# data[].attributes.headline
Norfolk's Child & Adolescent Mental Health Services Model

# data[].attributes.subject
Norfolk's Child & Adolescent Mental Health Services Model

# data[].attributes.attachment_link.title
Norfolks Child  Adolescent Mental Health Services model

# data[].attributes.headline
Private, Voluntary and Independent Sector

# data[].attributes.subject
Private, Voluntary and Independent Sector

# data[].attributes.body
Private sector mental health support - Mind

# data[].attributes.body
Clinical reference groups provide clinical advice and leadership on the specialised services in mental health. These groups of clinicians, commissioners, public health experts, patients and carers use their specific knowledge and expertise to advise NHS England on the best ways that specialised services should be provided.

CRGs lead on the development of clinical commissioning policies, service specifications and quality standards. They also provide advice on innovation, horizon scanning, service reviews and guide work to reduce variation and deliver increased value. CRGs, through their Patient and Public Voice (PPV) members, also help ensure that any changes to the commissioning of specialised services involve patients and the public.
NHS commissioning » Mental health (england.nhs.uk)

As a profession, social work has always played a key role in managing risk and complexity, working with people with the most profound and enduring health and social needs and who are often the most socially excluded and at risk of harm. Social workers will continue to support people in crisis. However, as we move towards greater integration of health and social care with a focus on prevention and wellbeing to reduce demand for more intensive services, we have a unique opportunity to reposition social work at the heart of person-centred adult social care. New approaches to the way local authorities’ commission and deliver services, including mental health services, will create demand for new, innovative social work practice, working alongside individuals, their families and carers to provide the right support and to increase access to assets within their community.
basw_112306-10_0.pdf

# data[].attributes.attachment_link.readable_text
Mental health is one of six National Programmes of Care (NPoCs) overseeing the commissioning of specialised services.

The role of these programmes is to provide leadership and oversight of the development and delivery of a comprehensive work programme that achieves demonstrable improvements in the quality, equity, value and outcomes of commissioned specialised services.

The mental health NPoCs consists of:

Clinical reference groups provide clinical advice and leadership on the specialised services in mental health. These groups of clinicians, commissioners, public health experts, patients and carers use their specific knowledge and expertise to advise NHS England on the best ways that specialised services should be provided.

CRGs lead on the development of clinical commissioning policies, service specifications and quality standards. They also provide advice on innovation, horizon scanning, service reviews and guide work to reduce variation and deliver increased value. CRGs, through their Patient and Public Voice (PPV) members, also help ensure that any changes to the commissioning of specialised services involve patients and the public.

National Quality Improvement Taskforce for children and young people's mental health inpatient services

In autumn 2019, a National Quality Improvement Taskforce was established to improve current specialist children and young people's inpatient mental health, autism and learning disability services in England.

The Taskforce seeks to make a rapid set of improvements in care, with delivery of the programme by March 2022. The charter of the Taskforce further describes its aims, what it will look at, it's working principles and how it relates to the wider context.

Chair and membership of the Mental Health NPoC Board

Members

Clinical Chair: Tim Kendall

Steve Sylvester, Head of Mental Health and Programme of Care

Victoria Man, Senior Programme of Care Manager

Andy Cotgrove, Steve Pearce, David Fearnley, Giles Berrisford, CRG Chairs

Ian Callaghan, Jenny Tata and Sandra Igwe, PPV members

Joe McEvoy, NHS England Specialised Commissioning Transforming Care Lead

Hud Manuel, NHS England Specialised Commissioning Mental Health Finance Lead

Dianne Addei, Public Health England

Anees Pari, PHE Specialised Commissioning Lead

Pol Toner, NHS E Specialised Commissioning Nurse Lead

Louise Davies, Lead Commissioner Adult Secure Services

Louise Doughty, Lead Commissioner T4 CAMHS

Victoria Man, Lead Commissioner Specialised Services

Minal Patel, NHS England Communications Lead Specialised Commissioning

Roshane Dunn, NHS England Specialised Commissioning Business Support

Associates

Nickki Churchley, Programme of Care Manager (South)

Alison Cannon, Programme of Care Manager (North)

TBC, Programme of Care Manager (Midlands and East)

Caroline Reid, Programme of Care Manager (London Region)

# data[].attributes.attachment_link.description
Mental health is one of six National Programmes of Care (NPoCs) overseeing the commissioning of specialised services. The role of these programmes is to provide leadership and oversight of the development and delivery of a comprehensive work programme that achieves demonstrable improvements in the quality, equity, value and outcomes of commissioned specialised services.

# data[].attributes.body
...from April 2021, the NHS has started rolling out a programme called the Integrated Care System which will change the landscape of the current healthcare system. See the below section, ‘What is Integrated Care Systems?’ for more information.

Primary care. This is the entry level of care for the NHS. You can get treatment and support from primary care services if you have mild or moderate mental health problems. Primary services include:

your GP,

your local link worker through your GP. See the later section below for more information, ‘What is social prescribing?’ and

talking therapy from your local Improving Access to Psychological Therapies (IAPT) service.

Secondary care. This is the next level of care in the NHS. It covers general community and hospital care.

A mental health team (MHT) is part of community care. Community care means you get treatment outside of a hospital stay. You may be referred to an MHT if you need more support with your mental health. MHT’s are staffed with professionals such as a psychiatrist and psychologists.

See the next section, ‘Are there different mental health teams?’ for more information.

Hospital care includes inpatient treatment. You are an inpatient in hospital if you stay voluntarily, or if you are detained under the Mental Health Act.

Tertiary care. This is highly specialist care within the NHS. It covers specialist community and hospital care.

Examples of community tertiary care are:

assertive outreach teams, and

specialist national services within the Maudsley hospital in London.

