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[null,null,"Future in mind: Promoting, protecting and improving our children and young people's mental health and wellbeing"]
[null,"Self Assessment Tool:","This self assessment tool was developed by Associate Development Solutions to enable organisations to assess readiness to meet the recommendations laid out in the 'Future in mind' document published by Department of Health and NHS England in 2015. "]
[null,"Name of Organisation:","Northampton Self Assessment"]
[]
[null,null,"Contents (by tab):"]
[null,"Background Info:","Lists all summary actions from the 'Future in mind' document and aligns them with their associated sections from within the document"]
[null,"Self-Assessment:","This is the section that organisations populate with your perceived readiness to address the recommendations of the 'Future in mind' report*\n\n*Although not all recommendations made within the report are aimed directly at the organisations using this assessment tool, they will all impact the organisation in some manner were they to be agreed or actioned. Where this is the case, it is the intention of this document for organisations to determine their ability or readiness to respond once these recommendations were to be acted upon."]
[null,"Readiness_Sort:","Sorts all recommendations and sub-recommendations by the organisations determined readiness to address"]
[null,"Task Rating_Sort:","Sorts all recommendations and sub-recommendations by the combined size and complexity of each task as determined by the organisation"]
[null,"Graphs:","Provides a high level graphical representation of the organisations current position"]
[]
[]
[]
[null,null,"Associate Development Solutions retain full ownership of all original content and functionality within this Self Assessment Tool and provide it to participating organisations and bodies with the express understanding that it will not be shared or distributed outside of that organisation without express permission. The development of this tool as been supported by the East Midlands Strategic Clinical Network. "]

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["Current or Future","ACTION","Associated Paragraph in 'Future in Mind'"]
[null,"Resilience, prevention and early intervention for the mental wellbeing of children and young people\nOur aim is to act early to prevent harm, by investing in the early years, supporting families and those who care for children and building resilience through to adulthood. Strategies should be developed in partnership with children and young people to support self-care. This will reduce the burden of mental and physical ill health over the whole life course."]
["Current","1. Promoting and driving established requirements and programmes of work on prevention and early intervention, including harnessing learning from the new 0-2 year old early intervention pilots.","Current action to improve early support for parents, carers and children from birth (1 and 4)\n• The Mandate between the Government and NHS England sets an objective to work with partner organisations to ensure that the NHS reduces the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.\n• The Mandate between Health Education England (HEE) and the Government recognises the importance of maternal mental health during pregnancy and after birth – by 2017, every birthing unit should have access to a specialist perinatal mental health clinician.\n• The Institute for Health Visitors is updating training given to all health visitors around mental health and the Department of Health is working with HEE, the Royal College\nof Midwives and the Maternal Mental Health Alliance to design training programmes for midwives.\n• Public Health England is publishing an update of the evidence base for the Healthy Child Programme37 (0-5 years) that will guide professionals including supporting early attachment between infant and parent(s).\n• Ensuring progress with these mandate requirements and workforce capability will support better mental wellbeing for children and young people into the future. In addition, Achieving Better Access to Mental Health Services by 2020 sets out that DH and NHS England will consider developing an access and/or waiting standard for rapid access to mental health services for women in pregnancy or in the postnatal period with a known or suspected mental health problem.\n• In the 2014 Autumn Statement to Parliament, the Chancellor announced a 0-2 year old early intervention pilot to prevent avoidable problems later in life. The Pilots will be run jointly by DfE and DH. They will complement the work of the Early Intervention Foundation, and link closely with other activity such as the Healthy Child Programme and the Troubled Families Programme. Details of how and where the pilots will operate will be made available shortly. Government will consider the emerging evidence in relation to prevention and intervening early with mental health problems."]
["Current","2. Continuing to develop whole school approaches to promoting mental health and wellbeing, including building on the Department for Education’s current work on character and resilience, PSHE and counselling services in schools.","4.15 We encourage all schools (including those in the independent sector) to continue to develop whole school approaches to promoting mental health and wellbeing (2). This will build on the Department for Education’s current work on character building, PSHE and counselling\nservices in schools (see box for details). The named mental health lead for schools proposed in chapter five would also make an important contribution to leading and developing whole school approaches."]
["Current","3. Building on the success of the existing anti-stigma campaign led by Time to Change, and approaches piloted in 2014/15, to promote a broader national conversation about, and raise awareness of mental health issues for children and young people.","4.19 To this end, the Taskforce proposed there could be a major national branded social marketing campaign with a mechanism for dialogue so it is a genuine two-way conversation – driven by children, young people, parents and carers (3). Options include building on the Time to Change campaign (www.time-to-change.org. uk/youngpeople) as well as looking for opportunities to address mental health and wellbeing issues with the Public Health England Rise Above44 campaign."]
["Future","4. Enhancing existing maternal, perinatal and early years health services and parenting programmes to strengthen attachment between parent and child, avoid early trauma, build resilience and improve behaviour by ensuring parents have access to evidencebased programmes of intervention and support.","Current action to improve early support for parents, carers and children from birth (1 and 4)\n• The Mandate between the Government and NHS England sets an objective to work with partner organisations to ensure that the NHS reduces the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.\n• The Mandate between Health Education England (HEE) and the Government recognises the importance of maternal mental health during pregnancy and after birth – by 2017, every birthing unit should have access to a specialist perinatal mental health clinician.\n• The Institute for Health Visitors is updating training given to all health visitors around mental health and the Department of Health is working with HEE, the Royal College\nof Midwives and the Maternal Mental Health Alliance to design training programmes for midwives.\n• Public Health England is publishing an update of the evidence base for the Healthy Child Programme37 (0-5 years) that will guide professionals including supporting early attachment between infant and parent(s).\n• Ensuring progress with these mandate requirements and workforce capability will support better mental wellbeing for children and young people into the future. In addition, Achieving Better Access to Mental Health Services by 2020 sets out that DH and NHS England will consider developing an access and/or waiting standard for rapid access to mental health services for women in pregnancy or in the postnatal period with a known or suspected mental health problem.\n• In the 2014 Autumn Statement to Parliament, the Chancellor announced a 0-2 year old early intervention pilot to prevent avoidable problems later in life. The Pilots will be run jointly by DfE and DH. They will complement the work of the Early Intervention Foundation, and link closely with other activity such as the Healthy Child Programme and the Troubled Families Programme. Details of how and where the pilots will operate will be made available shortly. Government will consider the emerging evidence in relation to prevention and intervening early with mental health problems."]
["Future"," 5. Supporting self-care by incentivising the development of new apps and digital tools; and consider whether there is a need for a kitemarking scheme in order to guide young people and their parents in respect of the quality of the different offers.","4.24 We propose that the Government asks the National Information Board to work in close partnership with the Government Digital Service and young people themselves to develop a single framework for harnessing the power of digital technology and protecting young people from mental harm (5). Within this framework, we propose that Government considers incentivising the development of new apps and digital tools; and also whether there is a need for some form of kite-marking scheme based on research evidence to guide young people and their parents on quality"]
["Current","Improving access to effective support – chapter 5 summary\nOur aim is to change how care is delivered and build it around the needs of children and young people and families. This means moving away from a system of care defined in terms of the services organisations provide to ensure that children and young people have easy access to the right support from the right service at the right time."]
["Current","6. Moving away from the current tiered system of mental health services to investigate other models of integrated service delivery based on existing best practice. ","Models could and should be different in different types of locality; for example, a model which works well in rural Devon may fail to meet need if applied in inner-Manchester, and vice versa. This is why we have not dictated the local offer but been clear about the national ambition (6)."]
["Current","7. Enabling single points of access and One-Stop-Shop services to increasingly become a key part of the local offer, harnessing the vital contribution of the voluntary sector. ","There is a pressing need to develop these approaches more widely (7 and 16). Common features of a single point of access system include: \n• One point of contact for a wide range of universal services to access a team of children and young people’s mental health professionals for advice, consultation, assessment and onward referral. \n• Initial risk assessment to ensure children and young people at high risk are seen as a priority. \n• Prompt decision-making about who can best meet the child/young person’s needs (including targeted or specialist services, voluntary sector youth services and counselling services). \n• Young people and parents are able to self-refer into the single point of access.\nProvide a key role for the voluntary and community sector to encourage an increase in the number of one-stopshop services, based in the community (7 and 16). "]
["Current","8. Improving communications and referrals, for example, local mental health commissioners and providers should consider assigning a named point of contact in specialist children and young people’s mental health services for schools and GP practices; and schools should consider assigning a named lead on mental health issues. ","Create an expectation that there is a dedicated named contact point in targeted or specialist mental health services for every school and primary care provider, including GP practices (8 and 16). Their role would be to discuss and provide timely advice on the management and/or referral of cases, including consultation, co-working or liaison. This may include targeted or specialist mental health staff who work directly in schools/GP practices/voluntary sector providers with children, young people and families/carers. ii. Create an expectation that there should be a specific individual responsible for mental health in schools, to provide a link to expertise and support to discuss concerns about individual children and young people, identify issues and make effective referrals (8 and 16). This individual would make an important contribution to leading and developing whole school approaches.\n"]
["Current","9. Developing a joint training programme to support lead contacts in specialist children and young people’s mental health services and schools. ","Develop a joint training programme for named individuals in schools and mental health services to ensure shared understanding and support effective communications and referrals (9)."]
["Current","10. Strengthening the links between children’s mental health and learning disabilities services and services for children and young people with special educational needs and disabilities (SEND). ","Ensuring there is a strategic link between children’s mental health services and services for children and young people with special educational needs and disabilities (SEND) (10). This should be matched by involvement, where necessary, of mental health professionals in co-ordinated assessment and planning (for children and young people with and without Education, Health and Care Plans.)"]
