Commissioning the LD CAMHS Pathway

1. Commissioning the LD CAMHS Pathway Helen Jackson Commissioning Manager, Children helen.jackson@norfolk.nhs.uk ,,,,,,,,

2. A journey through organisational complexity! Starting point: HASCAS Independent Review of CAMHS in Norfolk already a number of services in place that were meeting mental health needs of Children with Learning Disabilities these services were fragmented in nature and often not explicitly recognised as LD CAMHS provision. Or whatever happened to British RailOr whatever happened to British Rail

3. Pathway development project Project team Stakeholder event Outcome focused idealised pathway Joint CAMHS Strategy Commissioning priorities � �icing and glue�

4. Outcomes An increase in the number of children with learning Disabilities who are: Positively engaged in family life Learning and achieving at school Participating in consultation and decision making about issues that affect them Interacting with their peers through inclusive leisure Who have positive emotional well being as they enter adulthood / make the transition to adult L.D. services

5. All change New roles NHS Commissioner / Provider split World Class Commissioning Foundation Trust status New providers / TUPE arrangements Complexities of contracting

6. Demands on commissioning capacity Size and complexity of portfolio for children Children�s Trust JAR Darzi New national contracts Pathfinders Etc etc

7. Issues for Providers Comfort zones Competence and confidence Complex pathway Co-operation and competition (organisations and disciplines)

8. Maintaining direction Securing resources Working with stakeholders Visual model Clear service specifications Promoting partnership working Leadership at various levels

9. Key features of services Sustainability Capacity building

10. The model

11. Performance management

12. Service delivery Over to Gill and Pippa

13. Outcomes in Full An increase in the number of children with learning Disabilities who are: Positively engaged in family life Learning and achieving at school Participating in consultation and decision making about issues that affect them Interacting with their peers through inclusive leisure Who have positive emotional well being as they enter adulthood / make the transition to adult L.D. services A reduction in the number of children with Learning Disabilities: Whose parents/carers feels their learning disabled child has a negative impact on their family life due to the child�s unmet mental health needs or lack of support with parenting. Whose parents/carers feel the need to request that the child is accommodated because of their mental disturbance Who exhibit self injurious behaviour that emanates from untreated mental health problems Who exhibit challenging behaviour that emanates from untreated mental health problems Whose undiagnosed mental health problems may disrupt their education Who experience such severe mental health problems that they need specialist placements These outcomes for children and young people will be supported by achieving an increase in the following outcomes for parents/carers of children with learning disabilities. An increase in the number of parents and carers who: Who have greater understanding of factors affecting their child�s emotional and mental well being Feel well supported and confident to meet their child�s mental health needs and deal with their child�s behaviours.