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1140466

registered interest
date	18/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Psychiatric Hospitals: Children and Young People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the Care Quality Commission has published a specific inspection framework for Child and Adolescent Mental Health (CAMHS) Tier 4 inpatient services; what is the maximum time allowed between inspections of CAMHS inpatient services; and in what ways the views and experiences of child patients and their parents are elicited.
tabling member printed	Baroness Jolly
uin	HL17299
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Tier 4 inspections are covered as part of the child and adolescent mental health wards core service. The definition for this core service is as follows:</p><p>Child and adolescent mental health services may assess and treat children and young people as an inpatient in hospital. This may be when community-based services cannot meet their needs safely and effectively because of their level of risk and/or complexity and where they need 24-hour nursing and medical care.</p><p>If providers are registering with the CQC as a new provider, the CQC will normally aim to inspect within 12 months of registration. For services that are rated, providers will receive their initial rating at this inspection. The CQC use this initial rating to determine when next to inspect the service.</p><p>For both National Health Service trusts and independent providers, the following principles apply regarding re-inspection (for NHS trusts since June 2017 and for independent providers since April 2018):</p><p>- Inadequate – Normally within 12 months of publishing the last comprehensive inspection report;</p><p> </p><p>- Requires improvement - Normally within two years of publishing the last comprehensive inspection report;</p><p> </p><p>- Good - Normally within three and a half years of publishing the last comprehensive inspection report; and</p><p> </p><p>- Outstanding - Normally within five years of publishing the last comprehensive inspection report.</p><p> </p><p>These are maximum inspection intervals, therefore the CQC may inspect more frequently, particularly if there is a risk.</p><p>The CQC encourages people to share their experience to ensure it is acted upon, including through the national Tell Us About Your Care partner charities.</p><p>The CQC aim to speak to children and young people and their families/carers during the inspection (depending on their availability) and have specific inspection tools to enable this.</p><p>This information is published as part of the inspection framework for NHS acute hospitals.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/07/2019 16:46:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4203 label Biography information for Baroness Jolly

1140467

registered interest
date	18/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Psychiatric Hospitals: Children and Young People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government on what dates each of the registered Child and Adolescent Mental Health Tier 4 inpatient services were last inspected; and what is the schedule for future inspections for each service.
tabling member printed	Baroness Jolly
uin	HL17300
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Care Quality Commission (CQC) has provided the following response.</p><p>The dates each of the registered Child and Adolescent Mental Health Tier 4 inpatient services were last inspected are attached, due to the size of the data.</p><p>The CQC carry out either comprehensive or focused inspections. For National Health Service trusts, these inspections will usually be unannounced.</p><p>In a few instances, where there are very good reasons, the CQC may let a service know it is coming. For example, the CQC may contact a trust to make sure senior management are present to answer its questions.</p><p>To enable the CQC to observe normal practice in a service, it has introduced more unannounced inspections as part of its comprehensive inspection methodology.</p><p>Because the CQC requests information from providers beforehand, it will carry out the inspection within three months of the provider submitting its provider information request. However, the CQC will not announce the day on which it intends to inspect.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/07/2019 16:45:37 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL17300 table formatted.docx title CAMHS Tier 4 inpatient inspections
tabling member	4203 label Biography information for Baroness Jolly