["Current","11. Extending use of peer support networks for young people and parents based on comprehensive evaluation of what works, when and how. ","Peer support schemes should be led and designed by children and young people or by parents or carers, with careful professional support to reduce and manage risk both to peer mentors and the young people and families they are involved with. It is proposed that further work should be done with relevant education and third sector partners to audit where peer support is currently available and evaluate it, building on existing work such as the Royal Society for Public Health Youth Health Champions. Local areas can then consider closing gaps in provision. (11)"]
["Current","12. Ensuring the support and intervention for young people being planned in the Mental Health Crisis Care Concordat are implemented. ","For children and young people experiencing mental health crisis, it is essential that they receive appropriate support/intervention as outlined in the Crisis Care Concordat, including an out-of-hours mental health service (12). The challenge of supporting a child or young person in a crisis includes ensuring that there is a swift and comprehensive assessment of the nature of the crisis. There are examples around the country of dedicated home treatment teams for children and young people, but these are not universally available. Some children and young people end up in A&E, where access to appropriate and timely psychiatric liaison from specialist child and adolescent mental health services is not always available. Some are placed (not always appropriately) on paediatric or general adult hospital wards. The national development of all-age liaison psychiatry services in A&E Departments with targeted investment over this and the next financial year, as set out in the joint Department of Health and NHS England publication, Achieving Better Access to Mental Health Services by 2020, should mean that appropriate mental health support in A&E is more readily available. This needs to be carefully monitored."]
["Current","13. Implementing clear evidence-based pathways for community-based care, including intensive home treatment where appropriate, to avoid unnecessary admissions to inpatient care. ","There is strong support for investing in effective targeted and specialist community provision, including admission prevention and ‘step-down’ provision. This can provide clear pathways for young people leaving inpatient care to help avoid unnecessary use of inpatient provision and shorten duration of stay by easing the transition out of inpatient care (13)."]
["Current","14. Include appropriate mental health and behavioural assessment in admission gateways for inpatient care for young people with learning disabilities and/or challenging behaviour. ","This work (response to Bubb report) will involve people with learning disabilities and their families and include: \n• robust admission gateway processes for those with learning difficulties; \n• a challenge process to check that there is no alternative to admission; and \n• the agreement of a discharge plan on admission.\nChildren and young people’s mental health services must draw on this methodology and apply similar principles. (14)"]
["Current","15. Promoting implementation of best practice in transition, including ending arbitrary cutoff dates based on a particular age.","The Taskforce does not wish to be prescriptive about the age of transition, but does recognise that transition at 18 will often not be appropriate. We recommend flexibility around age boundaries, in which transition is based on individual circumstances rather than absolute age, with joint working and shared practice between services to promote continuity of care. (15)"]
["Future","16. Improving communications, referrals and access to support through every area having named points of contact in specialist mental health services and schools, single points of access and one-stop-shop services, as a key part of any universal local offer.","5.6 Therefore, at the heart of any good local system should be cross-sector agreement to ensure clarity in respect of how services are accessed. Many areas are already using a single point of access to targeted and specialist mental health services through a multi-agency ‘triage’ approach, including areas working within the CYP IAPT programme such as Liverpool. There is a pressing need to develop these approaches more widely (7 and 16). Common features of a single point of access system include:\n• One point of contact for a wide range of universal services to access a team of children and young people’s mental health professionals for advice, \nconsultation, assessment and onward referral. \n• Initial risk assessment to ensure children and young people at high risk are seen as a priority. \n• Prompt decision-making about who can best meet the child/young person’s needs (including targeted or specialist services, voluntary sector youth services and counselling services). \n• Young people and parents are able to self-refer into the single point of access.\n\n5.7 We propose the following to improve communication and access: \ni. Create an expectation that there is a dedicated named contact point in targeted or specialist mental health services for every school and primary care provider, including GP practices (8 and 16). Their role would be to discuss and provide timely advice on the management and/or referral of cases, including consultation, co-working or liaison. This may include targeted or specialist mental health staff who work directly in schools/GP practices/voluntary sector providers with children, young people and families/carers. \nii. Create an expectation that there should be a specific individual responsible for mental health in schools, to provide a link to expertise and support to discuss concerns about individual children and young people, identify issues and make effective referrals (8 and 16). This individual would make an important contribution to leading and developing whole school approaches. \niv. Provide a key role for the voluntary and community sector to encourage an increase in the number of one-stopshop services, based in the community (7 and 16). They should be a key part of any universal local offer, building on the existing network of YIACS (Youth Information, Advice, and Counselling Services). Building up such a network would be an excellent use of any identified early additional investment. There may also be a case in future for developing national quality standards for a comprehensive one-stop-shop service, to support a consistent approach to improving outcomes and joint working."]
["Future","17. Putting in place a comprehensive set of access and waiting time standards that bring the same rigour to mental health as is seen in physical health services. ","5.8 NHS England has committed to developing access and waiting time standards in mental health. By 2020, the aim would be to provide a comprehensive set of access and waiting time standards that bring the same rigour to mental health as is seen in physical health services. This applies to children and young people who will benefit in \nthe first year with the introduction of the first ever waiting time standards in respect of early intervention in psychosis. It is important that children and young people are taken fully into account as further access and waiting time standards are considered, subject to resource availability. Careful consideration will need to be given to which conditions are prioritised, working with experts, services and commissioners and building on current work to develop standards for eating disorders and the introduction of the standard for early intervention in psychosis. (17)"]
["Future","18. Enabling clear and safe access to high quality information and online support for children, young people and parents/carers, for example through a national, branded web-based portal. ","5.13 As we established in the previous chapter, children and young people and many parents and carers are digitally literate and told us they wanted better and more use made of the web. This could be expressed in a number of ways, but must be informed by the views and preferences of children and young people to be effective. The Taskforce believes a future government should look at options enabling children, young people, parents and carers to access high quality and reliable online information and support. One such option could be a national branded web based portal established using NHS Choices, in line with the recently published National Information Board framework. (18) It could build on the successful MindEd website (www.minded.org.uk) aimed at professionals to provide national information about mental health and wellbeing in an engaging and reliable format. The NHS Choices content on adult mental health should link to the children and young people equivalent – the Youth Wellbeing Directory (youthwellbeingdirectory. com) and services are encouraged to register with the Directory."]
["Future","19. Legislating to ensure no young person under the age of 18 is detained in a police cell as a place of safety.","5.17 For some children and young people, their route into specialist services is more extreme and is through detention by the police, under Section 136 of the Mental Health Act. Those who exhibit such distress and risk to themselves or others that a section 136 detention becomes warranted will need further support, which may not be purely from mental health services. There is broad support for legislating to ensure that no child or young person under-18 would be detained in a police cell as a place of safety, subject to there being sufficient alternative places of safety.(19) It is also important to develop improved data on the availability of crisis/home treatment for under-18 year olds and the use of section 136 for children and young people under-18 to support better planning. CQC should be asked to carry out routine assessments of places of safety with a focus on their age-appropriateness for children and young people."]
["Current","Caring for the most vulnerable – chapter 6 summary\nCurrent service constructs present barriers making it difficult for many vulnerable children, young people and those who care for them to get the support they need. Our aim is to dismantle these barriers and reach out to children and young people in need."]
["Current","20. Making sure that children, young people or their parents who do not attend appointments are not discharged from services. Instead, their reasons for not attending should be actively followed up and they should be offered further support to help them to engage. This can apply to all children and young people. ","Not attending appointments should not lead to a family or young person being discharged from services, but should be considered as an indicator of need and actively followed up (this can apply to all children and young people – see also paragraph 5.10) (20).\nSome children, young people and families find the formal setting of a clinic offputting and are unwilling to attend. This can lead to them saying that they do not wish to be referred or not turning up – particularly for some highly vulnerable groups, such as those involved with gangs or those who have been sexually exploited. As a consequence, some services experience high rates of children, young people and families not attending appointments. It is important that services monitor attendance and actively follow up families and young people who miss appointments and inform the referrer (see also paragraph 6.2). It may be necessary to find alternative ways to engage the child, young person or family."]
["Current","21. Commissioners and providers across education, health, social care and youth justice sectors working together to develop appropriate and bespoke care pathways that incorporate models of effective, evidence-based interventions for vulnerable children and young people, ensuring that those with protected characteristics such as learning disabilities are not turned away. ","There is a clear need for appropriate and bespoke care pathways that incorporate new models of providing effective, evidence based interventions to vulnerable children and young people to provide a social and clinical response to meeting their needs (21).\n6.17 Whilst the health inequalities duties apply only to the Health Secretary and NHS, the Taskforce encourages all those involved in commissioning mental health and wellbeing services for children and young people to give the same consideration to the need to reduce health inequalities in access and outcomes (21)."]
["Current","22. Making multi-agency teams available with flexible acceptance criteria for referrals concerning vulnerable children and young people. These should not be based only on clinical diagnosis, but on the presenting needs of the child or young person and the level of professional or family concern. ","The provision of mental health support should not be based solely on clinical diagnosis, but on the presenting needs of the child or young person and the level of professional or family concern (22)"]
["Current","23. Mental health assessments should include sensitive enquiry about the possibility of neglect, violence and abuse, including child sexual abuse or exploitation and, for those aged 16 and above, routine enquiry, so that every young person is asked about violence and abuse.","Ensuring assessments carried out in specialist services include sensitive enquiry about neglect, violence and physical, sexual or emotional abuse. For young people aged 16 and above, as part of the Government’s response to the concerns arising about child sexual exploitation, routine enquiry in line with NICE guidelines63 (whereby every young person is asked during the mental health assessment about violence and abuse) will be introduced from 2015-1664 (23)."]
["Current","24. Ensuring those who have been sexually abused and/or exploited receive a comprehensive assessment and referral to appropriate evidence-based services. Those who are found to be more symptomatic who are suffering from a mental health disorder should be referred to a specialist mental health service. ","Those children and young people who have been sexually abused and/or exploited should receive a comprehensive specialist initial assessment, and referral to appropriate services providing evidence-based interventions according to their need. There will be a smaller group who are suffering from a mental health disorder, who would benefit from referral to a specialist mental health service (24)."]
["Current","25. Specialist services for children and young people’s mental health should be actively represented on Multi-Agency Safeguarding Hubs to identify those at high risk who would benefit from referral at an earlier stage. ","Specialist services for children and young people’s mental health should be actively represented on Multi-Agency Safeguarding Hubs which should be used more extensively to identify those at high risk who would benefit from referral at an earlier stage (25)."]
["Current","26. For the most vulnerable young people with multiple and complex needs, strengthening the lead professional approach to co-ordinate support and services to prevent them falling between services.","Children and young people in vulnerable groups are amongst the most complex seen in specialist services. Systems such as appointing a lead professional through a Common Assessment Framework (CAF), Team Around the Child or Family, or the Care Programme Approach (for those with severe mental health problems) already exist in many places. For some, the consistent application of these needs to be improved – particularly for vulnerable children and young people with complex needs who require care that is well-planned and coordinated with information shared effectively. A designated or lead professional should be identified and their role strengthened – someone who knows the family well – to liaise with all agencies and ensure that services are targeted and delivered in an integrated way (26). This role could be allocated through a number of multi-agency processes, including the CAF or Team Around the Child or Family processes."]
