Item 9 - CAMHS
North Lanarkshire Council · 21 September 2022
Back to Health and Social Care Integration Joint Board — 21 September 2022 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 REPORT Item No: 9 SUBJECT: NHS Lanarkshire Children and Adolescent Mental Health Services (CAMHS)- CAMHS Improvement Programme TO: Integration Joint Board Lead Officer for Report: Ross McGuffie, Chief Officer Author(s) of Report Owen Watters, Interim General Manager Specialist Children’s Health Services Unit DATE: 21st September 2022 1. PURPOSE OF REPORT This paper is coming to the Integration Joint Board For approval For endorsement To note 2. ROUTE TO THE BOARD This paper has been: Prepared Reviewed Endorsed By: the Specialist Children’s Health Services Unit 3. RECOMMENDATIONS 3.1 It is recommended that Integration Joint Board: Note the progress of the programme and note further development steps (appendix 1) 4. VARIATIONS TO DIRECTIONS? 5. BACKGROUND/SUMMARY OF KEY ISSUES 5.1 Background 5.1.1 In January 2021, the Specialist Children’s Health Services Unit (SCHSU) was formed bringing a centralised approach to the operational delivery of children’s specialist health services across Lanarkshire. In April 2021, North HSCP Yes No N/A
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2 received confirmation from Scottish Government of recurring funding via the Recovery and Renewal Fund (RFF) specific to CAMHS of £3.3 million. 5.1.2 The CAMHS Modernisation Strategy 2021-23 articulates how CAMHS in Lanarkshire will implement the National CAMHS Service Specifications in addition to SG directives by March 2023. This has been previously presented to the IJB. 5.1.3 In order to co-ordinate the further development of the Child and Adolescent Mental Health Services (CAMHS), NHS Lanarkshire has established the CAMHS Recovery and Renewal Programme Board with broad representation (appendix 2). This is chaired by the Health and Social Care Partnership Medical Director and has support from a Professional Adviser from the Scottish Government. The service has produced a service improvement plan (provided in appendix 2) which covers workforce; CAPA; accommodation; eHealth; communication and engagement; finance; and performance. The Programme Board will monitor timescales and key milestones. 5.1.4 A new fulltime Clinical Director for each CAMHS service has been appointed to work alongside business managers to ensure equitable access and clinical accountability for delivery of targets for CAMHS. 5.1.5 The main areas of focus of the CAMHS Modernisation Strategy are: Implementation of the Choices and Partnership Approach service transformation model for CAMHS by March 2023. Full implementation of the national CAMHS Specification to include extension of age range, requirements for eating disorder patients and planning for transition of care by March 2023. Numbers of children and young people in CAMHS already nearing the age of 18 requires to be gathered and numbers of patients who wish to remain under the care of CAMHS requires to be quantified in order to inform demand. Timelines for this activity are contained within the project plan. CAMHS South Lanarkshire accommodation went ‘live’ on Monday 5 September 2022 with the first patients visiting this centre to see both South Locality CAMHS teams, Eating Disorder Team and the South Neurodevelopmental Team. The new building hosts bright and renovated accommodation to suit all age ranges and includes an in house treatment room, playroom, suitable staff workspace and several clinic spaces including rooms to facilitate group sessions and service meetings and workshops. This site is in addition to the remainder of some satellite clinics across South Lanarkshire health centres allows for patients and ensure local access for those who are unable to travel. An official opening for this facility is currently being scheduled and organised. A workforce review and associated recruitment campaign utilising the allocated monies from SG Recovery & Renewal Fund (RRF) which for CAMHS is £3.3 million is planned between June and December 2021. Additional monies will also be secured via SG to support implementation of the Neuro Developmental Pathway (NDP). Recruitment has been planned in
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3 two phases to coincide with allocation of funding streams. Phase 1 is currently underway and the aim is to have recruited to these posts by Summer 2022. Phase 2 will commence once confirmation of NDP budget is received. 5.1 Workforce Demand and Capacity 5.1.1 CAMHS are currently receiving improvement support from the Scottish Government Mental Health Directorate and work has been completed with the Scottish Government Improvement Advisor and Professional Advisor to analyse CAMHS capacity (based on current funded establishment) against demand (numbers of referrals per head of population). From this analysis, it is evident that in order to meet RTT trajectory, CAMHS requires 131 WTE of which 90 WTE must deliver services that contribute to the RTT. Recruitment continues and the attached information in appendix 3 describes the current recruitment situation. 5.1.2 A local exercise to establish CAMHS capacity is underway with this scheduled to be reviewed in September. An expected outcome of this is the design and implementation of a CAPA calculator/timetable to provide an even spread of choice and partnership appointments across teams, with regular review (every 12 weeks) of capacity against demand to allow enhanced/sufficient capacity for new/return patient appointments, with the correct ratio for staff groups to ensure waiting time management. It is anticipated that this will be in place following the waiting list initiative described below to ensure seamless transition. Waiting List Management and Initiative 5.1.3 Detail is provided within the Project Plan in relation to a completed Waiting List validation exercise which saw a reduction in the list by 15%. These patients either no longer wanted treatment or did not opt in to remain on the waiting list as per NHS policy. 5.1.4 A waiting list initiative commenced at the end of August 2022 to provide additional sessions to complete new patient assessments both in and out of current working hours. Initial results have taken 123 patients from the waiting lists. Workforce & Allocation of RRF Monies 5..1.5 Following funding provided by the Scottish Government’s mental health renewal and recovery fund (RRF), NHS Lanarkshire’s CAMHS reviewed current staffing levels and sought to recruit a total of 102 positions to provide additional capacity to all parts of CAMHS. This included the establishment of a new nursing team, as well as the introduction of other allied health professional roles, to support the work carried out by CAMHS. As with other health boards, NHS Lanarkshire has had challenges in recruiting to some specialities, such as psychology. Some recruitment took place internally which saw a shift in post-holders moving from one position to another, rather than new post-holders coming into the service. That said, NHS Lanarkshire has
