« Previous | Contents | Next »
Listen
CHAPTER NINETEEN: PLANNING AND COMMISSIONING OF CHILDREN AND YOUNG PEOPLE'S SERVICES
This section of the consultation document suggested 3 key milestones for the planning and commissioning of services and listed 4 action points.
19.1 MILESTONES
The consultation invited consultees to say whether they agreed or disagreed with the milestones and to provide any further comments on them.
National planning arrangements
Six consultees expressed general agreement with this milestone. However, there were some additional comments made regarding the nature of the national planning arrangements.
An Individual (Professional) stated that national planning arrangements are essential to support the delivery of specialist children's services even although they may be delivered on a regional basis.
An education body expressed the opinion that integrated children's services need to be appropriately resourced.
An NHS Board stated that the use of specialist services for example may be greatly influenced by the service delivery models adopted locally.
Table 19.1
51: National planning arrangements supporting the delivery of specialist children's services in Scotland by 2006
| Total responding | Agree
% | Disagree
% | Neither
% |
|---|
Education | 1 | 100 | - | - |
|---|
Individual (Professional) | 15 | 93 | - | 7 |
|---|
Individual | 3 | 100 | - | - |
|---|
Local Authority | 10 | 90 | - | 10 |
|---|
NHS Board | 4 | 100 | - | - |
|---|
NHS Clinical Group | 2 | 50 | - | 50 |
|---|
NHS Mgmt & Strat | 4 | 75 | - | 25 |
|---|
NHS Service Provider | 10 | 100 | - | - |
|---|
Other | - | - | - | - |
|---|
Professional Body | 12 | 75 | - | 25 |
|---|
Public Body | 1 | 100 | - | - |
|---|
Royal College | 2 | 100 | - | - |
|---|
Voluntary / Charity | 5 | 100 | - | - |
|---|
D/K | 1 | 100 | - | - |
|---|
Total | 70 | 90 | - | 10 |
|---|
Base: All those responding in each category
Child health regional planning arrangements
Out of 15 responses, there was general agreement with this milestone. A number of additional comments were made.
Five consultees stated that the milestone requires further clarification on how other agencies besides those involved with health night input into regional planning groups.
Three consultees questioned whether there was a need for a further tier of regional planning groups and whether it would simply add needless extra bureaucracy.
Three consultees asked who might be representing Allied Health Professionals ( AHPs) on the three regional planning groups.
One NHS Clinical Group stated "Planning and Commissioning Regional planning needs firm commitment from health boards and robust financial arrangements to support that commitment. There needs to be consistency within regions to enable delivery of regional ways of working, particularly in regard to specialist service referral. Collaboration between regions is essential for national services but drivers for such delivery remains unclear".
One NHS Service Provider also commented that the allocated timescale had already been exceeded and may need to be extended.
Table 19.2
52: Child health regional planning arrangements established an impact on service delivery for example CAMHS inpatient provision by 2006
| Total responding | Agree
% | Disagree
% | Neither
% |
|---|
Education | 1 | 100 | - | - |
|---|
Individual (Professional) | 15 | 100 | - | - |
|---|
Individual | 3 | 100 | - | - |
|---|
Local Authority | 9 | 78 | - | 22 |
|---|
NHS Board | 4 | 100 | - | - |
|---|
NHS Clinical Group | 2 | 100 | - | - |
|---|
NHS Mgmt & Strat | 4 | 75 | - | 25 |
|---|
NHS Service Provider | 11 | 100 | - | - |
|---|
Other | - | - | - | - |
|---|
Professional Body | 10 | 80 | - | 20 |
|---|
Public Body | 1 | - | - | 100 |
|---|
Royal College | 1 | 100 | - | - |
|---|
Voluntary / Charity | 5 | 100 | - | - |
|---|
D/K | 1 | 100 | - | - |
|---|
Total | 67 | 91 | - | 9 |
|---|
Base: All those responding in each category
Action plans to support delivery of care at DGH and local level
Six consultees responded on this milestone and were generally positive about the action plans. However, 4 consultees expressed some concern over allocated timescales. An NHS Service Provider stated "Though I agree in principle, the time frames seem tight and not aware this work is completed?"
Table 19.3
53: Action plans in place to support the delivery of care at a DGH and local level by 2007
| Total responding | Agree
% | Disagree
% | Neither
% |
|---|
Education | 1 | 100 | - | - |
|---|
Individual (Professional) | 15 | 93 | - | 7 |
|---|
Individual | 3 | 100 | - | - |
|---|
Local Authority | 9 | 78 | - | 22 |
|---|
NHS Board | 4 | 100 | - | - |
|---|
NHS Clinical Group | 2 | 50 | - | 50 |
|---|
NHS Mgmt & Strat | 3 | 67 | - | 33 |
|---|
NHS Service Provider | 11 | 91 | - | 9 |
|---|
Other | - | - | - | - |
|---|
Professional Body | 11 | 64 | - | 36 |
|---|
Public Body | 1 | - | - | 100 |
|---|
Royal College | 2 | 100 | - | - |
|---|
Voluntary / Charity | 5 | 100 | - | - |
|---|
D/K | 1 | 100 | - | - |
|---|
Total | 68 | 84 | - | 16 |
|---|
Base: All those responding in each category
General Comments on key milestones
Of the other, more general comments on the milestones for national and regional planning, 4 consultees expressed their concern that the timescales for achieving the three milestones are demanding, and may have a detrimental effect on service delivery which needs to be considered if these deadlines are to be met. Consultees wondered if the timescales might be unrealistic.
Three consultees also asked why no milestone had been implemented related to multi-agency planning and commissioning.
19.2 ACTIONS
Further comments were invited on the actions listed in the Action Framework in relation to planning and commissioning of Children's and Young People's Services and 20 consultees included a response to this section.
The establishment of a National Steering Group for Specialist Children's Services in Scotland to review current provision and produce a National Delivery Plan.
Five consultees were in general agreement with the suggested action, however a few additional comments were made. Three consultees expressed concern over the tie in with timescales for submission of business cases for the new hospitals in both Edinburgh and Glasgow.
An NHS Service Provider stated "We agree with Actions 88-91 however we would want to ensure there is congruence between national and regional planning group and local planning and delivery".
Regional Planning Groups should be established for Children and Young People's Health services
Five consultees were in general agreement with this action. A few additional comments were made.
One Local Authority stated "The planning and commissioning actions would benefit from an additional task requiring NHS Boards to re-alter their core funding. In preparation for a pooled budget for children's services."
One NHS Board added "Competing priorities and funding issues make this a complex matter".
Clear organisational arrangements for the delivery of inpatient psychiatric provision for children and young people should be established
Two consultees welcomed the suggested action. One Voluntary/ Charity Group wanted "more overt reference to planning regarding children and young people with complex needs or disabilities".
Clear organisational arrangements and models for the delivery of regional and district General Hospital Services in Scotland should be developed
Three consultees were in general agreement with the action. One NHS Service Provider stated that there should be full cooperation and communication between national and regional planning groups for local planning and delivery.
General comments
Of the other more general comments on the actions for national and regional planning, consultees felt additional factors should be included. Three consultees stated that in order to deliver the framework, adequate resourcing will be required through the NHS planning systems. Additionally, two consultees suggested that there needs to be close collaboration between regions to prevent fragmented and uneven delivery of services.
« Previous | Contents | Next »