["Future","27. Improving the skills of staff working with children and young people with mental health problems by working with the professional bodies, NHS England, PHE and HEE, to ensure that staff are more aware of the impact that trauma has on mental health and on the wider use of appropriate evidence-based interventions. ","6.7 Enhanced training for staff working with children and young people would lead to greater professional awareness of the impact of trauma, abuse or neglect on mental health (27). This should be coupled with effective treatment"]
["Future","28. Piloting the roll-out of teams specialising in supporting vulnerable children and young people such as those who are looked after and adopted, possibly on a sub-regional basis, and rolling these out if successful.","6.9 Applying an approach whereby specialist services are available to provide advice, rather than to see those who need help directly to advise on concerns about mental health or neurodevelopmental difficulties is already best practice in some areas, for some very specific and highly vulnerable groups. Consultation and liaison teams can be used to help staff working with those with highly complex needs which include mental health difficulties – such as those who have been adopted or those with harmful sexual behaviour, and those in contact with the youth justice system – based on the complexity of the issues involved. These services would offer advice, troubleshooting, formal consultation and care planning, or assessment and intervention in cases where this is required above and beyond the level of existing cross-agency provision (including specialist services). There would need to be an identified specialist point of reference, including a senior clinician with specific expertise within mental health services. The roll-out of such teams could be piloted and, if successful, implemented at a sub-regional level (28)."]
["Future","29. Improving the care of children and young people who are most excluded from society, such as those involved in gangs, those who are homeless or sexually exploited, looked-after children and/or those in contact with the youth justice system, by embedding mental health practitioners in services or teams working with them.","6.10 Young people who are amongst the most excluded from society, such as those involved in gangs, those who are homeless and/or looked-after children, need support from people they trust. This is a small number of young people, who may not even recognise that they have mental health problems. They benefit from having a mental health practitioner embedded in teams that have relationships with, and responsibility for such groups, such as a youth club or hostel (29). The embedded worker can develop a relationship with the young people through youth-led activities so that they are then able to respond as a familiar, trusted adult as the need arises, working with more specialist or intensive services as required. They can also impart basic mental health skills to frontline staff. This approach has been successfully developed by MAC-UK’s INTEGRATE model (see www.mac-uk.org) which also incorporates the necessary governance structures essential for success. INTEGRATE requires a highly flexible team structure which includes the regular mapping of each young person’s needs, informing a consistent and psychologically-informed approach across the team members."]
["Current","To be accountable and transparent – chapter 7 summary\nFar too often, a lack of accountability and transparency defeats the best of intention and hides the need for action in a fog of uncertainty. Our aim is to drive improvements in the delivery of care, and standards of performance to ensure we have a much better understanding of how to get the best outcomes for children, young people and families/carers and value from our investment."]
["Current","30. Having lead commissioning arrangements in every area for children and young people’s mental health and wellbeing services with aligned or pooled budgets by developing a single integrated plan for child mental health services in each area, supported by a strong Joint Strategic Needs Assessment. ","7.6 There was strong support from many members of the Taskforce to make it a requirement at the local level for there to be a lead accountable commissioning body to co-ordinate commissioning and the implementation of evidenced-based care (30). Many members of the Taskforce also favour the creation of a single, separately identifiable budget for children’s mental health services. These proposals build on the learning from those areas which are already jointly commissioning children’s mental health services between Clinical Commissioning Groups and local authorities, in some cases with pooled budgets. We envisage in most cases the CCG would establish lead commissioning arrangements working in close collaboration with local authorities. We also recognise the need for flexibility to allow different models to develop to suit local circumstances and would not want to cut across alternative arrangements\n7.8 The work of the lead commissioner should be based upon an agreed local plan for child mental health services, agreed by all relevant agencies and with a strong input from children, young people and parents/ carers (30). The local plan itself should be derived from the local Health and Wellbeing Strategy which places an onus on Health and Wellbeing Boards to demonstrate the highest level of local senior leadership commitment to child mental health. Health and Wellbeing Boards have strategic oversight of the commissioning of the whole pathway or offer regarding children and young people’s mental health and wellbeing. As some individual commissioners and providers, including schools, are not statutory members of Health and Wellbeing Boards, they should put in place arrangements to involve them in the development of the local plan, drawing on approaches already used in some areas such as Mental Health Advisory Panels or Children’s Partnership Boards."]
["Current","31. Health and Wellbeing Boards ensuring that both the Joint Strategic Needs Assessments and the Health and Wellbeing Strategies address the mental and physical health needs of children, young people and their families, effectively and comprehensively. ","7.9 Key drivers for the quality of any local offer should be the local Health and Wellbeing Board’s Joint Strategic Needs Assessment (JSNA) and Joint Health and Wellbeing Strategy. The JSNA should address children and young people’s health and wellbeing, including mental health (31). Health and Wellbeing Boards, supported by the local government-led health and wellbeing system improvement programme and Public Health England, should ensure that both the JSNA and the Joint Health and Wellbeing Strategy address children and young people’s mental health needs effectively and comprehensively."]
["Current","32. By co-commissioning community mental health and inpatient care between local areas and NHS England to ensure smooth care pathways to prevent inappropriate admission and facilitate safe and timely discharge. ","7.12 There is a particular need to coordinate the commissioning of community health and inpatient services (32). Within the current statutory system, the former is the responsibility of local commissioners and the latter the responsibility of the national commissioner, NHS England. If we are serious about moving away from a tiered model, then this commissioning needs to be joined up. This need for co-commissioning has been recognised by NHS England. At the same time, however, we want to avoid the mistakes of the past where we ended up with a patchwork quilt of intensive community crisis support and inpatient services."]
["Current","33. Ensuring Quality Standards from the National Institute for Health and Care Excellence (NICE) inform and shape commissioning decisions ","7.13 The National Institute for Health and Care Excellence has a crucial role to play in framing a national ambition through the development of Quality Standards as well as guidance for health and social care, which are commissioned by the Secretaries of State for Health and Education (33). The quality standards will need to describe cost-effective evidence-based practice. They should provide clear descriptions of high priority areas for quality improvement. They will help organisations by supporting comparison of current performance, using measures of best practice to identify priorities for improvement. Though not mandatory, they are an important driver for change in the new arrangements for commissioning and service delivery in health and social care. It would be helpful if their recommendations could include further advice regarding implementation across the whole care pathway."]
["Current","34. By Ofsted and CQC working together to consider how to monitor the implementation of the proposals from this report in the future. ","7.14 In supporting implementation and delivery of high quality care, we consider that CQC and Ofsted – with their distinct roles and responsibilities in health and education – should develop a joint cross inspectorate view of how the health, education and social care systems are working together to improve children and young people’s mental health outcomes and how this area should be monitored in future (34)."]
["Current","35. The Department of Health fulfilling its commitment to complete a prevalence survey for children and young people’s mental health and wellbeing, and working with partner organisations to implement the Child and Adolescent Mental Health Services dataset within the currently defined timeframe. ","7.15 [part] Measurement is crucial to support continuous improvement. Support and services should be based on high quality, accurate data, but there are significant gaps in relation to children’s mental health. The last children and young people’s mental health prevalence survey was done over a decade ago, although the Department of Health has just started the process of commissioning the next one (35).\n7.17 The CAMHS Minimum Dataset, already in development, will allow specific outcome metrics by condition, activity and evidencebased interventions to support evaluation of the effectiveness of the care commissioned (35). To build on this work, it is important that routine data collection of key indicators of child and adolescent mental health service activity, patient experience and patient outcomes are properly co-ordinated and incentivised."]
["Current","36. Developing and implementing a detailed and transparent set of measures covering access, waiting times and outcomes to allow benchmarking of local services at national level, in line with the vision set out in Achieving Better Access to Mental Health Services by 2020. ","7.19 NHS England has committed to developing access and waiting time standards in mental health. This applies to children and young people who will benefit in the first year with the introduction of the first ever waiting time standards in respect of early intervention in psychosis. In developing any access and waiting time standards, it should be a requirement that access to services is reported as time to different events in a pathway of care linked to delivery of NICE concordant treatment and measurement of outcomes (36 and 37)."]
["Current","37. Monitoring access and wait measurement against pathway standards – linked to outcome measures and the delivery of NICE-concordant treatment at every step.","7.19 NHS England has committed to developing access and waiting time standards in mental health. This applies to children and young people who will benefit in the first year with the introduction of the first ever waiting time standards in respect of early intervention in psychosis. In developing any access and waiting time standards, it should be a requirement that access to services is reported as time to different events in a pathway of care linked to delivery of NICE concordant treatment and measurement of outcomes (36 and 37)."]
["Current"," 38. Making the investment of those who commission children and young people’s mental health services fully transparent.","7.16 At the same time, levels of investment in mental health services for children and young people should be transparent. Accurate information on current levels of spend on children’s mental health across agencies is a key gap. NHS England is working to improve the quality of data on adult mental health spend from April 2015 so that it will be able to identify the overall spend in primary and community care as well as mental health services and specialist commissioning. This has been built into the NHS planning process at CCG level. We propose that, in the future, this activity is extended to cover children’s mental health spend by the NHS. It is also proposed that further work is undertaken to improve understanding of child and adolescent mental health funding flows across health, education, social care and youth justice to support a transparent, coherent, whole system approach to future funding decisions and investment (38)."]
["Future","39. Committing to a prevalence survey being repeated every five years.","We propose the commissioning of a regular prevalence survey of child and adolescent mental health every 5 years, giving particular consideration to including under-5s and ages over 15 (39)."]
["Current","Developing the workforce – chapter 8 summary\nIt is our aim that everyone who works with children, young people and their families is ambitious for every child and young person to achieve goals that are meaningful and achievable for them. They should be excellent in their practice and able to deliver the best evidenced care, be committed to partnership and integrated working with children, young people, families and their fellow professionals and be respected and valued as professionals themselves."]