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4 been successful in recruiting 59 posts, all of which contribute to the wider system. Please refer to appendix 3 for more information on breakdown of posts recruited. 5.2 Choices & Partnership Approach 5.2.1 A crucial working group is being set up to review the CAPA approach and design and implement the aspects of this way of working required for CAMHS in Lanarkshire. As noted above a capacity calculator that demonstrates the requirement for choice and partnership appointments to meet demand, flexibility in the management of appointments every 12 weeks as well as consideration of urgent/unscheduled demand (duty system) is to be reviewed in more detail by this working group. 5.2.2 Detail on the specific work and timelines required to implement this model is provided in the CAMHS Programme Plan (appendix 1). Implementation of this model is wholly dependent on our ability to recruit workforce and secure accommodation, IT and supportive administrative infrastructure. 5.2.3 The project plan provided gives further detail on planned activity required to allow CAMHS to expand service age range from 18-25 and to implement the transition care protocol. As already mentioned, assessment of the current age range of children and young people in CAMHS is required with further work required to ascertain numbers of young people choosing to remain under the care of the CAMHS team. 5.2.4 A series of workshops attended by representatives from the Directorate for Mental Health at SG have already been held and outcomes of these cascaded to staff across the service and support services. These workshops included CAPA engagement sessions for the CAMHS management team, a CAPA Master Class for CAMHS clinicians and a separate information session for HSCP leaders. 5.2.5 CAMHS in Lanarkshire visited CAMHS colleagues in NHS Grampian to establish a supportive network and learn lessons from their implementation of the CAPA model. 5.2.6 CAMHS are currently in receipt of improvement support via the SG Mental Health Division Performance Unit Liaison Lead, Professional Advisor and Improvement Advisor. This support will continue for the duration of the modernisation programme. 5.3 Accommodation 5.3.1 A major development within the CAMHS service plan was the development of a new South Lanarkshire CAMHS facility, supporting CAMHS teams, Eating Disorders and the Neurodevelopmental service. 5.3.2 The site was developed in conjunction with children and young people, ensuring it creates a welcoming and appropriate environment for all service users. 5.3.3 The Udston site went live on 5th September for patients.
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5 5.3.4 Significant improvements have also been made with North Lanarkshire sites, with the final goal of creating a consistent set of core facilities across Airbles Road, Coathill Hospital and Udston Hospital based on the principles co- designed with our children and young people. 5.4 eHealth 5.4.1 As part of the modernisation of CAMHS in Lanarkshire, NHS Lanarkshire has undertaken a cleanse exercise of its patient management system, Trakcare. This includes a refresh of the options available for staff to book patients in different locations and under specific clinicians. Once completed, this will have a positive impact on the data being extracted which will be used to report 18-week referral to treatment performance to Public Health Scotland. We are confident that this will also allow management staff to understand capacity versus demand more robustly, which in turn will allow better planning and leaner pathways for children and young people. 5.4.2 In addition to this, NHS Lanarkshire is working with its largest referrer group, General Practitioners, to enable electronic referrals to be sent to CAMHS using the national system. 5.4.3 Work is also underway to move GP referrals onto the SCI Gateway system. The benefits in using this system means that information is available to referrers about the services CAMHS provides, as well as other support services and accurate/robust information at the point of referral. This will ultimately allow CAMHS to make decisions at the point of vetting more timeously and clinically appropriate. 5.4.4 All our mental health inpatient estate has embedded ward Quality Groups which has supported development of local outcomes around meaningful activity for individuals within our acute admission areas. 5.4.5 The Triangle of Care model has been embedded within all of our inpatient wards to support family and carer involvement wherever possible. 5.4.6Further eHealth work includes moving current paper records to an electronic patient record (MORSE). This will release time for clinicians and administrative staff as well as enhance information governance security. Interfaces between systems are also key to allow a more streamlined approach to working with the necessary information between electronic referrals, appointments and record systems. 5.5 Communication and Engagement 5.5.1 Extensive staff consultation in conjunction with Human Resources and Partnership is required in order to embed this Modernisation Strategy with particular reference to the CAPA transformation model. 5.5.2 Stakeholder engagement events were organised in 2021 to include HSCP CORE and Strategic Leadership Teams. We were supported through these events by NHS Grampian who facilitated question and answer sessions via MS Teams.
