FOI Response – Waiting times for patients at CAMHS WAIT TO ASSESSMENT Notes for questions 1-5.: Please note, we are interested in actual waiting times rather than target waiting times. If you only have data available in weeks or months, please provide details of how many days you consider to be in a week or month for the purposes of your calculations. Ideally, we would like data for the primary reason for referral, if you do not record reason for referral, please state this in your response. If there are several reasons for referral, multiple counts are allowed, please state if this is the case in your response. If you only have some of this data we would prefer a partial response than no response. 1. What is your minimum, maximum and median waiting times from the date referral received to initial appointment with healthcare professional this includes a CHOICE or triage appointment and/or telephone or video call assessments.? Please provide data for the previous full financial year 2020/2021.. Data based on total number of referrals Year Min waiting time in days. Max waiting time in days. Median waiting time in days. Total number of referrals received 01/04/2020 to 31/03/2021 0 338 29 4887 Notes: Waiting times exclude parenting programme Waiting times based on number with 1st contact in the period 2. In the financial year 2020/2021, what is your minimum, maximum and median waiting times from the date referral received to initial appointment with healthcare professional this includes a CHOICE or triage appointment and/or telephone or video call assessments. broken down by primary reason for referral? Data based on main presenting problem or reason for referral to CAMHS service Primary reason for referral Min waiting time in days. Max waiting time in days. Median waiting time in days. Total number of referrals received during this year Primary reason for referral Min waiting time in days. Max waiting time in days. Median waiting time in days. Total number of referrals received during this year Advice only Adjustment to health issues 12 12 12 2
ADHD/hyperactivity Anxiety 0 151 16 481
Anxiety/panic Attachment difficulties 8 99 15 9
Attachment Disorders Attention & Concentration 7 42 24 4
Autism Spectrum Disorders Behaviour & Anger 0 132 14 105
Behavioural issues Bi polar disorder 1
Bipolar Conduct disorders 1
Conduct Disorders Depression 3 87 14 75
Depression Diagnosed Autism Spectrum Condition 0 138 12 66
Drug and Alcohol difficulties Drug and alcohol difficulties 0 24 4 7
Eating disorders Eating Disorder 28 28 28 3
Gender discomfort issues Emotional Dysregulation 1 111 14 120
In crisis First Episode Psychosis Suspected. 1
Obsessive compulsive disorder Gender Discomfort issues 41 45 43 4
Psychosis Neurodevelopmental conditions excluding ASC. 1 311 83 9
Personality disorders Not stated 0 338 21 2954
Phobias Obsessive Compulsive Disorder 5 90 23 7
PTSD Other 0 322 19 564
Relationship difficulties Panic Attacks 16 38 27 7
Self-harm behaviours Perinatal – Mental Health issues 36 36 36 1
School difficulties Phobias 16 50 33 2
Tics Post-traumatic Stress Disorder 1 64 3 19
Others Relationship Difficulties 1 55 24 47
Not known Safeguarding Concerns 9
School Based Problems i.e. Attendance, learning. 9
Self-care issues 3 3 3 3
Self-harm behaviours 0 206 10 306
Social Communication 18 18 18 5
Suspected Autism Spectrum Condition 1 63 19 64
Unexplained Physical Symptoms 2