["Current","40. Targeting the training of health and social care professionals and their continuous professional development to create a workforce with the appropriate skills, knowledge and values to deliver the full range of evidence-based treatments ","8.3 Professionals across health, education and social care services need to feel confident to promote good mental health and wellbeing and identify problems early, and this needs to be reflected in initial training and continuing professional development across a range of professions (40). \nProfessionals need to be trained to be able to: \n• Recognise the value and impact of mental health in children and young people, its relevance to their particular professional responsibilities to the individual and how to provide an environment that supports and builds resilience. \n• Promote good mental health to children and young people and educate them and their families about the possibilities for effective and appropriate intervention to improve wellbeing. \n• Identify mental health problems early in children and young people. \n• Offer appropriate support to children and young people with mental health problems and their families and carers, which could include liaison with a named appropriately trained individual responsible for mental health in educational settings. \n• Refer appropriately to more targeted and specialist support. \n• Use feedback gathered meaningfully on a regular basis to guide treatment interventions both in supervision and with the child, young person or parent/carer during sessions. \n• Work in a digital environment with young people who are using online channels to access help and support."]
["Current","41. Implementing the recommendations of the Carter Review of Initial Teacher Training (ITT) to commission a sector body to produce a framework of core content for ITT which would include child and adolescent development. ","For schools, the Carter Review of Initial Teacher Training (ITT) reported in January. It recommended commissioning a sector body to produce a framework of core content for ITT which would include child and adolescent development (41)"]
["Current","42. By continuing investment in commissioning capability and development through the national mental health commissioning capability development programme.","8.17 Traditionally, especially in the NHS, investment in training has focused on the provision of services. There is, however, no recognised standard training programme for commissioners of children’s services or mental health services for children and young people. The recent mental health commissioning and leadership programme developed by NHS England and Academic Health Science Networks is organised around the principles of: data for commissioning, the use of the evidence base and leadership. All programmes include a module on child and adolescent mental health provision, and attendance at these accredited courses should be a requirement for all those working in commissioning of children and young people’s services (42)"]
["Future","43. Extending the CYP IAPT curricula and training programmes to train staff to meet the needs of children and young people who are currently not supported by the existing programmes.","8.10 The workforce in targeted and specialist services need a wide range of skills brought together in the CYP IAPT Core Curriculum. All staff should be trained to practise in a non-discriminatory way with respect to gender, ethnicity, religion and disability. This was considered in detail by the Vulnerable Groups and Inequalities Task and Finish Group. In addition, there are skills gaps in the current workforce around the full range of evidence-based therapies recommended by NICE. The CYP IAPT programme was commissioned with a modest budget to deliver training for a limited range of therapies to a prescribed group as a part of its transformation role. There are gaps in the training of staff working with children and young people with Learning Difficulties, Autistic Spectrum Disorder, and those in inpatient settings. Counsellors working in schools and the community have asked for further training to improve evidence-based care (43)."]
["Future","44. Building on the success of the CYP IAPT transformation programme by rolling it out to the rest of the country and extending competencies based on the programme’s principles to the mental wellbeing workforce, as well as providing training for staff in schools. ","The CYP IAPT programme currently works with partnerships covering 68% of the 0-19 population. The Service Transformation programme includes training for existing service leaders, supervisors and therapists in the NHS, social care and voluntary sector in a range of evidence-based programmes, with a Mandate commitment for both Health Education England and NHS England to plan further roll-out (44)."]
["Future","45. Developing a comprehensive workforce strategy, including an audit of skills, capabilities, age, gender and ethnic mix.","8.16 It is proposed that the Department of Health and Department for Education should work together with HEE, the Chief Social Worker for children and others, to design and commission a census and needs assessment of the current workforce working across the NHS, local authorities, voluntary sectors and independent sector as the first stage in determining a comprehensive cross-sector workforce and training strategy (45)."]
[null,"Making Change Happen – chapter 9 summary"]
["Current","46. Establishing a local Transformation Plan in each area during 2015/16 to deliver a local offer in line with the national ambition. Conditions would be attached to completion of these Plans in the form of access to specific additional national investment, already committed at the time of the Autumn Statement 2014. ","9.8 This will require local leadership and ownership. We therefore propose the development and agreement of Transformation Plans for Children and Young People’s Mental Health and Wellbeing which will clearly articulate the local offer (46). These Plans would cover the whole spectrum of services for children and young people’s mental health and wellbeing from health promotion and prevention work, to support and interventions for children and young people who have existing or emerging mental health problems, as well as transitions between services."]
["Current","47. Establishing clear national governance to oversee the transformation of children’s mental health and wellbeing provision country-wide over the next five years. ","9.14 The transformation of our national and local approach to children and young people’s mental health and wellbeing will take time, at least the period of the next Parliament, aligning with the timescales of the Five Year Forward View. Change at the national level will need co-ordination across policy, investment, commissioning, regulation, training and inspection. Local areas will need ongoing support and guidance. It represents a complex and difficult journey and it will need strong political will combined with senior level leadership to see it through and be successful. Our closing proposal is therefore that there should be some clear governance at the national level to oversee the transformation of children’s mental health with clear accountability for progress to the relevant Accounting Officers and Ministers (47)."]
["Current","48. Enabling more areas to accelerate service transformation.","9.12 At the same time, NHS England and the Department of Health have recently invited proposals from CCGs to lead and accelerate co-commissioning arrangements for children and young people’s mental health. The national response to this invitation was hugely encouraging and indicative of the potential to be harnessed by this report. Although only a limited number of areas could be chosen, as these projects develop, they will provide good examples of what can be achieved, alongside other relevant initiatives such as the Social Care Innovation Fund and the Department for Education’s Voluntary and Community Sector Fund (48)."]
["Future","49. The development of an improved evidence base, on the safety and efficacy of different interventions and service approaches, supported by a world class research programme.","9.3 If we are continuously to improve the mental health care and wellbeing of \nchildren and young people, we need data and evidence with which to do so (49). Good information is the foundation for commissioning; to understand need, to plan, secure and monitor services. In some areas, evidence is weak or entirely lacking as to the best interventions. Although lack of evidence should not be used as an excuse for lack of care, it is unethical and a waste of taxpayers’ money to invest in interventions that have no evidence base – unless they are subject to rigorous evaluation."]

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[null,{"$f":"VLOOKUP(D2,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"2.3 DfE has invited schools, colleges and organisations to bid for a £3.5 million character education grant fund for local projects.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E2=\"\",0,VLOOKUP(E2,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F2=\"\",0,VLOOKUP(F2,Lookups!$B$22:$C$27,2,FALSE))","v":5},{"$f":"SUM(H2*I2)","v":25}]
[null,{"$f":"VLOOKUP(D3,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"8.2 There should be a specific individual responsible for mental health in schools, to provide a link to expertise and support to discuss concerns about individual children and young people, identify issues and make effective referrals.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E3=\"\",0,VLOOKUP(E3,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F3=\"\",0,VLOOKUP(F3,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D4,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"11.2 Further work should be done with relevant education and third sector partners to audit where peer support is currently available and evaluate it, building on existing work such as the Royal Society for Public Health Youth Health Champions. Local areas can then consider closing gaps in provision.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E4=\"\",0,VLOOKUP(E4,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F4=\"\",0,VLOOKUP(F4,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D5,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"15. Promoting implementation of best practice in transition, including ending arbitrary cut-off dates based on a particular age.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D5,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E5=\"\",0,VLOOKUP(E5,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F5=\"\",0,VLOOKUP(F5,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D6,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"15.1 There is flexibility around age boundaries, in which transition is based on individual circumstances rather than absolute age, with joint working and shared practice between services to promote continuity of care.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E6=\"\",0,VLOOKUP(E6,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F6=\"\",0,VLOOKUP(F6,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D7,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"41. Implementing the recommendations of the Carter Review of Initial Teacher Training (ITT) to commission a sector body to produce a framework of core content for ITT which would include child and adolescent development. ","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D7,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E7=\"\",0,VLOOKUP(E7,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F7=\"\",0,VLOOKUP(F7,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D8,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"2.2 DfE is developing an evidence-based schools counselling strategy to encourage more and better use of counsellors in schools, with practical and evidence-based advice to ensure quality provision, that improves children’s outcomes and achieves value for money. This will be published in spring 2015. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",null,{"$f":"IF(E8=\"\",0,VLOOKUP(E8,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F8=\"\",0,VLOOKUP(F8,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
["Future",{"$f":"VLOOKUP(D9,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"44. Building on the success of the CYP IAPT transformation programme by rolling it out to the rest of the country and extending competencies based on the programme’s principles to the mental wellbeing workforce, as well as providing training for staff in schools. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",{"$f":"VLOOKUP(D9,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E9=\"\",0,VLOOKUP(E9,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F9=\"\",0,VLOOKUP(F9,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
["Current",{"$f":"VLOOKUP(D10,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"47. Establishing clear national governance to oversee the transformation of children’s mental health and wellbeing provision country-wide over the next five years. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",{"$f":"VLOOKUP(D10,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E10=\"\",0,VLOOKUP(E10,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F10=\"\",0,VLOOKUP(F10,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
[null,{"$f":"VLOOKUP(D11,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"7.4 Young people and parents are able to self-refer into the single point of access.","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",null,{"$f":"IF(E11=\"\",0,VLOOKUP(E11,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F11=\"\",0,VLOOKUP(F11,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D12,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"8. Improving communications and referrals, for example, local mental health commissioners and providers should consider assigning a named point of contact in specialist children and young people’s mental health services for schools and GP practices; and schools should consider assigning a named lead on mental health issues. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",{"$f":"VLOOKUP(D12,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E12=\"\",0,VLOOKUP(E12,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F12=\"\",0,VLOOKUP(F12,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D13,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"11. Extending use of peer support networks for young people and parents based on comprehensive evaluation of what works, when and how. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",{"$f":"VLOOKUP(D13,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E13=\"\",0,VLOOKUP(E13,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F13=\"\",0,VLOOKUP(F13,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D14,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"1. Promoting and driving established requirements and programmes of work on prevention and early intervention, including harnessing learning from the new 0-2 year old early intervention pilots.","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D14,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E14=\"\",0,VLOOKUP(E14,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F14=\"\",0,VLOOKUP(F14,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D15,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"1.1 (Current Action) Reduce the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E15=\"\",0,VLOOKUP(E15,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F15=\"\",0,VLOOKUP(F15,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D16,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"12.5 The national development of all-age liaison psychiatry services in A&E Departments should mean that appropriate mental health support in A&E is more readily available.","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E16=\"\",0,VLOOKUP(E16,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F16=\"\",0,VLOOKUP(F16,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D17,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20. Making sure that children, young people or their parents who do not attend appointments are not discharged from services. Instead, their reasons for not attending should be actively followed up and they should be offered further support to help them to engage. This can apply to all children and young people. ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D17,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E17=\"\",0,VLOOKUP(E17,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F17=\"\",0,VLOOKUP(F17,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D18,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"34. By Ofsted and CQC working together to consider how to monitor the implementation of the proposals from this report in the future. ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D18,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E18=\"\",0,VLOOKUP(E18,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F18=\"\",0,VLOOKUP(F18,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D19,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"}," 34.1 CQC and Ofsted should develop a joint cross inspectorate view of how the health, education and social care systems are working together to improve children and young people’s mental health outcomes and how this area should be monitored in future (34).","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E19=\"\",0,VLOOKUP(E19,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F19=\"\",0,VLOOKUP(F19,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D20,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"35.1 The CAMHS Minimum Dataset, already in development, will allow specific outcome metrics by condition, activity and evidence based interventions to support evaluation of the effectiveness of the care commissioned (35). ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E20=\"\",0,VLOOKUP(E20,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F20=\"\",0,VLOOKUP(F20,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D21,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20.1 Not attending appointments should not lead to a family or young person being discharged from services, but should be considered as an indicator of need and actively followed up\n","4. Not Ready/ Anticipate Some Barriers to Change","2. Simple","3. Medium",null,{"$f":"IF(E21=\"\",0,VLOOKUP(E21,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F21=\"\",0,VLOOKUP(F21,Lookups!$B$22:$C$27,2,FALSE))","v":3},6]
[null,{"$f":"VLOOKUP(D22,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20.2 Services monitor attendance and actively follow up families and young people who miss appointments and inform the referrer","4. Not Ready/ Anticipate Some Barriers to Change","2. Simple","3. Medium",null,{"$f":"IF(E22=\"\",0,VLOOKUP(E22,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F22=\"\",0,VLOOKUP(F22,Lookups!$B$22:$C$27,2,FALSE))","v":3},6]
["Current",{"$f":"VLOOKUP(D23,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"6. Moving away from the current tiered system of mental health services to investigate other models of integrated service delivery based on existing best practice. ","3. Changes Agreed but Not Started","4. Complex","4. Large",{"$f":"VLOOKUP(D23,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E23=\"\",0,VLOOKUP(E23,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F23=\"\",0,VLOOKUP(F23,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D24,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"1.4(Current Action) Public Health England is publishing an update of the evidence base for the Healthy Child Programme (0-5 years) that will guide professionals including supporting early attachment between infant and parents","3. Changes Agreed but Not Started","3. Medium","4. Large",null,{"$f":"IF(E24=\"\",0,VLOOKUP(E24,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F24=\"\",0,VLOOKUP(F24,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Future",{"$f":"VLOOKUP(D25,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"4. Enhancing existing maternal, perinatal and early years health services and parenting programmes to strengthen attachment between parent and child, avoid early trauma, build resilience and improve behaviour by ensuring parents have access to evidence based programmes of intervention and support.","3. Changes Agreed but Not Started","3. Medium","4. Large",{"$f":"VLOOKUP(D25,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E25=\"\",0,VLOOKUP(E25,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F25=\"\",0,VLOOKUP(F25,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D26,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"4.1 (Potential Action) Achieving Better Access to Mental Health Services by 2020 sets out that DH and NHS England will consider developing an access and/or waiting standard for rapid access to mental health services for women in pregnancy or in the postnatal period with a known or suspected mental health problem.","3. Changes Agreed but Not Started","3. Medium","4. Large",null,{"$f":"IF(E26=\"\",0,VLOOKUP(E26,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F26=\"\",0,VLOOKUP(F26,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D27,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"20.3 It may be necessary to find alternative ways to engage the child, young person or family.","3. Changes Agreed but Not Started","4. Complex","3. Medium",null,{"$f":"IF(E27=\"\",0,VLOOKUP(E27,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F27=\"\",0,VLOOKUP(F27,Lookups!$B$22:$C$27,2,FALSE))","v":3},12]
[null,{"$f":"VLOOKUP(D28,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"1.2 (Current action) Every birthing unit should have access to a specialist perinatal mental health clinician by 2017.","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E28=\"\",0,VLOOKUP(E28,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F28=\"\",0,VLOOKUP(F28,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D29,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"8.1 There is a dedicated named contact point in targeted or specialist mental health services for every school and primary care provider, including GP practices. ","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E29=\"\",0,VLOOKUP(E29,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F29=\"\",0,VLOOKUP(F29,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D30,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"36.1 The introduction of the first ever waiting time standards in respect of early intervention in psychosis. ","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E30=\"\",0,VLOOKUP(E30,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F30=\"\",0,VLOOKUP(F30,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Future",{"$f":"VLOOKUP(D31,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"}," 5. Supporting self-care by incentivising the development of new apps and digital tools; and consider whether there is a need for a kite marking scheme in order to guide young people and their parents in respect of the quality of the different offers.","3. Changes Agreed but Not Started","2. Simple","3. Medium",{"$f":"VLOOKUP(D31,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E31=\"\",0,VLOOKUP(E31,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F31=\"\",0,VLOOKUP(F31,Lookups!$B$22:$C$27,2,FALSE))","v":3},6]
["Current",{"$f":"VLOOKUP(D32,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"42. By continuing investment in commissioning capability and development through the national mental health commissioning capability development programme.","3. Changes Agreed but Not Started","1. Very Simple","1. Very Small",{"$f":"VLOOKUP(D32,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E32=\"\",0,VLOOKUP(E32,Lookups!$B$15:$C$20,2,FALSE))","v":1},{"$f":"IF(F32=\"\",0,VLOOKUP(F32,Lookups!$B$22:$C$27,2,FALSE))","v":1},1]
[null,{"$f":"VLOOKUP(D33,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"42.1 Attendance at these accredited courses should be a requirement for all those working in commissioning of children and young people’s services","3. Changes Agreed but Not Started","1. Very Simple","1. Very Small",null,{"$f":"IF(E33=\"\",0,VLOOKUP(E33,Lookups!$B$15:$C$20,2,FALSE))","v":1},{"$f":"IF(F33=\"\",0,VLOOKUP(F33,Lookups!$B$22:$C$27,2,FALSE))","v":1},1]
["Future",{"$f":"VLOOKUP(D34,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"16. Improving communications, referrals and access to support through every area having named points of contact in specialist mental health services and schools, single points of access and one-stop-shop services, as a key part of any universal local offer.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D34,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E34=\"\",0,VLOOKUP(E34,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F34=\"\",0,VLOOKUP(F34,Lookups!$B$22:$C$27,2,FALSE))","v":5},{"$f":"SUM(H34*I34)","v":25}]
[null,{"$f":"VLOOKUP(D35,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29.1 This is a small number of young people, who may not even recognise that they have mental health problems. They benefit from having a mental health practitioner embedded in teams that have relationships with, and responsibility for such groups, such as a youth club or hostel. This model shall incorporate the necessary governance structures essential for success. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E35=\"\",0,VLOOKUP(E35,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F35=\"\",0,VLOOKUP(F35,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D36,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"}," 38. Making the investment of those who commission children and young people’s mental health services fully transparent.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D36,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E36=\"\",0,VLOOKUP(E36,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F36=\"\",0,VLOOKUP(F36,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D37,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"38.2 Further work is undertaken to improve understanding of child and adolescent mental health funding flows across health, education, social care and youth justice to support a transparent, coherent, whole system approach to future funding decisions and investment.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E37=\"\",0,VLOOKUP(E37,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F37=\"\",0,VLOOKUP(F37,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D38,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40. Targeting the training of health and social care professionals and their continuous professional development to create a workforce with the appropriate skills, knowledge and values to deliver the full range of evidence-based treatments ","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D38,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E38=\"\",0,VLOOKUP(E38,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F38=\"\",0,VLOOKUP(F38,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D39,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.1 Professionals trained to be able to: Recognise the value and impact of mental health in children and young people, its relevance to their particular professional responsibilities to the individual and how to provide an environment that supports and builds resilience. \n","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E39=\"\",0,VLOOKUP(E39,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F39=\"\",0,VLOOKUP(F39,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D40,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.3 Professionals trained to be able to: Identify mental health problems early in children and young people. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E40=\"\",0,VLOOKUP(E40,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F40=\"\",0,VLOOKUP(F40,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D41,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.4 Professionals trained to be able to: Offer appropriate support to children and young people with mental health problems and their families and carers, which could include liaison with a named appropriately trained individual responsible for mental health in educational settings. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E41=\"\",0,VLOOKUP(E41,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F41=\"\",0,VLOOKUP(F41,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D42,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.7 Professionals trained to be able to: Work in a digital environment with young people who are using online channels to access help and support.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E42=\"\",0,VLOOKUP(E42,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F42=\"\",0,VLOOKUP(F42,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D43,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43. Extending the CYP IAPT curricula and training programmes to train staff to meet the needs of children and young people who are currently not supported by the existing programmes.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D43,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E43=\"\",0,VLOOKUP(E43,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F43=\"\",0,VLOOKUP(F43,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D44,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.1 The workforce in targeted and specialist services need a wide range of skills brought together in the CYP IAPT Core Curriculum.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E44=\"\",0,VLOOKUP(E44,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F44=\"\",0,VLOOKUP(F44,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D45,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.3 Skills gaps in the current workforce around the full range of evidence-based therapies recommended by NICE shall be addressed.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E45=\"\",0,VLOOKUP(E45,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F45=\"\",0,VLOOKUP(F45,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D46,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.5 Counsellors working in schools and the community will receive further training to improve evidence-based care","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E46=\"\",0,VLOOKUP(E46,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F46=\"\",0,VLOOKUP(F46,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D47,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"45. Developing a comprehensive workforce strategy, including an audit of skills, capabilities, age, gender and ethnic mix.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D47,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E47=\"\",0,VLOOKUP(E47,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F47=\"\",0,VLOOKUP(F47,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D48,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"49. The development of an improved evidence base, on the safety and efficacy of different interventions and service approaches, supported by a world class research programme.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D48,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E48=\"\",0,VLOOKUP(E48,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F48=\"\",0,VLOOKUP(F48,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D49,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7. Enabling single points of access and One-Stop-Shop services to increasingly become a key part of the local offer, harnessing the vital contribution of the voluntary sector. ","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D49,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E49=\"\",0,VLOOKUP(E49,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F49=\"\",0,VLOOKUP(F49,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