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6 5.5.3 It is important that frontline staff are on board with direction of travel and that their experience and knowledge inform the development of new ways of delivering services. Staff engagement events are part of the action plan. 5.5.4 A CAMHS Communication and Engagement Task Group has been established to develop a Communication and engagement plan to set out the communication and engagement requirements for the delivery of the programme. 5.5.5 The programme also has a dedicated engagement officer to support and lead on engagement activities and events with key stakeholders, partners and local communities. A significant programme of engagement is being developed. 5.6 Finance 5.6.1 With extensive new recurring investment from Scottish Government, a finance group is in place to review progress with recruitment and ensure all posts are fully aligned within the service budget. 5.6.2 CAMHS has been underspent in recent years due to the inability to recruit to all vacancies and with the Recovery and Renewal Funding arriving in full from day one, this has led to further underspends, though we have ring-fenced this to allow for future developments such as accommodation improvements. 5.7 Performance 5.7.1 A paper was presented to the IJB Performance, Finance and Audit Committee in August 2022, outlining plans to create an extended performance framework that better focuses on the whole system nature of performance. 5.7.2 What we measure matters; things we measure invariably become prioritised and conversely, what we don’t measure become deprioritised. 5.7.3 The HSCP is currently commencing a programme of work aimed at refreshing the performance framework, with CAMHS as an early example of how this will work. At present, CAMHS performance reporting focuses on only the tier 3 service waiting times. Moving forwards, we aim to extend the performance reporting to cover the whole system, starting with the community mental and health and wellbeing funded projects based within the third sector; school counselling throughput and outcomes; Distress Brief Interventions (DBI); CAPA approach (early review of referrals, onward signposting and CAMHS referrals); finalising with the CAMHS referrals and waiting times. 5.7.4 By taking this much broader view of service provision, we will ensure equal value is placed on all aspects of the system and have a much better understanding of how the system as a whole is working and the outcomes achieved for individuals. 6. CONCLUSIONS 6.1 The CAMHS service has been heavily impacted by the pandemic, with increased urgent case demands and a significant backlog of cases. As part of the recovery process, the service has been working alongside colleagues in the Scottish Government’s Mental Health directorate to formulate plans that aid recovery and meet the new national service specification.
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7 6.2 The Scottish Government Mental Health Recovery and Renewal Fund (RRF) provides scope to expand the workforce to create the capacity required to recover to 90% performance by March 2023, alongside the roll out of the new national service specification. 6.3 The recovery plans for the Lanarkshire service are included in the appendices. 7. IMPLICATIONS 7.1 NATIONAL OUTCOMES CAMHS services impact on a number of national outcomes and children’s outcomes. 7.2 ASSOCIATED MEASURE(S) CAMHS performance forms part of the NHS Board Annual Operational Plan against a 90% Referral to Treatment standard 7.3 FINANCIAL This paper has been reviewed by Finance: Yes No N/A 7.4 RISK ASSESSMENT/RISK MANAGEMENT CAMHS performance sits on the North HSCP operational risk register as well as the IJB’s risk register. 7.5 PEOPLE Post pandemic, it is clear that additional staffing is required to support the service to meet its operational targets. New SG funding will have a big impact on performance, but will also importantly provide much needed support to the existing staff group. 7.6 STAKEHOLDER ENGAGEMENT (Detail below any stakeholder engagement that has taken place). A significant programme of engagement is detailed within the project plan. 7.7 INEQUALITIES & FAIRER SCOTLAND DUTY EQIA Completed & Fairer Scotland Impact Assessment Form Completed: Yes No N/A If EQIA/Fairer Scotland Impact Assessment Form completed, please detail below the main issues and plans to mitigate; 7.8 CARBON MANAGEMENT IMPLICATIONS None noted. 8. BACKGROUND PAPERS The following papers are available upon request:
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8 Letter from SG Mental Health Directorate to NHS Boards SG RFF spend CAMHS Referral Process ‘as is’ CAMHS CAPA Referral Process 9. APPENDICES Appendix 1: CAMHS Modernisation Programme Plan Appendix 2: Programme Organisation and Governance Appendix 3: CAMHS & NDS Data – Recruitment ............................................................................ CHIEF ACCOUNTABLE OFFICER (or Depute) Members seeking further information about any aspect of this report, please contact Owen Watters on telephone number 01698 361 100.
