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25 January 2010
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Barnes, Di and Devanney, Carol and Parker, Ethna and Wistow, Richard (2009) ’A profile of childrens healthservices, child and adolescent mental health services and maternity services in England 2007/8.’, TechnicalReport. Durham University, School of Applied Social Sciences, Durham.
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Di Barnes, Carol Devanney, EthnaParker and Richard Wistow
 A profile of 
children’s health services,child and adolescent mental health services
maternity services
in England 2007/8
I am pleased to introduce the 2007 report of the child health, child and adolescentmental health services (CAMHS) and maternity service mapping exercise, markingthe third successful year for child health and maternity service mapping and the sixthfor CAMHS. The mapping exercise has become an essential source of informationon children’s health and maternity services. Through its annual snapshot, it showshow services are commissioned and delivered, and it is starting to track change asthe Government’s children’s agenda is being implemented.
Just some of the evidence of change provided in this report includes:Continued growth in expenditure on child health, CAMHS and maternity services and in the workforcedelivering the servicesGood progress by primary care trusts since reorganisation in establishing public health strategies basedon comprehensive assessments of child health needsSignificant increases in the provision of support for parents through the delivery of structured parentingprogrammesFurther development of child-friendly urgent care facilitiesWider adoption of key worker systems for disabled children and their familiesImprovements in the development of comprehensive CAMHS with continued reduction in waiting times. As the mapping initiative is a dynamic process, it is altered each year in line with policy priorities and in thisdata collection we particularly welcome the introduction of information on:NHS responsibilities with regard to safeguarding childrenThe involvement of children, young people and families in the design, planning, development anddelivery of services. As previously, the report is organised around the 11 standards of the Children’s National ServiceFramework, emphasising the important role mapping plays in enhancing the connection between nationalpolicy and local service delivery. An executive summary of the key messages has been published separatelyfor wider circulation. Both these documents provide national summaries; all the information reported isopenly accessible on the mapping website,www.childrensmapping.org.uk, where it can be examined atnational, regional or local levels.Despite being a voluntary exercise, it is very encouraging that a high participation rate has been maintained. This ensures the usefulness of the information gathered and emphasises the value of the information inenhancing understanding of the connection between national policy, local strategy and service delivery. The mapping exercise is a large undertaking involving 363 PCTs and other NHS trusts and 150 localauthorities. Information is provided on almost 5,000 child health, CAMHS and maternity services with manyservice managers inputting the description of their own service. Conversations sparked by this information
2 A profile of children’s health, child and adolescent mental health services and maternity services in England 2007/8
is not only enhancing understanding of synergies between policy, investment and services, but scrutiny of the mapping data is also having an impact on the efficiency of services through supporting service redesignto improve outcomes for children.With this strong foundation, the child health, CAMHS and maternity service mapping exercise is beingextended, with the support of the Department of Children, Schools and Families (DCSF), to encompass allchildren’s services that come under the umbrella of the new Children’s Trusts. This will provide newopportunities to track the growth of inter-agency working and joint commissioning in order to provide anintegrated account of services for children and parents. In partnership with the Child and Maternal HealthObservatory (ChiMat) new data tools are being developed with wider scope and use.Finally, none of this would have been possible without the support of all of you who have contributed to thisimportant piece of work. Many thanks for your help in establishing an on-going source of information andunderstanding of provision for children.
Dr Sheila Schribman
National Clinical Director for Children
Department of Health
3 A profile of children’s health, child and adolescent mental health services and maternity services in England 2007/8
OverviewBackgroundPurpose of mappingProject managementMapping process Accuracy and completionUsing this atlasLocal access to data
2.Commissioning, expenditure, and leadership
Introduction An overview of expenditure on child health, CAMHS and maternity services Total expenditureCommissioning arrangementsExpenditure by service categoriesSpend per child on children’s health servicesSpend per birth on maternity servicesCAMHS expenditureIndividual care expenditurePCT leadership for children’s issues and involvement in planning forums
3.Childrens workforce
IntroductionSummary of the children’s workforceCAMHS workforce
4.Service overview
IntroductionOverview of child health, CAMHS and maternity services Achievement of Every Child Matters outcomesInformation and involvement
5.Delivering NSF Standard 1 - Promoting health and well-being, identifying needs andintervening early
IntroductionPCT provision of public health strategyCompletion of child health needs assessmentsPCT child health promotion programmePublic health advice and immunisationQualified school nurse provision
6.Delivering NSF Standard 2 - Supporting parenting
IntroductionProvision of structured parenting programmesHealth and lifestyle advice for parents
7.Delivering NSF Standard 3 - Child, young person and family-centred services
IntroductionImproving access to children’s health services
8.Delivering NSF Standard 4 - Growing up into adulthood
IntroductionServices for adolescents and young people
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