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<p>Commissioning of child and adolescent health services (CAMHS) in England is complex,
with responsibility divided between NHS England, clinical commissioning groups (CCGs),
local authorities and schools.</p><p> </p><p> </p><p> </p><p>In the Spring Budget
in March 2015 the Chancellor of the Exchequer announced an additional £1.25 billion
over the next five years for children and young people’s mental health.</p><p> </p><p>
</p><p> </p><p>Priorities for CCG expenditure are for local determination. However,
the 2015/16 planning guidance from NHS England states that: “every CCG will be expected
to use its extra funding to increase funding for local mental health services in real
terms next year by at least the level of the CCG’s overall funding growth.” In addition,
new guidance to CCGs on local transformation plans for children and young people’s
mental health will require that local partners be transparent on local activity, workforce
and spend on CAMHS.</p><p> </p><p> </p><p> </p><p>The priority for NHS England, which
is responsible for the commissioning of the Tier 4 in-patient beds, is to focus on
improving access to these services when they are required.</p><p> </p>
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