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A profile of child health, child and adolescent mental health and maternity services in England 2007.

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A profile of child health, child and adolescent mental health and maternity services in England 2007.
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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: Unknown Citation for published item: Barnes, Di. and Parker, Ethna and Wistow, Richard and Dean, Richard and Thomson, Claire (2007) ’Aprofile of child health, child and adolescent mental health and maternity services in England 2007.’, TechnicalReport. Durham University, School of Applied Social Sciences, Durham. Further information on publisher’s website: http://www.childrensmapping.org.uk/ Publisher’s copyright statement: 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 2971http://dro.dur.ac.uk  Di Barnes, Ethna Parker,Richard Wistow and Richard Deanwith Claire Thomson  A profile of  child health,child and adolescent mental health and maternity services in England 2007 07  Foreword  This is the second report of the national child health and maternity services mappingexercise, providing the results of information collected by local authorities and theNHS between November 2006 and March 2007. Importantly, this years reportincludes data from the more established child and adolescent mental health servicesmapping exercise. The integration of all results into one atlas, organised aroundNational Service Framework standards aims to further support the local developmentand improvement of children’s services. Local support for a tool which has the ability to track changes over time as national policy is implementedand raise the profile of children’s services by highlighting gaps and resource issues has continued this year. The response rate from services has improved further, from 96% to 99%. This is despite the significantrestructuring within the NHS and the non mandatory nature of the child health and maternity servicequestionnaires this year. Please maintain this enthusiasm so that robust trend data can be built upon yearon year. The mapping exercises have always had a close relationship to performance improvement with the dataproviding a useful source of information for the Healthcare Commission and Ofsted. For the period of thisreport, only CAMHS data was formally performance monitored by Ofsted. It may be useful to note thoughthat this will change in 2007/8 as children’s hospital services data is used as part of the HealthcareCommission’s review. Details are available on their website:www.healthcarecommission.org.uk. The ability to access the data and utilise the reports to understand the nature and extent of your localprovision and pinpoint areas for attention is critical. Reports are available locally, regionally and nationally atwww.childhealthmapping.org.uk. In particular, at a local level, staff new to children’s services may find thelocal PCT profiles a useful starting point for understanding the overall position of your PCT. This paper-based atlas provides a national position statement and can be used to understand how differentregions compare in terms of progress made against national policy. For this reason it is of particular use tonational and regional policy leads and inspectors, leads in professional organisations, SHA children’s leads,CSIP staff, Children’s Services Advisors and their teams at government offices. Please remember thoughthat all of the data can be drilled down to the srcinal questionnaire it came from so the detail is readilyavailable on the website.In terms of the key messages from this report, you will find a very useful summary in the ‘Key Messages’document. However, there are some interesting early trends that will be helpful to follow up now and in thefuture such as:•25% increases in workforce and investment, partly accounted for by the increase in response rate andnumbers of services mapped but also due to improved knowledge of mapping•A national spend figure of £5B with 64% taken up by hospital and maternity services and just 13% onuniversal services 2 A profile of child health, child and adolescent mental health and maternity services in England 2007  •Commissioners taking their planning responsibilities seriously with improvements in both leadershiparrangements for children’s services and planning activities such as the completion of locality widehealth needs assessments•A significant change in the way in which services are delivered between reporting years with bigincreases in outreach working taking place in non health settings•Some concerns in the reduction of school nursing resources per cluster of schools and the marginalimprovement in services for adolescents•The delivery of the PSA targets for CAMHS across all CAMHS partnerships.In terms of the next steps, improvements to the way in which data is reported will continue with on-lineportals dedicated to each PCT being available in the New Year. In addition, the Child Health and MaternityIntelligence Unit (CHIMAT) is under development and will provide a range of commissioning tools to supportyou in your work over the next 18 months.Once again, without your support none of this would be possible, so many thanks for your commitment tothis important way of understanding children’s services and the opportunities arising to improve delivery andbetter outcomes. Dr Sheila Shribman National Clinical Director for Children Department of Health 3 A profile of child health, child and adolescent mental health and maternity services in England 2007  Contents 1.Introduction OverviewMapping managementMapping processUsing this atlasLocal access to data 2Commissioning, expenditure and leadership Introduction An overview of spend on child health, CAMHS and maternity servicesCommissioning arrangements Total spendChild health and maternity service expenditureCAMHS expenditureIndividual care expenditurePCT leadership for children’s issues and involvement in planning fora 3.Children’s workforce IntroductionSummary of the children’s workforceChild health and maternity service workforceCAMHS workforce 4.Delivering NSF Standard 1 - Promoting health and well-being, identifying needs andintervening early IntroductionPCT provision of public health strategyCompletion of child health needs assessmentsUniversal and targeted children’s health servicesPCT child health promotion programme Time spent on public health activitiesPublic health advice and immunisationQualified school nurse provisionSupport for children in special circumstances 5.Delivering NSF Standard 2 - Supporting parenting IntroductionProvision of parenting programmesHealth and lifestyle advice for parents 6.Delivering NSF Standard 3 - Child, young person and family-centred services IntroductionImproving access to children’s health services 7.Delivering NSF Standard 4 - Growing up into adulthood IntroductionServices for adolescents and young peoplePromoting a healthy lifestyle for young people 6 778910 11 1213141516182122 23 24242532 40 414142434445464647 48 494950 52 5353 54 555556 4 A profile of child health, child and adolescent mental health and maternity services in England 2007
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