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ID Task Name Start Finish RAG Status Resource Names 1 CAMHS Improvement Programme Mon 01/02/21 Sun 31/12/23 2 Proposal Stage Mon 01/02/21 Thu 13/04/23 3 Project Scope Fri 21/05/21 Fri 21/05/21Complete 4 1st CAMHS Development Workshop Fri 21/05/21 Fri 21/05/21 Complete Emer Shepherd 5 Project Brief Wed 26/05/21 Fri 10/09/21 6 Project Brief drafted Wed 26/05/21 Wed 26/05/21Complete Programme Team 7 Project Brief Reviewed Mon 20/09/21 Mon 20/09/21Complete Emer Shepered 8 Project Brief issued for comment Wed 26/05/21 Wed 26/05/21Complete Emer Shepered 9 Governance Wed 02/06/21 Tue 08/03/22 10 Appoint Programme Board Wed 02/06/21 Wed 02/06/21Complete CAMHS Mgt Team 11 Agree membership of Programme Board Wed 02/06/21 Wed 02/06/21Complete CAMHS Mgt Team 12 Draft Terms of Reference Wed 02/06/21 Wed 02/06/21Complete Project Manager 13 Agree terms of reference Wed 02/06/21 Wed 02/06/21Complete Project Manager 14 Establish Monitoring and Reporting Wed 02/06/21 Wed 02/06/21Complete CAMHS Mgt Team 15 Funding Fri 21/05/21 Thu 01/12/22 16 Strip funding bid paper to reduce figures to meet SG RRF Wed 02/06/21 Fri 02/07/21 Complete CAMHS Mgt Team 17 Review and engage with Scottish Government regarding funding bids paper – ask for entire list costs to be met. Fri 21/05/21 Fri 21/05/21 Complete Emer Shepered 18 Confirm a substantive funding for ND Wed 13/07/22 Wed 20/07/22Complete Mhairi Ward 19 Confirm RRF2 Money Fri 21/05/21 Fri 21/05/21 Complete Mhairi Ward 20 Initiation Stage Tue 01/06/21 Thu 10/06/21 21 Project Plan Tue 01/06/21 Tue 30/08/22 Complete 22 Project Plan drafted Fri 18/06/21 Fri 30/07/21 Complete Project Manager 23 Project plan issued for comments Thu 03/06/21 Wed 30/06/21Complete Project Manager 24 Project plan approved Tue 13/07/21 Tue 13/07/21 Complete Emer Shepered 25 Project Plan circulated Tue 20/07/21 Tue 20/07/21 Complete Project Manager 26 Project Plan to be review and updated Wed 24/08/22 Wed 24/08/22On track CAMHS Mgt Team 27 Implementation stage (Full implementation of the Child and Adolescent Mental Health Service (CAMHS) Specification – Community CAMHS) Tue 01/06/21 Sun 31/12/23 28 Programme Tasks Tue 01/06/21 Sat 19/08/23 29 Update Nursing options paper following workshop held on 21/05/21 Fri 21/05/21 Fri 02/07/21 Complete Mhairi Ward/Karen McCaffrey 30 Update draft process maps (for referral's into service/AS IS and TO BE) Fri 21/05/21 Fri 02/07/21 Complete Laura Jack/Mhairi Ward 31 Schedule further workshops (arrange agenda's etc.) Fri 21/05/21 Fri 04/06/21 Complete Project Team/SIM/GM 32 Complete and report on activity census Tue 01/06/21 Tue 01/06/21 Complete Project Team/SIM/GM 33 CAPA Implementation Mon 15/08/22 Sat 31/12/22 34 Establish Short Life Working Group for CAPA Implementation/TOR Mon 15/08/22 Fri 09/09/22 On track CAMHS Mgt Team 35 Review teams timetables/scheduled/job plan for capacity and design Mon 15/08/22 Fri 09/09/22 On track CAMHS Mgt Team 36 CAPA Workshop 1 Mon 15/08/22 Mon 26/09/22On track CAMHS Mgt Team 37 CAPA Workshop 2 Mon 15/08/22 Mon 26/09/22Not started CAMHS Mgt Team 38 Agree CAPA implementation Thu 01/12/22 Fri 30/12/22 Not started CAMHS Mgt Team 39 Implement fully the national CAMHS specification Fri 30/12/22 Fri 30/12/22 Not started CAMHS Mgt Team 40 Evaluate/measure CAPA implementation Fri 30/12/22 Fri 30/12/22 Not started CAMHS Mgt Team 41 Workforce & Recruitment Mon 01/02/21 Fri 31/03/23 42 Project Start Mon 01/02/21 Wed 23/02/22 43 HR & Workforce working group established Wed 23/02/22 Wed 23/02/22Complete Jan Hamill 44 Membership of group confirmed Wed 23/02/22 Wed 23/02/22Complete Jan Hamill 45 TOR signed off Mon 01/02/21 Mon 01/02/21Complete Jan Hamill 46 CAMHS and NDS Workforce and Recruitment Sun 31/10/21 Fri 31/03/23 47 Recruitment to fill vacancies and new posts ongoing Fri 31/03/23 Fri 31/03/23 At risk Jan Hamill 48 3 WTE HR Recruitment Administrators recruited and in post on a FTC until 31/3/23 to support CAMHS Managers Sun 31/10/21 Sun 31/10/21 Completed Jan Hamill 49 Ability to source qualified workforce Fri 01/04/22 Fri 31/03/23 At risk Jan Hamill 50 Not all CAMHS recruitment