["Current",{"$f":"VLOOKUP(D50,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"26. For the most vulnerable young people with multiple and complex needs, strengthening the lead professional approach to co-ordinate support and services to prevent them falling between services.","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D50,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E50=\"\",0,VLOOKUP(E50,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F50=\"\",0,VLOOKUP(F50,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
[null,{"$f":"VLOOKUP(D51,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"26.1 A designated or lead professional should be identified and their role strengthened – someone who knows the family well – to liaise with all agencies and ensure that services are targeted and delivered in an integrated way.","2. Partially Implemented","5. Very Complex","4. Large",null,{"$f":"IF(E51=\"\",0,VLOOKUP(E51,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F51=\"\",0,VLOOKUP(F51,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
["Future",{"$f":"VLOOKUP(D52,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"27. Improving the skills of staff working with children and young people with mental health problems by working with the professional bodies, NHS England, PHE and HEE, to ensure that staff are more aware of the impact that trauma has on mental health and on the wider use of appropriate evidence-based interventions. ","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D52,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E52=\"\",0,VLOOKUP(E52,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F52=\"\",0,VLOOKUP(F52,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
[null,{"$f":"VLOOKUP(D53,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.1 One point of contact for a wide range of universal services to access a team of children and young people’s mental health professionals for advice, consultation, assessment and onward referral. ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E53=\"\",0,VLOOKUP(E53,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F53=\"\",0,VLOOKUP(F53,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D54,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.2 Initial risk assessment to ensure children and young people at high risk are seen as a priority. ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E54=\"\",0,VLOOKUP(E54,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F54=\"\",0,VLOOKUP(F54,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D55,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.3 Prompt decision-making about who can best meet the child/young person’s needs (including targeted or specialist services, voluntary sector youth services and counselling services). ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E55=\"\",0,VLOOKUP(E55,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F55=\"\",0,VLOOKUP(F55,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D56,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"9. Developing a joint training programme to support lead contacts in specialist children and young people’s mental health services and schools. ","2. Partially Implemented","4. Complex","4. Large",{"$f":"VLOOKUP(D56,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E56=\"\",0,VLOOKUP(E56,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F56=\"\",0,VLOOKUP(F56,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Future",{"$f":"VLOOKUP(D57,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29. Improving the care of children and young people who are most excluded from society, such as those involved in gangs, those who are homeless or sexually exploited, looked-after children and/or those in contact with the youth justice system, by embedding mental health practitioners in services or teams working with them.","2. Partially Implemented","4. Complex","4. Large",{"$f":"VLOOKUP(D57,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E57=\"\",0,VLOOKUP(E57,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F57=\"\",0,VLOOKUP(F57,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D58,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29.2 Develop a highly flexible team structure which includes the regular mapping of each young person’s needs, informing a consistent and psychologically-informed approach across the team members.","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E58=\"\",0,VLOOKUP(E58,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F58=\"\",0,VLOOKUP(F58,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D59,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2. Continuing to develop whole school approaches to promoting mental health and wellbeing, including building on the Department for Education’s current work on character and resilience, PSHE and counselling services in schools.","2. Partially Implemented","3. Medium","5. Very Large",{"$f":"VLOOKUP(D59,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E59=\"\",0,VLOOKUP(E59,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F59=\"\",0,VLOOKUP(F59,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D60,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.5 Professionals trained to be able to:  Refer appropriately to more targeted and specialist support. ","2. Partially Implemented","3. Medium","5. Very Large",null,{"$f":"IF(E60=\"\",0,VLOOKUP(E60,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F60=\"\",0,VLOOKUP(F60,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D61,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.6 Professionals trained to be able to:  Use feedback gathered meaningfully on a regular basis to guide treatment interventions both in supervision and with the child, young person or parent/carer during sessions. ","2. Partially Implemented","3. Medium","5. Very Large",null,{"$f":"IF(E61=\"\",0,VLOOKUP(E61,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F61=\"\",0,VLOOKUP(F61,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D62,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2.5 The new draft Ofsted inspection framework ‘Better Inspection for All’ includes a new judgement on personal development, behaviour and welfare of children and learners.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E62=\"\",0,VLOOKUP(E62,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F62=\"\",0,VLOOKUP(F62,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D63,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"4.2 (Potential) The DfE and DH are to run '0-2 year old early intervention pilots looking to prevent avoidable problems later in life. The Government will consider the emerging evidence in relation to prevention and intervening early with mental health problems.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E63=\"\",0,VLOOKUP(E63,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F63=\"\",0,VLOOKUP(F63,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D64,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"13.1 There is strong support for investing in effective targeted and specialist community provision, including admission prevention and ‘step-down’ provision.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E64=\"\",0,VLOOKUP(E64,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F64=\"\",0,VLOOKUP(F64,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Current",{"$f":"VLOOKUP(D65,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"22. Making multi-agency teams available with flexible acceptance criteria for referrals concerning vulnerable children and young people. These should not be based only on clinical diagnosis, but on the presenting needs of the child or young person and the level of professional or family concern. ","2. Partially Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D65,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E65=\"\",0,VLOOKUP(E65,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F65=\"\",0,VLOOKUP(F65,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Current",{"$f":"VLOOKUP(D66,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"46. Establishing a local Transformation Plan in each area during 2015/16 to deliver a local offer in line with the national ambition. Conditions would be attached to completion of these Plans in the form of access to specific additional national investment, already committed at the time of the Autumn Statement 2014. ","2. Partially Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D66,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E66=\"\",0,VLOOKUP(E66,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F66=\"\",0,VLOOKUP(F66,Lookups!$B$22:$C$27,2,FALSE))","v":4},{"$f":"SUM(H66*I66)","v":12}]
[null,{"$f":"VLOOKUP(D67,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2.1 DfE is to produce guidance for schools in teaching about mental health safely and effectively (spring 2015). Alongside the guidance will be a series of lesson plans covering key stages 1-4 (5-16 year olds). For older pupils, they will address such topics as self harm and eating disorders, as well as issues directly concerned with school life, such as managing anxiety and stress around exams.","2. Partially Implemented","2. Simple","5. Very Large",null,{"$f":"IF(E67=\"\",0,VLOOKUP(E67,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F67=\"\",0,VLOOKUP(F67,Lookups!$B$22:$C$27,2,FALSE))","v":5},10]
["Current",{"$f":"VLOOKUP(D68,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"10. Strengthening the links between children’s mental health and learning disabilities services and services for children and young people with special educational needs and disabilities (SEND). ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D68,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E68=\"\",0,VLOOKUP(E68,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F68=\"\",0,VLOOKUP(F68,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D69,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"10.2 There should be involvement, where necessary, of mental health professionals in co-ordinated assessment and planning (for children and young people with and without Education, Health and Care Plans.)","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E69=\"\",0,VLOOKUP(E69,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F69=\"\",0,VLOOKUP(F69,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D70,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"11.1 Peer support schemes should be led and designed by children and young people or by parents or carers, with careful professional support to reduce and manage risk both to peer mentors and the young people and families they are involved with","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E70=\"\",0,VLOOKUP(E70,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F70=\"\",0,VLOOKUP(F70,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D71,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12. Ensuring the support and intervention for young people being planned in the Mental Health Crisis Care Concordat are implemented. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D71,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E71=\"\",0,VLOOKUP(E71,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F71=\"\",0,VLOOKUP(F71,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D72,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12.2 There is an out-of-hours mental health service available for children and young people experiencing mental health crisis","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E72=\"\",0,VLOOKUP(E72,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F72=\"\",0,VLOOKUP(F72,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D73,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12.3 Supporting a CYP in a crisis includes a swift and comprehensive assessment of the nature of the crisis. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E73=\"\",0,VLOOKUP(E73,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F73=\"\",0,VLOOKUP(F73,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D74,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14. Include appropriate mental health and behavioural assessment in admission gateways for inpatient care for young people with learning disabilities and/or challenging behaviour. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D74,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E74=\"\",0,VLOOKUP(E74,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F74=\"\",0,VLOOKUP(F74,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D75,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.1 There is a robust admission gateway processes for CYP with learning difficulties","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E75=\"\",0,VLOOKUP(E75,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F75=\"\",0,VLOOKUP(F75,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D76,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.2 There is a challenge process that checks that there is no alternative to admission for CYP with learning disabilities and/or challenging behaviour. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E76=\"\",0,VLOOKUP(E76,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F76=\"\",0,VLOOKUP(F76,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D77,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.3 The creation of an agreed discharge plan on admission for CYP with learning disabilities and/or challenging behaviour is standard practice. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E77=\"\",0,VLOOKUP(E77,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F77=\"\",0,VLOOKUP(F77,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Future",{"$f":"VLOOKUP(D78,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"17. Putting in place a comprehensive set of access and waiting time standards that bring the same rigour to mental health as is seen in physical health services. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D78,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E78=\"\",0,VLOOKUP(E78,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F78=\"\",0,VLOOKUP(F78,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D79,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"23. Mental health assessments should include sensitive enquiry about the possibility of neglect, violence and abuse, including child sexual abuse or exploitation and, for those aged 16 and above, routine enquiry, so that every young person is asked about violence and abuse.","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D79,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E79=\"\",0,VLOOKUP(E79,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F79=\"\",0,VLOOKUP(F79,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D80,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"25. Specialist services for children and young people’s mental health should be actively represented on Multi-Agency Safeguarding Hubs to identify those at high risk who would benefit from referral at an earlier stage. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D80,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E80=\"\",0,VLOOKUP(E80,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F80=\"\",0,VLOOKUP(F80,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D81,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"35. The Department of Health fulfilling its commitment to complete a prevalence survey for children and young people’s mental health and wellbeing, and working with partner organisations to implement the Child and Adolescent Mental Health Services dataset within the currently defined timeframe. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D81,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E81=\"\",0,VLOOKUP(E81,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F81=\"\",0,VLOOKUP(F81,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D82,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"36. Developing and implementing a detailed and transparent set of measures covering access, waiting times and outcomes to allow benchmarking of local services at national level, in line with the vision set out in Achieving Better Access to Mental Health Services by 2020. