The service comprises 11 specialist community CAMHS teams across the 4 directorates with varying degrees of differentiation of targeted CAMHS teams and LD CAMHS teams in the localities which make up those directorates. Serving County Durham and Darlington there are 2 well-established LD CAMHS teams, 4 generic CAMHS teams and an Intensive Home Treatment/Crisis team.
The services link with three highly specialist tier 4 inpatient units with outpatient teams associated with them. Namely the Newberry Centre, which is a generic adolescent psychiatric inpatient service; the Evergreen Centre, a regional Eating Disorder in/out patient service and the Westwood Centre, a low secure inpatient unit which also hosts the Adolescent Forensic Outpatient Service (AFOS).
CYPS has a Trustwide Senior Clinical Director; each locality has its own Clinical Director (Durham and Darlington – Dr Corrine Reid) and Head of Service (Durham and Darlington – Mrs Donna Sweet).
The 2017 NHS National benchmarking report on CAMHS services highlighted that TEWV benchmarked extremely well against all other providers, particularly with regard to the amount of service provided to the population by the staff. The volume of work compared to the number of whole time equivalents was the best in the country and the service had some of the lowest DNA rates and lowest cancellation rates, also of anywhere in the country.
- Local working arrangements
The Easington CAMH service is a community, out-patient specialist CAMHS team, supported by the targeted team of PMHWs, although now working towards the Thrive model, replacing the previous Tiered service. Thrive aims to allocate the patient to the correct professional at the beginning of their journey, this professional remaining as lead professional/care co-ordinator throughout their journey in CAMHS, and pulling in other professionals for specific work as required.
It serves the Easington and Peterlee populations (95090 with the population of 0-18 being about 20000 (ONS, 2015)).
The Easington psychiatry team consists of 2 Consultant child and adolescent psychiatrists (1.5WTE), with learning disability psychiatry input being provided from the team at North Durham CAMHS.
This post is being advertised as the existing post holder has resigned.
The service provides specialist mental health assessment and intervention for children and young people up to their 18th birthday. If required, the team has access to mainstream inpatient beds within contracted Tees, Esk and Wear Valleys NHS Foundation Trust tier 4 services. Also available for Durham and Darlington children and young people are commissioned LD CAMHS inpatient beds at Ferndene, Prudhoe (provided by Northumberland, Tyne and Wear NHS Foundation Trust). The directorate also provides an assessment and intervention service from the Holly Unit, which allows short stays for young people to address specific formulation and therapeutic needs for young people with learning disabilities.
The consultant is expected to conduct 400 face to face contacts with service users per year (wte).
The service offers flexible opening hours, each week:
Mondays & Wednesdays 8am–6pm
Thursdays & Friday: 8am-5pm
The post holder will provide psychiatric consultation for the Easington CAMHS team.
Easington CAMHS consists of:
- • The generic CAMHS team for Easington. The team provides assessment and intervention for children and young people with a mental health presentation.
- The Learning Disability CAMHS team for North Durham and Easington. The team provides assessment and intervention for children and young people with comorbid Learning Disability and a mental health presentation.
- • Since summer 2018 there has been a small group of Children’s Psychological Wellbeing Practitioners (CPWPs). They are based in the community and provide assessment and low intensity psychological interventions in CAMHS e.g. CBT, parenting and group work.
- • The Durham and Darlington CAMHS Crisis and Liaison team was launched in the summer of 2015.. It aims to provide a rapid, seamless, streamlined service that is efficient and effective in responding to those young people with mental health needs who are deemed to be in crisis and to avoid, where possible, the need for hospital admission. It also supports the existing locality teams with managing acute psychiatric emergencies and reduces the need for planned appointments to be cancelled. It operates 24 hours every day and 7 days every week. In 2017 the team expanded to also provide Intensive Home Treatment to support particularly unwell children and young people in the community to try and prevent or minimise inpatient admissions. This service operates for all children and young people, including those with a Learning Disability.
All referrals now come into the Single Point of Access at the Mulberry Centre, Darlington and are offered a face to face or telephone access to service assessment. Some referrals are then seen by the Primary Mental Health Worker or Psychological wellbeing practitioners. Those coming into Specialist CAMHS are then offered an appointment for initial assessment within four weeks.
All young people open to the team have a Lead Professional / Care Co-ordinator. ; Consultant medical staff do not generally undertake initial assessments; they provide Lead Professional / Care Co-ordinator input for only a small number of cases.
The service has recently redesigned the Autism assessment pathway, this was following the successful pilot of a five day ASD assessment model, and subsequent allocation of additional funding. The new model is made up of a centralised dedicated multi-disciplinary Autism team who carry out a NICE compliant Autism assessment. We would expect this post holder to work into this team as part of the neurodevelopmental component of the role.
The multi-disciplinary Specialist Eating Disorder Team (which covers County Durham and Darlington) are based in the Acley Centre in Newton Aycliffe. The team accept referrals from all CAMHS teams and work across the locality
Particular attractions of this post include the continued development of services in conjunction with the Team Manager and other senior staff within the team. The post provides opportunities for continuing the excellent liaison with General and Community Services within the Trust, County Durham and Darlington NHS Foundation Trust, Clinical Commissioning Group, Social Services and Education.