will impact on reducing waiting list targets. Part of this might include the high vacancy figures within locality teams which may be somewhat masked by recruitment to other areas of CAMHS.Fri 01/04/22 Fri 31/03/23 At risk Jan Hamill 51 CAMHS / NDS Communication Mon 01/02/21 Mon 01/02/21 52 Engagement Officer started in post aligned specifically to CAMHS / NDS Mon 01/02/21 Mon 01/02/21Completed Lorina Gilroy 53 Communications Manager link with Service to update Staff on ongoing changes and progress regarding recruitment/eHealth progress/accommodation changes Mon 01/02/21 Mon 01/02/21Ongoing Mark Dell 54 Accommodation for more information please refer to separate Project Plan) Mon 01/02/21 Fri 31/03/23 55 Review Capacity Plan/use of clinical space across North and South Mon 01/02/21 Mon 01/02/21Complete Clinical Managers/Mgt Team/CD 56 Scope out accommodation detail i.e. number of rooms/layout/ratio of utilisation (North and South) Mon 01/02/21 Mon 01/02/21Complete Estates/CAMHS Mgt/Unit Mgt 57 CAMHS Accommodation Workshop Fri 02/07/21 Fri 02/07/21 Complete Estates/CAMHS Mgt/Unit Mgt 58 Refurbishment of Douglas Ward within Udston Hospital Tue 02/02/21 Mon 05/09/22Complete Estates/CAMHS Mgt/Unit Mgt 59 Go Live - Udston CAMHS Mon 05/09/22 Mon 05/09/22Complete Estates/CAMHS Mgt/Unit Mgt CAMHS Improvement Programme Appendix 1
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ID Task Name Start Finish RAG Status Resource Names 60 Set up design group for upgrade of North CAMHS accommodation Mon 15/08/22 Fri 30/12/22 Complete Clinical Managers/SIM/OSM 61 Provide report of costs for North upgrade re accommodation Mon 15/08/22 Fri 30/12/22 On track Estates/CAMHS Mgt/Unit Mgt 62 eHealth Tue 01/06/21 Mon 18/09/23 63 Project Start Thu 07/10/21 Thu 04/11/21 64 eHealth working group established Thu 07/10/21 Thu 21/10/21 Complete Laura Jarvie 65 Membership of group confirmed Thu 07/10/21 Thu 21/10/21 Complete Laura Jarvie 66 TOR signed off Thu 21/10/21 Thu 04/11/21 Complete Laura Jarvie 67 Planning Tue 01/06/21 Tue 02/01/24 68 Information Gathering work started Thu 04/11/21 Thu 02/12/21 Complete Laura Jarvie 69 Information Gathering Workshops (1st Meeting) Thu 09/12/21 Thu 09/12/21 Complete Laura Jarvie 70 Information Gathering Workshops (2nd Meeting) Thu 16/12/21 Thu 16/12/21 Complete Laura Jarvie 71 Information Gathering Workshops (3rd Meeting) CAPA discussion Thu 05/05/22 Thu 05/05/22 Complete Laura Jarvie 72 TrakCare Build Thu 09/12/21 Tue 11/10/22 73 Change Controls agreed & submitted Thu 09/12/21 Tue 02/08/22 Complete Laura Jarvie 74 TrakCare Letters Mon 07/03/22 Wed 06/04/22Complete Laura Jarvie 75 TrakCare Outcomes Tue 21/12/21 Tue 07/06/22 Complete Laura Jarvie 76 CAPA demo with Grampian Tue 19/04/22 Tue 19/04/22 Complete Laura Jarvie 77 TrakCare Specialties build Tue 21/12/21 Fri 03/06/22 On track Laura Jarvie 78 TrakCare Testing Mon 17/01/22 Fri 02/09/22 On track All 79 Clinic Build review/CAPA calculator - Pilot Sites Fri 11/03/22 Fri 05/08/22 On track Laura Jack 80 Clinic Build on TrakCare - Pilot Sites Fri 12/08/22 Mon 05/09/22Not started Joyce Galloway 81 Clinic Build review/CAPA calculator - rest of service Mon 19/09/22 Fri 30/09/22 In progress - awaiting job schedules/timetable for whole services 0 deadline 12/8 Laura Jack 82 Clinic Build on TrakCare Mon 03/10/22 Tue 11/10/22 Not started Joyce Galloway 83 SCI Gateway Build Wed 01/06/22 Tue 02/01/24 84 SCI Gateway Protocol documented and signed off Wed 01/06/22 Sat 31/12/22 Not started Scott McLaughlin 85 SCI Gateway Protocol Build Wed 01/06/22 Sat 31/12/22 Not started Scott McLaughlin 86 SCI Gateway testing Wed 01/06/22 Sat 31/12/22 Not started Scott McLaughlin 87 Interface work Mon 04/04/22 Fri 14/10/22 88 Functional Specification documented and signed off Mon 04/04/22 Mon 25/04/22Complete Julie McCulloch 89 Suppliers meet with NHSL to discuss Technical Specification options Mon 22/08/22 Wed 31/08/22Not started Julie McCulloch 90 Interface Build Thu 01/09/22 Wed 07/09/22Not started Julie McCulloch 91 Interface Testing Mon 05/09/22 Fri 16/09/22 Not started Julie McCulloch 92 Functional Testing Mon 05/09/22 Fri 14/10/22 Not started