Surrey CAMHS Independent Review 

What is the Independent Review?

Surrey CCGs, Surrey County Council and Surrey and Borders Partnership jointly commissioned an independent review during Summer 2018 of Mindsight Surrey CAMHS Services. The review was carried out by Attain in response to the increased demand for CAMHS Community Services and the Behavioural, Emotional and Neuro-developmental  Service. There is a recognition that we need to respond differently as a system to meet the needs of children and young people with emotional, wellbeing and mental health needs.

What are the key findings of the Review?

The review included analysis of data and input from around 200 people and set out a series of findings and recommendations for the future. These are summarised below:

  • There is a universal commitment to delivering high quality CAMHS services to children and young people in Surrey
  • The Mindsight Surrey model is innovative, a number of the services are high performing and clinical interventions are perceived as high quality. There are some areas of excellence – for example, Haven and Eating Disorder Service, the concept of Single Point of Access and BEN pathway
  • The vision for Mindsight Surrey is not being wholly delivered, nor is it deliverable in the current context. Challenges faced by the service include:
    • multi-agency relationships not working to provide consistent early help to children and young people (especially schools and GPs) 
    • the CAMHS service is not sufficiently robust
    • the complexity of commissioning structures for CAMHS 
    • front-line teams are under pressure with significant vacancies
  • Demand on the service has been 53% higher than predicted, however, the number of referrals is only marginally higher than the national average
  • Funding is slightly above national average when benchmarked against other CAMHS services in England – although slightly below the top 21 performing services. Arguably, services should be able to be configured to deliver demand currently experienced by the service 
  • There is a lack of historic data relating to CAMHS in Surrey. Data capture and quality is improving, but still requires significant improvement

What is happening next?

We are committed to building on existing relationships to work together as a community to improve outcomes for children and young people and to co-design the service of the future.  To do this we have identified four phases of development. The key elements against each phase are highlighted below:

1.  Improve outcomes for children and young people by improving the service

  • Increase early help and prevention
  • Ensure flexible and consistent access to services 
  • Establish clear thresholds for referral and pathways for access 
  • Ensure joint working with parents, carers and families

2.  Jointly own the plan and delivery

  • Strengthening the system in its widest sense eg with adult services and wider children’s services
  • Sharing accountability for risk and success across the system
  • Actively care for our workforce

3.  Listen to, understand, engage and communicate with all stakeholders, particularly children and young people

  • Putting the voice of children and young people at the heart of co-designing, evaluation and assuring services
  • Establish clear, consistent and accessible communications with all stakeholders  particularly for vulnerable young people

4.  Build a culture of evaluation, reflection, learning and evolution

  • Ensure the provision and analysis of good data including service user outcomes, quantifiable metrics and  record the impact of support on families

Specific actions are being developed for each of the phases along with timeframes to deliver this work. This will be overseen by the CAMHS Project Board and we will provide quarterly updates on our progress.

Download a presentation detailing the findings of the Independent Review.