Chamber and committees

There will be 4 places available for the child psychotherapy training starting in October 2013, with NHS Education Scotland (NES) currently out to tender to select an education provider.

The child psychotherapy workforce is currently small and an integral part of training child psychotherapists is ongoing supervision. We have set a limit of 4 to ensure there is sufficient supervision to provide high quality training and ongoing supervision thought the training period.

The number of people under the age of 18 admitted to adult psychiatric wards in each of the last 5 years is:

Data supplied by Mental Welfare Commission.

There are some reasons why it may not always be possible for a young person to be admitted to a specialist child and adolescent bed – for example, a crisis admission out of hours where there are concerns for the young person’s safety, or where a specialist facility might be a considerable distance from family support that could help recovery.

Most of these admissions are among young people aged 16 or 17 where an adult facility might in certain cases be clinically judged to be the more appropriate setting, but we nevertheless expect almost all children and young people admitted to adult wards to be discharged quickly or transferred to Child and Adolescent Mental Health Services (CAMHS).

If a young person has to be in an adult ward, we expect their care to be specially tailored to their needs with input from specialist CAMHS staff, taking into account education, social work advocacy and recreation.

We have introduced a new approach to addressing capacity issues with the development of CAMHS intensive ‘hospital at home’ type service delivery in a number of NHS Board areas. This approach emphasises the child’s strength and uses the expertise within the family and the local community to maximise the support available.

The benefits of this system as a whole is that a new capacity is created. In the areas where the new approaches are most advanced this has been demonstrated to have had the effect of significantly reducing the need for unscheduled and temporary admissions of under 18s to adult psychiatric hospital beds.

We have made a commitment in the mental health strategy to reduce the number of admissions to adult wards across Scotland to the levels of performance achieved in the south of Scotland which has implemented this approach successfully.

Public Health Nurses-Health Visitors promote a range of information and resources, for example Bookbug, and NHS Health Scotland’s publications including Ready Steady Baby! and Ready Steady Toddler!. They provide further additional information to meet the needs of individual families as appropriate.

Guidance on the 27-30 month review as it is now known, to be distributed to NHS Boards shortly, includes health promotion resources for Public Health Nurses-Health Visitors to share with families as part of the review, tailored to meet their individual needs.

Information recorded on the child health pre-school information system as at August 2012 shows that all NHS Boards use the health plan indicator.

NHS Boards have introduced, or are working towards introducing, 2 categories of HPI as set out in A New Look at Hall 4: The Early Years: Good Health for Every Child.

It is not possible to predict the amount of constraint payments into the future. National Grid balances demand and supply of electricity in the GB market on a minute by minute basis in order to maintain supplies within strictly defined standards. Payments are made to generators of all fuel types to either start or halt generation, in order to manage constraints and keep the electricity system in balance.

A short-life working group was set up to agree the core issues to be addressed and recorded at the 24-30 month review, and recommended that the review be carried out between 27 and 30 months. Guidance on the 27-30 month review will be issued shortly, requiring NHS Boards to introduce the review from 1 April 2013.

The guidance recommends health improvement topics for Public Health
Nurses-Health Visitors to consider at all 27-30 month reviews and includes health promotion resources to share with families.

The Public Health Nurse-Health Visitor provides the link between the child and family and the primary healthcare team for all children until the child reaches school entry. Ministers have recently consulted on formalising the role for health being responsible for providing the named person until school entry.

The review has not yet been implemented. A short-life working group was set up to determine the core issues to be addressed and recorded at the 24-30 month review, and recommended the review be carried out between 27 and 30 months. Guidance on the 27-30 month review will be issued shortly, requiring NHS Boards to introduce the review from 1 April 2013.

A short-life working group was set up to determine the core issues to be addressed and recorded at the 24-30 month review, and recommended the review be carried out between 27 and 30 months. Guidance on the 27-30 month review will be issued shortly, requiring NHS Boards to introduce the review from 1 April 2013.