Julie McCulloch 93 Morse Build Fri 26/08/22 Thu 01/09/22 94 Team Build Fri 26/08/22 Thu 01/09/22 Not started Robert McTear 95 Form Build Fri 26/08/22 Fri 02/09/22 Not started Robert McTear 96 User accounts created Fri 26/08/22 Fri 26/08/22 Not started Robert McTear 97 Staff Training & Support Mon 29/08/22 Fri 07/10/22 98 TrakCare Refresher Training - Pilot Sites Mon 29/08/22 Fri 02/09/22 Not started Laura Jarvie 99 Trakcare Refresher Training - Rest of Service Tue 27/09/22 Fri 07/10/22 Not started Laura Jarvie 100 User Accounts reviewed Mon 29/08/22 Fri 02/09/22 Not started Laura Jarvie 101 Staff Support - Pilot Sites Mon 29/08/22 Fri 02/09/22 Not started Laura Jarvie 102 Staff Support - rest of service Tue 27/09/22 Fri 07/10/22 Complete Laura Jarvie 103 Reporting Tue 01/06/21 Tue 01/06/21 104 Reporting requirements documented and signed off Tue 01/06/21 Tue 01/06/21 Not started Stewart Welsh 105 Communications Sun 31/07/22 Sun 31/07/22 106 Children's Services Newsletter (will be monthly going forward) Sun 31/07/22 Sun 31/07/22 Ongoing Laura Jack 107 NDS Build Mon 20/12/21 Wed 31/08/22 108 TrakCare Change Controls agreed & submitted Mon 20/12/21 Fri 22/07/22 Complete Laura Jarvie 109 TrakCare Build Inc. outcomes and appointment types Mon 10/01/22 Sun 31/07/22 Complete Laura Jarvie 110 TrakCare Back Keying Referrals under new code Mon 01/08/22 Wed 31/08/22On track Suzanne Shields 111 TrakCare Clinic Review Mon 01/08/22 Wed 31/08/22On track Suzanne Shields 112 Communication & Engagement Mon 02/05/22 Fri 14/04/23 113 Project Start Mon 02/05/22 Mon 02/05/22 114 Comms & Engagement working group established Mon 02/05/22 Mon 02/05/22Complete Mark Dell/Lorina Gilroy 115 Membership of group confirmed Mon 02/05/22 Mon 02/05/22Complete Mark Dell/Lorina Gilroy 116 TOR signed off Mon 02/05/22 Mon 02/05/22Complete Mark Dell/Lorina Gilroy 117 Communication Mon 02/05/22 Fri 14/04/23 118 Website content to be reviewed and refreshed Tue 15/03/22 Tue 15/03/22 Complete Mark Dell 119 Social media Mon 02/05/22 Mon 02/05/22Complete Mark Dell 120 Communication Plan Mon 13/06/22 Thu 13/06/24 On Track Mark Dell 121 Newsletter for staff Fri 02/09/22 Tue 02/05/23 Ongoing Mark Dell CAMHS Improvement Programme
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ID Task Name Start Finish RAG Status Resource Names 122 Newsletter for service users Fri 02/09/22 Tue 02/05/23 Ongoing Mark Dell 123 Media releases - key milestones Fri 02/09/22 Tue 02/05/23 Ongoing Mark Dell 124 Pulse articles Fri 02/09/22 Tue 02/05/23 Ongoing Mark Dell 125 Partnership Newsletter Fri 02/09/22 Tue 02/05/23 Ongoing Mark Dell 126 Engagement Activities Mon 02/05/22 Fri 14/04/23 127 Engagement Plan Fri 31/03/23 Fri 14/04/23 On Track Lorina Gilroy 128 Parent Forum Fri 14/04/23 Fri 14/04/23 Ongoing Lorina Gilroy 129 Youth Forum Mon 27/06/22 Fri 14/04/23 Ongoing Lorina Gilroy 130 Working Together: CAMHS (NHS Lanarkshire) and CVS Workshop Tue 16/08/22 Tue 16/08/22 On Track Lorina Gilroy 131 Attendance at local youth engagement events Tue 16/08/22 Fri 14/04/23 Ongoing Lorina Gilroy 132 REACH OUT TEAM logo and brand identity workshop and 1:1s Mon 24/01/22 Fri 14/04/23 On Track Lorina Gilroy 133 CAMHS Eating Disorder Team logo and identity/engagement focus groups Wed 15/06/22 Fri 14/04/23 On Track Lorina Gilroy 134 Udston Engagement Mon 10/01/22 Mon 10/01/22On Track Lorina Gilroy 135 Stakeholders Thu 03/03/22 Fri 03/03/23 136 Increase South Lanarkshire representation which is currently low Mon 24/01/22 Tue 03/01/23 On Track Lorina Gilroy 137 Stakeholder Analysis Thu 03/03/22 Thu 03/03/22 On Track Lorina Gilroy 138 SLWG Mon 15/08/22 Sat 31/12/22 139 SLWG for Education Mon 15/08/22 Sat 31/12/22 On track Lorina Gilroy 140 Agree Membership Mon 15/08/22 Sat 31/12/22 Not started Lorina Gilroy 141 Produce a brief Mon 15/08/22 Sat 31/12/22 Not started Lorina Gilroy 142 Schedule meetings Mon 15/08/22 Sat 31/12/22 Not started Lorina Gilroy 143 SLWG for GPs Mon 15/08/22 Sat 31/12/22 Not started Lorina Gilroy 144 Agree Membership Mon 15/08/22 Sat 31/12/22 Not started Lorina Gilroy 145 Produce a brief Mon 15/08/22 Sat 31/12/22 Not started Lorina Gilroy 146 Schedule