WAIT TO TREATMENT 3. What is your minimum, maximum and median waiting times from the date referral received to start of treatment, based on the total number of referrals? NB. If you base start to treatment on anything other than 2nd appointment, please state below what you identify as start of treatment. Data based on total number of referrals Year Min waiting time in days. Max waiting time in days. Median waiting time in days. Total number of referrals received 01/04/2017 to 31/03/2018 01/04/2018 to 31/03/2019 01/04/2019 to 31/03/2020 01/04/2020 to 31/03/2021 4. In the financial years 2019/2020 and 2020/2021, what is your minimum, maximum and median waiting times from the date referral received to start of treatment, broken down by primary reason for referral? Data based on main presenting problem or reason for referral to CAMHS service 2019/2020 2020/2021 Primary reason for referral Min waiting time in days. Max waiting time in days. Median waiting time in days. Total number of referrals received during this year Min waiting time in days. Max waiting time in days. Median waiting time in days. Total number of referrals received during this year Advice only ADHD/hyperactivity Anxiety/panic Attachment Disorders Autism Spectrum Disorders Behavioural issues Bipolar Conduct Disorders Depression Drug and Alcohol difficulties Eating disorders Gender discomfort issues In crisis Obsessive compulsive disorder Psychosis Personality disorders Phobias PTSD Relationship difficulties Self-harm behaviours School difficulties Tics Others Not known 5. How many referrals were received from each of the referral routes over the last four financial years 2017/2018, 2018/2019, 2019/2020, 2020/2021.? If you only have some of this data, a partial response would be preferred to no response. Please provide data as a number, rather than a percentage. Referal Route 01/04/2017 to 31/03/2018 01/04/2018 to 31/03/2019 01/04/2019 to 31/03/2020 01/04/2020 to 31/03/2021 Referral source 01/04/2017 to 31/03/2018 01/04/2018 to 31/03/2019 01/04/2019 to 31/03/2020 01/04/2020 to 31/03/2021 General Medical Practitioner Practice GP. Accident And Emergency Department 21 42 15 3
School Community-based Paediatrics 251 311 291 251
Parent/Family Courts 2 2 SENCO Drug service non-stat 1 1 Internal Tier 2 CAMHS Education Service/Educational Establishment – LEA 532 501 1181 1353
Social Worker Education Service/Educational Establishment – Non LEA 4 6 16 19
Family Support Worker GENERAL MEDICAL PRACTITIONER PRACTICE 1958 1917 1934 1807
Internal CMHT Child and Adolscent Mental Health. Health Visitor 86 86 53 44
Hospital-based Paediatrics Hospital-based Paediatrics 211 222 118 58
School Nurse Internal – Community Mental Health Team Adult Mental Health. 119 134 Other Clinical Speciality Internal – Community Mental Health Team Child and Adolescent Mental Health. 168 141 Education Service Internal – Community Mental Health Team Learning Disabilities. 2 9 Community-based Paediatrics Internal – GHC MH or LD Inpatient Service 11 71
SPA/R Internal – Inpatient Service Adult Mental Health. 2 A&E Department Internal – Other GHC MH or LD Team 16 252 364
Community Practice Nurse/Health Visitor LAC Health Nurse 1 Educational Psychologist Local Authority Education Service 1
Local Authority Social Services Local Authority Social Services 512 439 415 407
Internal CMHT Learning Disability. Other 77 94 65 Youth Offending/Police Other clinical specialty 62 48 134 169
Other Other Service or Agency 126 151 250 154
TOTAL NUMBER OF REFERRALS Perm transfer from MH services 2
Probation Service 1
ADDITIONAL INFORMATION
Please provide any additional information: School Nurse 136 73 48 57
Self 71 68 54 69
Voluntary Sector 1 5 57
Grand Total 4340 4261 4845 4887Trust HQ
Edward Jenner Court
1010 Pioneer Avenue
Brockworth
Gloucester
GL3 4AW
Direct Tel: 0300 421 8414
E-mail: freedomofinformation@ghc.nhs.uk
Website: www.ghc.nhs.uk
DATE: 09/07/2021
Freedom of Information Request – Ref: FOI 140-2122
Thank you for your recent Freedom of Information request. Please find our response below.
Overall based on the total number of referrals to Community CAMHS, what is your minimum, maximum and median waiting times in days from the date referral received to initial appointment with healthcare professional this includes a CHOICE or triage appointment and/or telephone or video call assessments.? Data based on total number of referrals
Year Min waiting time in days.
Max waiting time in days.
Median waiting time in days.