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D82,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E82=\"\",0,VLOOKUP(E82,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F82=\"\",0,VLOOKUP(F82,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D83,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.4 Skills gaps in the training of staff working with children and young people with Learning Difficulties, Autistic Spectrum Disorder, and those in inpatient settings shall be addressed.","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E83=\"\",0,VLOOKUP(E83,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F83=\"\",0,VLOOKUP(F83,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D84,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"48. Enabling more areas to accelerate service transformation.","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D84,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E84=\"\",0,VLOOKUP(E84,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F84=\"\",0,VLOOKUP(F84,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Future",{"$f":"VLOOKUP(D85,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"39. Committing to a prevalence survey being repeated every five years.","1. Fully Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D85,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E85=\"\",0,VLOOKUP(E85,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F85=\"\",0,VLOOKUP(F85,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D86,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"1.3 (Current Action) The Institute for Health Visitors is updating training given to all health visitors around mental health and the Department of Health is working with HEE, the Royal College of Midwives and the Maternal Mental Health Alliance to design training programmes for midwives.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E86=\"\",0,VLOOKUP(E86,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F86=\"\",0,VLOOKUP(F86,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D87,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"2.4 School nurses lead and deliver the Healthy Child Programme (HCP) 5-19 and are equipped to work at community, family and individual levels.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E87=\"\",0,VLOOKUP(E87,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F87=\"\",0,VLOOKUP(F87,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D88,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"3. Building on the success of the existing anti-stigma campaign led by Time to Change, and approaches piloted in 2014/15, to promote a broader national conversation about, and raise awareness of mental health issues for children and young people.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D88,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E88=\"\",0,VLOOKUP(E88,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F88=\"\",0,VLOOKUP(F88,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D89,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"7.5 Provide a key role for the voluntary and community sector to encourage an increase in the number of one-stop shop services, based in the community . ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E89=\"\",0,VLOOKUP(E89,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F89=\"\",0,VLOOKUP(F89,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D90,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"10.1 There is a strategic link between children’s mental health services and services for children and young people with special educational needs and disabilities (SEND)","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E90=\"\",0,VLOOKUP(E90,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F90=\"\",0,VLOOKUP(F90,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D91,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"12.1 CYP experiencing mental health crisis receive appropriate support/intervention as outlined in the Crisis Care Concordat","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E91=\"\",0,VLOOKUP(E91,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F91=\"\",0,VLOOKUP(F91,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D92,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"12.4 There are  dedicated home treatment teams for children and young people.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E92=\"\",0,VLOOKUP(E92,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F92=\"\",0,VLOOKUP(F92,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D93,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"13. Implementing clear evidence-based pathways for community-based care, including intensive home treatment where appropriate, to avoid unnecessary admissions to inpatient care. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D93,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E93=\"\",0,VLOOKUP(E93,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F93=\"\",0,VLOOKUP(F93,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D94,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"13.2 This are clear pathways for young people leaving inpatient care to help avoid unnecessary use of inpatient provision and shorten duration of stay by easing the transition out of inpatient care","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E94=\"\",0,VLOOKUP(E94,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F94=\"\",0,VLOOKUP(F94,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D95,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"18. Enabling clear and safe access to high quality information and online support for children, young people and parents/carers, for example through a national, branded web-based portal. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D95,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E95=\"\",0,VLOOKUP(E95,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F95=\"\",0,VLOOKUP(F95,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D96,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19. Legislating to ensure no young person under the age of 18 is detained in a police cell as a place of safety.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D96,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E96=\"\",0,VLOOKUP(E96,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F96=\"\",0,VLOOKUP(F96,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D97,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.1 No child or young person under-18 would be detained in a police cell as a place of safety, subject to there being sufficient alternative places of safety.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E97=\"\",0,VLOOKUP(E97,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F97=\"\",0,VLOOKUP(F97,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D98,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.2 Develop improved data on the availability of crisis/home treatment for under-18 year olds and the use of section 136 for children and young people under-18 to support better planning. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E98=\"\",0,VLOOKUP(E98,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F98=\"\",0,VLOOKUP(F98,Lookups!$B$22:$C$27,2,FALSE))","v":0},{"$f":"SUM(H98*I98)","v":0}]
[null,{"$f":"VLOOKUP(D99,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.3 CQC should carry out routine assessments of places of safety with a focus on their age-appropriateness for children and young people.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E99=\"\",0,VLOOKUP(E99,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F99=\"\",0,VLOOKUP(F99,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D100,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"21. Commissioners and providers across education, health, social care and youth justice sectors working together to develop appropriate and bespoke care pathways that incorporate models of effective, evidence-based interventions for vulnerable children and young people, ensuring that those with protected characteristics such as learning disabilities are not turned away. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D100,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E100=\"\",0,VLOOKUP(E100,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F100=\"\",0,VLOOKUP(F100,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D101,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"21.1 Health inequalities duties apply only to the Health Secretary and NHS, the Taskforce encourages all those involved in commissioning mental health and wellbeing services for children and young people to give the same consideration to the need to reduce health inequalities in access and outcomes","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E101=\"\",0,VLOOKUP(E101,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F101=\"\",0,VLOOKUP(F101,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D102,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"24. Ensuring those who have been sexually abused and/or exploited receive a comprehensive assessment and referral to appropriate evidence-based services. Those who are found to be more symptomatic who are suffering from a mental health disorder should be referred to a specialist mental health service. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D102,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E102=\"\",0,VLOOKUP(E102,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F102=\"\",0,VLOOKUP(F102,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D103,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28. Piloting the roll-out of teams specialising in supporting vulnerable children and young people such as those who are looked after and adopted, possibly on a sub-regional basis, and rolling these out if successful.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D103,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E103=\"\",0,VLOOKUP(E103,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F103=\"\",0,VLOOKUP(F103,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D104,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.1 Specialist services are available to provide advice, rather than to see those who need help directly to advise on concerns about mental health or neurodevelopmental difficulties.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E104=\"\",0,VLOOKUP(E104,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F104=\"\",0,VLOOKUP(F104,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D105,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.2 Consultation and liaison teams are used to help staff working with those with highly complex needs which include mental health difficulties – such as those who have been adopted or those with harmful sexual behaviour, and those in contact with the youth justice system – based on the complexity of the issues involved above and beyond the level of existing cross-agency provision (including specialist services). ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E105=\"\",0,VLOOKUP(E105,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F105=\"\",0,VLOOKUP(F105,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D106,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.3 There is an identified specialist point of reference, including a senior clinician with specific expertise within mental health services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E106=\"\",0,VLOOKUP(E106,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F106=\"\",0,VLOOKUP(F106,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D107,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30. Having lead commissioning arrangements in every area for children and young people’s mental health and wellbeing services with aligned or pooled budgets by developing a single integrated plan for child mental health services in each area, supported by a strong Joint Strategic Needs Assessment. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D107,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E107=\"\",0,VLOOKUP(E107,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F107=\"\",0,VLOOKUP(F107,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D108,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.1 There is a lead accountable commissioning body to co-ordinate commissioning and the implementation of evidenced-based care. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E108=\"\",0,VLOOKUP(E108,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F108=\"\",0,VLOOKUP(F108,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D109,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.2 There is a single, separately identifiable budget for children’s mental health services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E109=\"\",0,VLOOKUP(E109,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F109=\"\",0,VLOOKUP(F109,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D110,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.3 The work of the lead commissioner should be based upon an agreed local plan for child mental health services, agreed by all relevant agencies and with a strong input from children, young people and parents/ carers. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E110=\"\",0,VLOOKUP(E110,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F110=\"\",0,VLOOKUP(F110,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D111,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.4 The local plan itself should be derived from the local Health and Wellbeing Strategy which places an onus on Health and Wellbeing Boards to demonstrate the highest level of local senior leadership commitment to child mental health.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E111=\"\",0,VLOOKUP(E111,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F111=\"\",0,VLOOKUP(F111,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D112,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.5 Health and Wellbeing Boards have strategic oversight of the commissioning of the whole pathway or offer regarding children and young people’s mental health and wellbeing. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E112=\"\",0,VLOOKUP(E112,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F112=\"\",0,VLOOKUP(F112,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D113,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.6 As some individual commissioners and providers, including schools, are not statutory members of Health and Wellbeing Boards, they should put in place arrangements to involve them in the development of the local plan, drawing on approaches already used in some areas such as Mental Health Advisory Panels or Children’s Partnership Boards.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E113=\"\",0,VLOOKUP(E113,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F113=\"\",0,VLOOKUP(F113,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D114,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"31. Health and Wellbeing Boards ensuring that both the Joint Strategic Needs Assessments and the Health and Wellbeing Strategies address the mental and physical health needs of children, young people and their families, effectively and comprehensively. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D114,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E114=\"\",0,VLOOKUP(E114,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F114=\"\",0,VLOOKUP(F114,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D115,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"32. By co-commissioning community mental health and inpatient care between local areas and NHS England to ensure smooth care pathways to prevent inappropriate admission and facilitate safe and timely discharge. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D115,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E115=\"\",0,VLOOKUP(E115,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F115=\"\",0,VLOOKUP(F115,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D116,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"33. Ensuring Quality Standards from the National Institute for Health and Care Excellence (NICE) inform and shape commissioning decisions ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D116,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E116=\"\",0,VLOOKUP(E116,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F116=\"\",0,VLOOKUP(F116,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D117,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"35.2 Routine data collection of key indicators of child and adolescent mental health service activity, patient experience and patient outcomes are properly co-ordinated and incentivised.