improve the emotional

health and wellbeing of

primary school pupils.

To provide a county wide

Targeted mental health

service for children and

young people with mild to

moderate mental health

needs

To provide a county wide

specialist mental health

service for children and

young people with moderate

to severe mental health

needs. Also provides some

inpatient beds,

commissioned by NHS

England.

To support children aged

between 5-18 years who

have a significant learning

disability. The team

supports young people with

complex developmental

needs.

To support children aged

between 5-18 years who have

a significant learning disability

and additional severe mental

health difficulties. The team

supports young people with

complex developmental

needs, in challenging often

crisis situations.

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Description of

service/intervention

Promoting Alternative

Thinking Strategies.

Whole school approach

teaches children how to

label their feelings and

apply self-control

strategies, leading to

improvements in

classroom behaviour,

resilience and verbal

fluency

Providing Talking Therapies

and Psychosocial

interventions in a 1:1

setting, as well as

professional consultation

services to pareents,

teachers, and other

professionals involved with

the child or young person.

Provision of a range of

evidence based treatment to

individuals and groups.

Consultation offered to a

range of professionals.

Intensive support to cases in

need of close, frequent

assessment and support.

Early intervention, advice to

schools, behaviour

management

Very significant behaviour

issues with the child or young

person over a longer period or

during crisis. Intervention is

provided in the family home.

No. of sessions provided?

Ongoing throughout all

lessons, all year.

On average 4-5 but up to an

average of 6 is acceptable

On average, 7. Until child or

young person has recovered

sufficiently to be discharged. Until issue is resolved

highly intensive …can be up to

2 /3 contacts per day, but over

a short period.

Geographical area covered -

e.g. Norfolk, Central NorfolkNorfolk, currently 86

Schools. Norfolk Norfolk & Waveney Norfolk & Waveney

Central Norfolk CCGs and

West Norfolk CCG

Service setting (eg

Community, School,

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


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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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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3. Referrals/activity

PATHS Point 1Norfolk and Suffolk Foundation

NHS Trust


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



Yarmouth and Waveney CCG

- 16 >1000 27

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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



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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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


measures; a mix of carer and

practitioner reported

measures

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4. Staffing and funding

PATHS Point 1Norfolk and Suffolk Foundation

NHS Trust


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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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



costed

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5. Service gaps

What are the current gaps

in services for children and

young people with

emotional and behavioural

difficulties?

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6. Other comments

Please use this section to

discuss any futher issues not

already covered by the

above questions

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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

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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


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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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

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NCH&C ADHD Pathway LD CAMHS Team, WaveneyJPUH/ECCH/NSFT ADHD

pathway

LD assessment and treatment

bed 6 Airey close provided by

NSFT

0

Referral is via Single Point

of Referral ( SPOR )

Referral from GP

referrals via school,Gp

health visitors/school

nures,

referrals from CAMHS tier

3 services ,social care

,schools.

Documented evidence of

significant conduct

disorder, age 5yrs plus

Learning Disability with

evidence of significant

mental health needs

Concerns regrading childs

behaviour requiring

further assessment

Learning disability with

evidence of mental health

needs.

2190 80

80 referrals per month to

community paediatrics,

including referrals for

ADHD.

Total 960 1 bed

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2000 approx 80 Not available

1 patient in the bed

commissioned . No

referrals not accepted

190 0

Not available as no

referral criteria in place None

up to 18 weeks

77.5% waited 8 weeks or

less to be offered a first

appointment; average

waiting time was 5.2 weeks.

71.3% waited 8 weeks or

less to attend a first

appointment; average

waiting time was 6.2 weeks. up to 18 weeks

not applicable as an

inpatient facility

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measures; a mix of carer

and practitioner reported

measures

service has it own

outcome measures.a mix

of carer and practitioner

reported measures

service has its own

outcome measures a mix

of carer and practitioner

reported measures.

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NCH&C ADHD Pathway LD CAMHS Team, Waveney JPUH/ECCH/NSFT

LD assessment and treatment

bed 6 Airey close provided by

NSFT

0

not currently possible to

disaggregate Starfish and

ADHD resource 9.4

1.2 ADHD nurses support

by community

paediatricians and

psychologist/psychiatrist

The service offers 1 bed

only to GYWCCG but

offers 3 beds to Suffolk

CCGs not able to

segregrate staffing

numbers just for the 1

bed that GYWCCG

commission

clinical psychologists,

Paediatricians, nurses,

family support workers.

Referral numbers/Demand

is too high and therefore

18 week waiting time

targets are breached

1 Band 7, 3 Band 6, 2 Band

4, 1 8c, 1 Cons Psychiatrist,

0.4 8a Psychologist, 1 Ass

Psychologist

Paediatricians,NSFT staff

and ADHD nurses

Psychologist,psychiatrist

team leader,nurses

support workers admin

staff.nure

Recurrent Recurrent recurrent

re-current 14/15 GYWCCG

Planning an LD service re-

design for children .

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costed £468,958

small part of a large

contract .not separately

costed.

GYWCCG current contract

value £614,044

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Service mapping template v4 - Norfolk · Care (NCH&C) - Starfish Service ... 1171. 6049 referrals...

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Transcript of Service mapping template v4 - Norfolk · Care (NCH&C) - Starfish Service ... 1171. 6049 referrals...