Total number of referrals received
01/04/2020 to 31/03/2021 0 338 29 4887
Notes: Waiting times exclude parenting programme
Waiting times based on number with 1st contact in the period
What is your minimum, maximum and median waiting times in days from the date referral received to initial appointment with healthcare professional broken down by primary reason for referral? Please see attached separate excel spreadsheet. How many referrals were received from each of the referral routes listed in the Excel document. over the last four financial years 2017/2018, 2018/2019, 2019/2020, 2020/2021.? Please provide data as a number, rather than a percentage. Please see attached separate excel spreadsheet.
Should you have any queries in relation to our response in this letter, please do not hesitate to contact me. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:-
Associate Director of Corporate Governance Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth
GLOUCESTER GL3 4AW
If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office ICO. for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.
Yours sincerely,
Freedom of Information Officer
On behalf of Gloucestershire Health & Care NHS Foundation Trust
FOI Request
Sent: 10 June 2021 11:15
To: Freedom of Information
Subject: FOI Request – Waiting times for patients at CAMHS This email originated from outside of the organisation. Do not click links or open attachments unless you recognise the sender and know the content is safe. If unsure, please contact ghcit@ghc.nhs.uk
--------------------------, We previously obtained information about waiting times through a Freedom of Information FOI. request. We thank you for your previous response. We are now looking to update that information for the last year and we would like to make another FOI request regarding the waiting times for specialist multi disciplinary Tier 3.* community Child and Adolescent Mental Health Services CAMHS.. We noted in our previous request you were unable to provide wait to treatment data, and we wondered whether this was something which could now be provided. Our request consists of five questions: Wait to initial appointment 1. Overall based on the total number of referrals to Community CAMHS, what is your minimum, maximum and median waiting times in days from the date referral received to initial appointment with healthcare professional this includes a CHOICE or triage appointment and/or telephone or video call assessments.? 2. What is your minimum, maximum and median waiting times in days from the date referral received to initial appointment with healthcare professional broken down by primary reason for referral? Wait to treatment 3. Overall based on the total number of referrals to Community CAMHS, what is your minimum, maximum and median waiting times in days from the date referral received to start of treatment? Please provide data for the previous four full financial years 2017/2018, 2018/2019, 2019/2020, and 2020/2021.. 4. In the last two financial years 2019/2020, 2020/2021., what is your minimum, maximum and median waiting times in days from the date referral received to start of treatment broken down by primary reason for referral? 5. How many referrals were received from each of the referral routes listed in the Excel document. over the last four financial years 2017/2018, 2018/2019, 2019/2020, 2020/2021.? Please provide data as a number, rather than a percentage. We kindly request that the information is sent digitally in a spreadsheet format: Excel format .xlsx. would be ideal if possible – the attached spreadsheet Excel WAIT Study FOI Request Comp.xlsx. provides a template to enter the requested data. If you do not wish to use this Excel sheet, we recommend you look at it to clarify the data we are requesting. If you need any further clarification then please do not hesitate to contact us. Yours faithfully The WAIT trial team * We appreciate that some services no longer use a Tiered approach; therefore, we have specified what we mean by each Tier below so you can align it to the services provided for by your Trust: • Tier 1. Early Intervention and Prevention. Usually provided in community settings such as schools and children’s centres, and provided for by health visitors, school nurses, GPs. • Tier 2. Early Help and Targeted Services. This may be some CAMHS services, but also covers school based or community counselling, educational psychologist support, targeted youth support teams, and family support. • Tier 3. Specialist CAMHS. This is specialist support for children, young people and their families provided for by specialist multi-disciplinary teams who will usually provide outpatient services in a community clinic setting. This will cover services for mental health and learning disabilities. • Tier 4. Highly Specialist CAMHS. This is highly specialist outpatient and inpatient services. These can include secure forensic adolescent units, eating disorder units, specialist neuro-psychiatric teams and other highly specialist teams, usually serving more than one region/district. If you only have data available for Tier 2/3 combined services, this data would be preferable than no data. Otherwise, we do not require information about Tier 1/2 early intervention / uni-disciplinary. or Tier 4 inpatient or very highly specialist. CAMHS.