The Department of Health describes Clinical Governance as ‘The system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence will flourish.’
Clinical governance encompasses quality assurance, quality improvement and risk and incident management.
Accountability
Across Black Country CAMHS, we evidence our accountability through:
- Attendance and discussion at Clinical Governance Meetings (Monthly).
- Attendance and discussion at Clinical Effectiveness Groups (Monthly).
- Attendance and discussion at Patient Risk and Safety Meetings (Monthly).
- Assurance Reports where there is provocation to consider whether our actions and/or processes achieve what they should. These reports detail the review of an event of occurrence.
- Working to local Black Country Healthcare Policies and Procedures.
- Adhering to NICE (National Institute for Clinical Excellence) Standards and Guidelines.
- Working to NHS Models of Care (such as Thrive).
- Adhering to National Data and Information Guidance.
- Listening to, and acting on Patient Satisfaction and Patient Feedback.
- Reporting on agreed KPIs (Key Performance Indicators).
- Monitoring and acting on the performance of our teams across our Black Country CAMHS services.
- Adhering to our Risk and Safety protocols.
- Competent practitioners e.g. Child and Adolescent Psychiatrist, therapeutic qualifications of psychological practitioners.
- All CAMHS staff with direct patient contact hold up to date DBS certificates.
Clinical Models
The Thrive Model is used across Health and Education systems. It outlines an approach to care, recognising that children’s needs are met in all of their relationships, and not only with specialist services e.g. CAMHS. The model supports that working to support children to remain in ‘thriving’ is, as important as working to help children return to ‘thriving’.
Please see below link for more information:
Relevant NICE Guidance
The National Institute for Clinical Excellence (NICE) publishes clinical standards and guidance to advise the NHS and its services on how clinical treatments should be conducted.
Across CAMHS we have pathways embedded to support the following NICE standards and guidance:
- NICE: Violence and aggression: short-term management in mental health, health and community settings (NG 10).
- NICE: Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges (NG 11).
- NICE: Self-harm: The short-term physical and psychological management and secondary prevention of self harm in primary and secondary care (CG 16).
- NICE: Obsessive Compulsive Disorder (O C D) and body dysmorphic disorder (B D D) (CG 31).
- NICE: Social and Emotional Wellbeing Early Years (PH 40).
- NICE: Childhood Obesity (CG 43).
- NICE: Drug misuse: opioid detoxification (CG52) / psychosocial interventions (CG 51).
- NICE: Eating Disorders: Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders (NG 69).
- NICE: Attention Deficit Hyperactivity Disorder (CG 72).
- NICE: Antisocial Personality Disorder (CG 77).
- NICE: Borderline Personality Disorder (B P D) (CG 78).
- NICE: When to suspect child maltreatment (CG 89).
- NICE: Depression and Anxiety – Computerised Cognitive Behavioural Therapy (C C B T) (TA 97).
- NICE: Anxiety (CG 113) [Adults].
- NICE: Preventing and managing alcohol misuse (CG 115).
- NICE: Post Traumatic Stress Disorder (NG 116).
- NICE: Common mental health disorders: Identification and pathways to care (CG 123).
- NICE: Autism diagnosis in children and young people: Recognition, referral and diagnosis of children and young people on the autism spectrum (CG 128).
- NICE: Self-harm longer term management (CG 133).
- NICE: Depression in children and young people (NG 134). and adults (CG 90).
- NICE: Epilepsy (CG 137).
- NICE: Autism: recognition, referral, diagnosis and management of adults on the autism spectrum (CG 142).
- NICE: Psychosis and Schizophrenia in children and young people (CG 155). and adults (CG 178).
- NICE: Conduct Disorders in children and young people (CG 158).
- NICE: Social Anxiety Disorder (CG 159).
- NICE: Autism: The management and support of children and young people on the autism spectrum (CG 170).
- NICE: Bipolar Disorder Assessment and Management (CG 185).
- NICE: Antenatal and postnatal mental health: clinical management and service guidance (CG 192).
- NICE: Bipolar Disorder (adolescents) – Aripiprazole (TA 292).
- Early Intervention – The Next Steps (Cabinet Office, 2011)
- CAMHS Evidence Based Practice Unit: A mental health pathway for children and young people with learning disabilities (2007)
- NICE: Quality Standard for Depression in adults (QS 8).
- NICE: Quality Standard for service user experience in adult mental health (QS 14).
- NICE: Quality Standard for Drug Use Disorders (QS 23).
- NICE: Quality Standard for the Epilepsies in Adults (QS 26).
- NICE: Quality Standard for the Epilepsies in Children and Young People (QS 27).
- NICE: Quality Standard for Self-Harm (QS 34).
- NICE: Quality Standard for Autism (QS 51).
- NICE: Quality Standard for Anxiety Disorders (QS 53).
- NICE: Quality Standard for Antisocial Behaviour and Conduct Disorders in children and young people (QS 59).
- NICE: Quality Standard for Head Injury: assessment and early management (QS 74).
Relevant Policies and Procedures
There are many policies, procedures and SOPs (Standard Operating Procedures) ratified across Black Country Healthcare to provide guidance to services.
CAMHS Services operate policies and procedures ratified on the below topics:
- CAMHS Specific Policies/Standard Operating Procedures
- Data Quality & Record Keeping
- Dignity & Equal Opportunities
- Fire Safety
- Health & Safety
- Infection, Prevention & Control
- Information Governance including Information Sharing & Confidentiality
- IT and Use of Digital Technology
- Medical Policies
- Mental Health Act & Mental Capacity Act
- Patient Alert & Safety
- Risk Management
- Safeguarding
- Service User Involvement & Feedback
- Staffing/Human Resources
You can view some of our policies and procedures on the Black Country Health Care NHS Foundation Trust website: www.blackcountryhealthcare.nhs.uk
More about Understanding CAMHS
To learn more about how our CAMHS services work, you can access the Patient Journey, Clinical and Managerial sections in the links below.
CAMHS Model Managerial