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A profile of children's health services, child and adolescent mental health services and maternity services in England 2007/8.

A profile of children's health services, child and adolescent mental health services and maternity services in England 2007/8.
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  Durham Research Online Deposited in DRO: 25 January 2010 Version of attached file: Published Version Peer-review status of attached file: Peer-reviewed Citation for published item: 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. Further information on publisher’s website: Publisher’s copyright statement:Additional information: Use policy The full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, forpersonal research or study, educational, or not-for-profit purposes provided that: • a full bibliographic reference is made to the srcinal source • alinkis made to the metadata record in DRO • the full-text is not changed in any wayThe full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult thefull DRO policyfor further details.Durham University Library, Stockton Road, Durham DH1 3LY, United KingdomTel : +44 (0)191 334 3042 — Fax : +44 (0)191 334 2971  Di Barnes, Carol Devanney, EthnaParker and Richard Wistow  A profile of  children’s health services,child and adolescent mental health services and maternity services in England 2007/8  Foreword 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 services•Good progress by primary care trusts since reorganisation in establishing public health strategies basedon comprehensive assessments of child health needs•Significant increases in the provision of support for parents through the delivery of structured parentingprogrammes•Further development of child-friendly urgent care facilities•Wider adoption of key worker systems for disabled children and their families•Improvements 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 children•The 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,, 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  Contents 1.Introduction 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.Children’s 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 6 7778891010 11 12121313141515161718 19 202127 30 31313536 38 393940414142 43 444445 46 4747 48 4949 4 A profile of children’s health, child and adolescent mental health services and maternity services in England 2007/8
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