The Maudsley is a national service which means that you can access it even if you live outside of London. But you will need a referral.

Specialist hospital care includes secure units. Patients in secure units are usually detained under the Mental Health Act and present a level of risk greater than general mental health services could safely deal with.

What is the Integrated Care System?

Integrated care is about removing traditional divisions between different tiers of care such as primary and secondary care. This is so that people can get the support that they need. It aims to remove divisions such as those between:

hospitals and GPs

physical and mental health and

NHS and the local authority.

These divisions have meant that lots of people have had disjointed care.

Integrated Care Systems are new partnerships between the NHS and other health and care organisations. Such as the local authority, voluntary sector and social enterprise sector. By working together and putting you and your needs at the centre, your care will have a more collaborative approach. This means that you are likely to get better mental health care and support.

You can check to see if ICS rollout has started in your local area by clicking the following link: www.england.nhs.uk/integratedcare/integrated-care-in-your-area/.

You can find more information about:

GP, what to expect from your doctor by clicking here.

Talking therapies by clicking here.

NHS know your rights by clicking here.

Mental Health Act by clicking here.

NHS Mental Health Teams (MHTs) (rethink.org)

SCIE: Introduction to...adult mental health services - The legal and policy contexts
NHS England » Adult and older adult mental health

# data[].attributes.body
Young Carers Matter - https://www.youngcarersmatternorfolk.org/advice-for-young-carers/

Carers Matter Norfolk offer tailored support for the whole family; addressing the practical and emotional needs of the young carer, the person they are caring for and other family members.

Norfolk Family Carers
Norfolk Family Carers run respite groups in Norwich to support young carers aged between 5 and 18 who are caring for a family member.

# data[].attributes.body
There are a number of national and local charities providing information and support. These can be general and specific

MIND - National and Local (They have limited youth and childrens services however.
Rethink -
Young Minds - National
LGBTQ+ Project
BEAT -
Manford Advice Project

Private services
Cygnet - Cygnet was established in 1988. Since then we have developed a wide range of health and social care services for young people and adults with mental health needs, acquired brain injuries, eating disorders, autism and learning disabilities within the UK.

St Andrews - St Andrew’s Healthcare is a charity providing specialist mental healthcare for patients with some of the most complex, challenging mental health needs in the UK. We provide care across a number of services, including Men’s Mental Health, Women’s Mental Health, Child and Adolescent Mental Health Services (CAMHS), Neuropsychiatry, Autistic Spectrum Disorder and Learning Disability, with the majority of our 600 patients referred to us via the National Health Service.

# data[].attributes.body
The main commissioners of services are the local authority and NHS.

Work in an integrated way through regular group meetings involving all partners, carers and those with lived experience.
National models and best practice models are used, however normally commissioners work locally to create provision relevant to the geographical and social area.

Are there any gaps in service
Yes particularly with specific mental health support for say those with a learning disability

Role of social work
To provide information on services locally and co-ordinate plans and services of support
Safeguarding
SW's feedback gaps in service to managers and commisioners. Input into meetings and reports on gaps in services
CWD, FAST, Family Support, PfAL - co-ordinate and plan support for children. Complete assessments and referrals.

# data[].attributes.body
Child and Adolescent Mental Health Services (CAMHS) are working to promote continuous care across:
Tier 1 – Universal services For all children and young people

School Staff, Special Schools, Voluntary Sector, General Practitioners (GPs) Children’s Centres and Extended Schools services, Early Years providers (0-5 yrs), Parent Support Advisers, Parenting Programmes, Health Visitors, Midwives, School Nurses, Healthy Schools Partnership.

Just One Norfolk - a free access point for voluntary advice service for families www.justonenorfolk.nhs.uk

Online and chat services such as Kooth

If you’re 11 – 25 yrs you can get advice and help on the go, 7 days a week until 10 pm.

Kooth offers online counselling, advice and emotional well-being support.

Visit: www.kooth.com

Over 16's

Phone: NHS Talking Therapies Service Norfolk and Waveney (known as Wellbeing Service) on 0300 123 1503 (9am – 5pm)

Visit: www.wellbeingnands.co.uk

Tier 2 – Targeted services For children and young people with mild to moderate mental health needs

Point 1 service - Point 1 is a service for children and young people between the ages of 0-18 years who are experiencing the early signs of mental health difficulties and who are resident in Norfolk and have a Norfolk GP.
Voluntary Sector Agencies (MAP, Matthew Project, BEAT, MIND etc)
School Nursing Team,
ASD Nurse and Autistic Spectrum support team,
Starfish Team,
Education Psychology Support,
Safeguarding teams.

Tier 3 – Specialist services For children and young people experiencing moderate to severe mental health difficulties

Norfolk and Suffolk Foundation Trust - CAMHS Teams, Starfish Team,
Community Paediatricians,
Early Intervention in Psychosis team, (EPSS),
Mental Service,
Intensive Support Team.

The Early Intervention in Psychosis Service supports people between the ages of 14 and 65 in Norfolk and Waveney who are experiencing symptoms of a first episode of psychosis. This service supports people for up to a three-year period and provides intervention to reduce the impact of the symptoms and support social recovery. The Early Intervention in Psychosis Service aims to help people who use the service, and their family, to understand more about the symptoms of psychosis and what treatments are available.

https://www.nsft.nhs.uk/adults/service/early-intervention-in-psychosis-services-norfolk-and-waveney-103/#:~:text=Service%20Contact%3A%20Service%20contact%20numbers,West%20Norfolk%2D01553%20736011.

Tier 4 – Highly specialist services For children and young people experiencing severe and complex mental health difficulties and illness

Intensive community support,
Residential and inpatient units.