answer text |
<p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child
and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number
of admissions during the period. Patients may have been admitted more than once during
the same period, each admission will be counted separately.</p><p>The information
requested on placements in different inpatient settings is either not available in
the format requested or not held centrally.</p><p>The total number of placements in
CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three
years is set out in the following table. These figures represent admissions for patients
under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned
Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p>
</p><p>Whilst the Assuring Transformation data set records the number of people with
learning disabilities and/or autism who are inpatient settings, we are unable to provide
the information requested as such information can only be obtained at disproportionate
cost.</p><p>There are a number of steps that NHS England may take following any Care
Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder
quality risk profile (QRP) assessment will be undertaken where relevant parties, including
the CQC, NHS England and NHS Improvement, the provider and clinical commissioning
group (CCG) would meet to discuss the risks via an assessment tool and discuss them
to identify any required action as a consequence.</p><p>As part of that process, there
would be clear discussion regarding the areas that led to inadequate ratings and how
they relate to patients in the care of that specific facility. A decision would then
be taken as to whether there is enough assurance that current actions will address
the concerns or whether the level of assurance is such that escalation to a single
item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As
part of this process, there would be discussions around actions required and whether
it would be appropriate to provide additional support to facilities in terms of additional
staff and specialist staff. An individual assessment would be undertaken of patients
including their capacity and ability to consent to any continuation of their care
or movement of care.</p><p>If it is determined that the appropriate action is to close
the inpatient facility and any patient is to be moved, there would be whole system
coordination by NHS England, CCGs, the CQC and the provider, whereby information from
the individual risk assessment would inform prioritisation for the move. In terms
of guidance given to other stakeholders on these processes there is a Standard Operating
Procedure along with guidance on risk summits and QSGs. These are available at the
following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf"
target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a
href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf"
target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p>
|
|