meetings Mon 15/08/22 Sat 31/12/22 Not started Lorina Gilroy 147 Other Activities Mon 24/01/22 Mon 02/01/23 148 EQIA Mon 11/07/22 Fri 30/09/22 At risk Lorina Gilroy 149 CAMHS Logo and identity Mon 24/01/22 Mon 02/01/23On Track Lorina Gilroy 150 Implementation Stage (Expansion of community CAMHS from age 18 up to the age of 25 years old for targeted groups and those who wish it) Mon 01/02/21 Mon 30/01/23 151 Obtain definition re expansion of age group from Scottish Government Fri 02/07/21 Mon 30/01/23Not started Unit Mgt/CAMHS Mgt 152 Revisit transition documents with associated actions – consider staff/workforce for this Tue 01/06/21 Mon 30/01/23Not started Unit Mgt/CAMHS Mgt 153 Engage with North/South Social Work departs re LAAC extension involving service user groups Tue 01/06/21 Mon 30/01/23Not started Unit Mgt/CAMHS Mgt 154 Engage with adult mental health services re extension to age range Tue 01/06/21 Mon 30/01/23Not started Unit Mgt/CAMHS Mgt 155 Needs assessment to be undertaken for age range 18-25 years Tue 01/06/21 Mon 30/01/23Not started Unit Mgt/CAMHS Mgt 156 Implementation Stage (Clearance of any backlogs on waiting lists for CAMHS) Mon 01/08/22 Mon 31/10/22 157 Waiting List monitoring to be undertaken via WLC Mon 01/08/22 Mon 31/10/22On Track Unit Mgt/CAMHS Mgt 158 Planning stage re WLI/Options appraisal for triage/hub Mon 01/08/22 Mon 31/10/22On Track Unit Mgt/CAMHS Mgt 159 Implement WLI clinic Mon 01/08/22 Mon 31/10/22On Track Unit Mgt/CAMHS Mgt 160 Data capture re new/return ratio per clinic Mon 01/08/22 Mon 31/10/22On Track Unit Mgt/CAMHS Mgt 161 Workshops /Key Events Mon 01/02/21 Fri 19/05/23 162 3rd CAMHS Workshop CAPA Master Class Thu 15/07/21 Thu 15/07/21 Complete CAMHS Mgt Team 163 Management Team Fri 30/07/21 Fri 30/07/21 Complete CAMHS Mgt Team 164 CAMHS CAPA Master Class session for all CAMHS Staff Thu 19/08/21 Thu 19/08/21 Complete CAMHS Mgt Team 165 Consultation & Engagement Fri 10/09/21 Fri 10/09/21 Complete CAMHS Mgt Team 166 CAMHS Implementation Strategy for sign off by NHSL and IJB - Cancelled Thu 30/09/21 Thu 30/09/21 Complete CAMHS Mgt Team 167 Working Together: CAMHS and CVS Workshop Tue 16/08/22 Tue 16/08/22 On Track CAMHS Mgt Team 168 North Lanarkshire IGB Meetings Tue 22/06/21 Wed 22/09/21 169 NL IJB Meeting Tue 22/06/21 Tue 22/06/21 Complete CAMHS Mgt Team 170 NL IJB Meeting Wed 22/09/21 Wed 22/09/21Complete CAMHS Mgt Team 171 172 Closure Stage Fri 29/12/23 Fri 29/12/23 180 Review Stage Mon 01/01/24 Mon 01/01/24 CAMHS Improvement Programme
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Appendix 2
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CAMHS Posts (Appointed) When/Comments NDS Posts (Appointed) When/Comments 1.0 WTE Senior Nurse (CAMHS) Band 8a Dec-21 1x Band 7 Dietician Aug-22 1.0 WTE Practice Improvement and Development Nurse (CAMHS) Band 7 Dec-21 1x Band 4 Dietician Aug-22 1.0 WTE Band 7 Service Improvement Manager Dec-21 SLT 1.0 WTE Band 5 CAMHS Waiting List Co-ordinator (CAMHS/NDP) and Partnership WLC Nov-21 1x Band 7 (ND) SLT Apr-22 1.0 WTE HR Recruitment Assistant Band 4 Oct-21 1x Band 6 (ND) SLT Apr-22 1.0 WTE HR Recruitment Assistant Band 3 Oct-21 OT 1.0 WTE HR Recruitment Assistant Band 3 Oct-21 1.0 Band 7 OT May-22 1.0 WTE Band 5 CAMHS Admin Operational Manager (AOM) Dec-21 2.0 Band 5 OT May-22 1.0 Engagement Officer (comms) Band 6 Jan-22 Management & Admin 1.0 Band 5 Governance Manager Feb-22 1.0 Clinical Manager May-22 1.0 Management Team Secretary Offer Made. PEC Ongoing Psychology 2.0 Psychology assistants (recruited from Phase 1) Mar-22 7.0 WTE Band 4 Admin Support for CAMHS Localities and functional teams Apr-22 5.0 Lead Medical Sec Jul-22 3.5 WTE Consultant in Child & Adolescent Psychiatry RRF, but recruited to Funded Establishment in place. Interviews scheduled end of Feb 22 due to eligibility timeframe. Appointments can take up post until 0.5 WTE Consultant in Child & Adolescent Psychiatry Recruitment took place (not filled to RRF, but recruited to Funded Establishment in place. Interviews scheduled end of Feb 22 due to eligibility timeframe. Appointments can take up post until 2.0 SCN Band 7 Sep-21 3.0 WTE Band 6 Charge Nurse (Outreach) Feb-22 2.0 WTE Charge Nurse CAMHS Locality Band 6 Apr-22 2.0 WTE Charge Nurse CAMHS CAYP Band 6 Apr-22 10.0 WTE Band 5 Staff Nurse Sep-21 4.0 WTE Band 3 CSW Sep-21 0.8 Clinical Psychologist (Band 8b) for Eating Disorders Jan-22 4.8 WTE Clinical Psychologists (Band 8a) for Locality Teams Sep-22 1.0 WTE CAMHC Band 8a for Eating Disorders Jan-22 4.0 WTE CAAPS (Band 7) Dec-21 1.0 WTE CAMHC TL (Band 8a) for CAYP Jan-22 0.8 WTE Consultant Psychologist for CAYP (Band 8c) Dec-21 6.0 WTE Band 5 Psychology Assistants Jan-22 CAMHS/SCSHU Management Team Administration Bid Medical Nursing Dietetics Psychology/Psychological therapists Appendix 3
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1.0 WTE Band 4 Practitioner Dec-21 1.0 WTE Band 7 Dietician to support ED's Jan-22 2.0 WTE Band 7 OT Feb-22 2.0 WTE Band 6 OT Feb-22 2.0 WTE Band 5 OT Feb-22 2.0 WTE Band 4 Feb-22 2.0 WTE Band 8a Pharmacists to cover North and South Jul-22 1.0 WTE Band 7 Pharmacist Aug-22 1.0 WTE Band 7 CAAP Feb-22 2.0 WTE Band 5 Assistant Psychology (fixed term) Jan-22 1.0 WTE Band 5 Learning Disability Nurse Apr-22 0.5 Band 7 Advanced SLT for CAMHS LD Jan-22 1.0 WTE Band 7 OT Feb-22 CAMHS Posts Currently Advertised Comments NDS Posts Currently Advertised Comments Management Team Secretary Complete 1 appointed 1 x Band 6 Dietician Clinical Services Secretary Complete 1 appointed Child and Adolescent Mental Health Clinician Interview Child and Adolescent Mental Health Clinician Interview Specialist Nurse - Children’s Services Job Closed – No appointable candidates Specialist Clinical Psychologist Job Closed – No appointable candidates CAMHS Clinician (Higher Level) Job Closed – No appointable candidates Consultant Clinical Psychologist Unconditional (start date agreed) Clinical Psychologist Job Closed – No appointable candidates Clinical Psychologist Job Closed – No appointable candidates Specialist Clinical Psychologist CAMHS Team PEC in progress (1wte) Clinical Psychologist PEC in progress (1wte) Consultant Clinical Psychologist Shortlisting Advanced Speech & Language Therapist Complete – Candidate Hired CAMHS Clinician Complete 1 appointed Waiting List Co-ordinator Complete 1 appointed CAMHS Clinician Complete 1 appointed Clinician CAMHS Complete 1 appointed DieteticsCAMHS/SCSHU Management Team Psychology/Psychological therapists Speech & Language Therapy Nursing Pharmacy Internal Dietetics Speech & Language Therapy Physiotherapy
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Clinical Associated in Applied Psychology Complete 1 appointed CAMHS Clinician Job Closed – No appointable candidates Child and Adolescent Mental Health Clinician Interview Child and Adolescent Mental Health Clinician Interview CAMHS Posts to be Advertised Comments NDS Posts to be Advertised Comments 3.0 WTE Management Team Support for CAMHS No suitable applicants - possible recruitment from above post 93641 29/04 *Still with redeployment 1.0 Band 7 - Transition Co-Ordinator 1x Admin Band 3 Currently completing job train process 1x Clinic Coordinator Band 8A Currently completing job train process 1.0 WTE Clinical Psychologist (Band 8a) for Eating Disorders NES Recruitment - live 28/03/22. Closed no suitable applicants 4.8 WTE Clinical Psychologists (Band 8a) for Locality Teams Unable to recruit 1x Clinical Psychologist Band 8B Currently completing job train process 1.0 WTE Speciality Dr in C&A Psychiatry 1x Paediatrician Currently completing job train process Dietetics 1x Clinical Psychologist Band 8A Currently completing job train process 2.0 WTE Band 6 Dieticians re ad - live closing 13/04 no applicants - extend closing date closed 20/4 with no applicants. Speech & Language Therapy 3 x SLT Band 6 Currently completing job train process 3.0 WTE Band 6 Specialist SLT No successful candidates at interview. Not progressing PD will reassess in due course 4 x OT Band 6 Currently completing job train process 1 x Paediatrician Currently completing job train process CAMHS/SCSHU Management Team Psychology/Psychological therapists Management Team Psychology/Psychological/ Pediatrics Speech & Language Therapy Occupational Therapy