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E117=\"\",0,VLOOKUP(E117,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F117=\"\",0,VLOOKUP(F117,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D118,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"36.2 Access to services is reported as time to different events in a pathway of care linked to delivery of NICE concordant treatment and measurement of outcomes.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E118=\"\",0,VLOOKUP(E118,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F118=\"\",0,VLOOKUP(F118,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D119,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"37. Monitoring access and wait measurement against pathway standards – linked to outcome measures and the delivery of NICE-concordant treatment at every step.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D119,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E119=\"\",0,VLOOKUP(E119,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F119=\"\",0,VLOOKUP(F119,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D120,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"38.1 NHS England will be able to identify the overall children’s mental health spend by the NHS.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E120=\"\",0,VLOOKUP(E120,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F120=\"\",0,VLOOKUP(F120,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D121,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"40.2 Professionals trained to: Promote good mental health to children and young people and educate them and their families about the possibilities for effective and appropriate intervention to improve wellbeing. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E121=\"\",0,VLOOKUP(E121,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F121=\"\",0,VLOOKUP(F121,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D122,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"43.2 All staff should be trained to practise in a non-discriminatory way with respect to gender, ethnicity, religion and disability.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E122=\"\",0,VLOOKUP(E122,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F122=\"\",0,VLOOKUP(F122,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D123,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"46.1 Develop agreed Transformation Plans for Children and Young People’s Mental Health and Wellbeing which will clearly articulate the local offer. These Plans would cover the whole spectrum of services for children and young people’s mental health and wellbeing from health promotion and prevention work, to support and interventions for children and young people who have existing or emerging mental health problems, as well as transitions between services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E123=\"\",0,VLOOKUP(E123,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F123=\"\",0,VLOOKUP(F123,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]

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[null,null,"Resilience, prevention and early intervention for the mental wellbeing of children and young people\nOur aim is to act early to prevent harm, by investing in the early years, supporting families and those who care for children and building resilience through to adulthood. Strategies should be developed in partnership with children and young people to support self-care. This will reduce the burden of mental and physical ill health over the whole life course.","Readiness Rating:","Complexity:","Size:",null,"C","S","Rat"]
["Current",{"$f":"VLOOKUP(D3,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"1. Promoting and driving established requirements and programmes of work on prevention and early intervention, including harnessing learning from the new 0-2 year old early intervention pilots.","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D3,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E3=\"\",0,VLOOKUP(E3,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F3=\"\",0,VLOOKUP(F3,Lookups!$B$22:$C$27,2,FALSE))","v":3},{"$f":"SUM(H3*I3)","v":9}]
[null,{"$f":"VLOOKUP(D4,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"1.1 (Current Action) Reduce the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E4=\"\",0,VLOOKUP(E4,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F4=\"\",0,VLOOKUP(F4,Lookups!$B$22:$C$27,2,FALSE))","v":3},{"$f":"SUM(H4*I4)","v":9}]
[null,{"$f":"VLOOKUP(D5,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"1.2 (Current action) Every birthing unit should have access to a specialist perinatal mental health clinician by 2017.","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E5=\"\",0,VLOOKUP(E5,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F5=\"\",0,VLOOKUP(F5,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D6,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"1.3 (Current Action) The Institute for Health Visitors is updating training given to all health visitors around mental health and the Department of Health is working with HEE, the Royal College of Midwives and the Maternal Mental Health Alliance to design training programmes for midwives.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E6=\"\",0,VLOOKUP(E6,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F6=\"\",0,VLOOKUP(F6,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D7,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"1.4(Current Action) Public Health England is publishing an update of the evidence base for the Healthy Child Programme (0-5 years) that will guide professionals including supporting early attachment between infant and parents","3. Changes Agreed but Not Started","3. Medium","4. Large",null,{"$f":"IF(E7=\"\",0,VLOOKUP(E7,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F7=\"\",0,VLOOKUP(F7,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Current",{"$f":"VLOOKUP(D8,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2. Continuing to develop whole school approaches to promoting mental health and wellbeing, including building on the Department for Education’s current work on character and resilience, PSHE and counselling services in schools.","2. Partially Implemented","3. Medium","5. Very Large",{"$f":"VLOOKUP(D8,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E8=\"\",0,VLOOKUP(E8,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F8=\"\",0,VLOOKUP(F8,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D9,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2.1 DfE is to produce guidance for schools in teaching about mental health safely and effectively (spring 2015). Alongside the guidance will be a series of lesson plans covering key stages 1-4 (5-16 year olds). For older pupils, they will address such topics as self harm and eating disorders, as well as issues directly concerned with school life, such as managing anxiety and stress around exams.","2. Partially Implemented","2. Simple","5. Very Large",null,{"$f":"IF(E9=\"\",0,VLOOKUP(E9,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F9=\"\",0,VLOOKUP(F9,Lookups!$B$22:$C$27,2,FALSE))","v":5},10]
[null,{"$f":"VLOOKUP(D10,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"2.2 DfE is developing an evidence-based schools counselling strategy to encourage more and better use of counsellors in schools, with practical and evidence-based advice to ensure quality provision, that improves children’s outcomes and achieves value for money. This will be published in spring 2015. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",null,{"$f":"IF(E10=\"\",0,VLOOKUP(E10,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F10=\"\",0,VLOOKUP(F10,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
[null,{"$f":"VLOOKUP(D11,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"2.3 DfE has invited schools, colleges and organisations to bid for a £3.5 million character education grant fund for local projects.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E11=\"\",0,VLOOKUP(E11,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F11=\"\",0,VLOOKUP(F11,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D12,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"2.4 School nurses lead and deliver the Healthy Child Programme (HCP) 5-19 and are equipped to work at community, family and individual levels.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E12=\"\",0,VLOOKUP(E12,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F12=\"\",0,VLOOKUP(F12,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D13,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2.5 The new draft Ofsted inspection framework ‘Better Inspection for All’ includes a new judgement on personal development, behaviour and welfare of children and learners.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E13=\"\",0,VLOOKUP(E13,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F13=\"\",0,VLOOKUP(F13,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Current",{"$f":"VLOOKUP(D14,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"3. Building on the success of the existing anti-stigma campaign led by Time to Change, and approaches piloted in 2014/15, to promote a broader national conversation about, and raise awareness of mental health issues for children and young people.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D14,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E14=\"\",0,VLOOKUP(E14,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F14=\"\",0,VLOOKUP(F14,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D15,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"4. Enhancing existing maternal, perinatal and early years health services and parenting programmes to strengthen attachment between parent and child, avoid early trauma, build resilience and improve behaviour by ensuring parents have access to evidence based programmes of intervention and support.","3. Changes Agreed but Not Started","3. Medium","4. Large",{"$f":"VLOOKUP(D15,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E15=\"\",0,VLOOKUP(E15,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F15=\"\",0,VLOOKUP(F15,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D16,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"4.1 (Potential Action) Achieving Better Access to Mental Health Services by 2020 sets out that DH and NHS England will consider developing an access and/or waiting standard for rapid access to mental health services for women in pregnancy or in the postnatal period with a known or suspected mental health problem.","3. Changes Agreed but Not Started","3. Medium","4. Large",null,{"$f":"IF(E16=\"\",0,VLOOKUP(E16,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F16=\"\",0,VLOOKUP(F16,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D17,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"4.2 (Potential) The DfE and DH are to run '0-2 year old early intervention pilots looking to prevent avoidable problems later in life. The Government will consider the emerging evidence in relation to prevention and intervening early with mental health problems.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E17=\"\",0,VLOOKUP(E17,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F17=\"\",0,VLOOKUP(F17,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Future",{"$f":"VLOOKUP(D18,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"}," 5. Supporting self-care by incentivising the development of new apps and digital tools; and consider whether there is a need for a kite marking scheme in order to guide young people and their parents in respect of the quality of the different offers.","3. Changes Agreed but Not Started","2. Simple","3. Medium",{"$f":"VLOOKUP(D18,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E18=\"\",0,VLOOKUP(E18,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F18=\"\",0,VLOOKUP(F18,Lookups!$B$22:$C$27,2,FALSE))","v":3},6]
[null,{"$f":"VLOOKUP(D19,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Supporting Information:","Theme Readiness Rating:"]
[null,{"$f":"VLOOKUP(D20,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Our Talk Out Loud, Ed Psych services including TAMHS, Five to Thrive and some of our infrastructure/workforce work delivers much in  this area. We are currently developing our Perinatal mental health provision, pathways and workforce development programme, with a need to agree the pathways and funding at present. Health visiting and midwifery have very good pathways which include routine enquiry into maternal depression & anxiety . The detection is good , it’s the pathways after that we are currently developing. Five to Thrive, a programme to improve attachment and child resilience has been fully embedded in Health Visiting as a part of the call to action. We have undertaken training at GP PLT events, but there is a greater need for social prescribing and primary health interventions. Our 20 TaHMS framework and 30 Anti Stigma Framework schools are good examples of this, the Young Leaders are also rolling out a Mental Health Charter. Some schools have really engaged especially with Sir Christopher Hatton in Wellingborough getting an Outstanding Ofsted for doing so, and Northampton Academy/Kettering Buccleuch Academy embedding the self harm toolkit with all staff. Also Wollaston Primary is exemplary. Sponne, Huxlow, Maplefields, NSG, and Montsaye have been very active.  But these are still the minority and we need to work with NCC and schools to further this work, as well as liaise with the DFE. LGBT Out There Programme are developing an Anti Bullying Resource and Latimer Arts College in Kettering have excellent models in place. The Early Help Partnership may benefit from work in this area. Not many of our schools have trained counsellors, some schools are making their pastoral team redundant. All schools can access out YHMP pooled budget commissioned counselling and some commission additional resource (the numbers are unclear). We have difficulty engaging with the independent schools, even when we offer free resources and training. We are trialling designated mental health workers with schools, NHFT currently in the CAMHS Community Liaison and Early Intervention Team - though there will be large numbers of schools for each staff member at the mo - c82 schools per member of staff with current resources. Also the Ed Psych (EP) (including the TaMHS programme) have a significant penetration with designated EPs. Our Talk Out Loud Programme has a PHSE pack as well as CAMHS offering stress webinars for pupils. We currently await publication of the education guidance and need to work with school colleagues to assess further the interventions. We need to review whether there is still time to bid for the £3.5m character education grant fund. School nurses are working as national exemplars rolling out Five to Thrive across their workforce. We welcome the joint Ofsted and CQC inspections and await guidance on the inspection framework.\n\nWe need to include Zoe Sugg in our Anti Stigma work. Young Leaders have been given a £15k grant from NCC and are developing an App with our assistance. We have piloted Parent Infant Mental Health and Theraplay where families are affected by domestic violence.  We are keen to develop our approaches to working with families with drug and alcohol risks, domestic violence and parental mental health (not just perinatal, but also parents of older children with Long Term Health Needs). We believe we could be an exemplar in this area, even if we bolster our offer with further resource.",{"$f":"AVERAGE(G3:G18)","v":2.6}]
[null,{"$f":"VLOOKUP(D21,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}}]
[null,{"$f":"VLOOKUP(D22,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Improving access to effective support – chapter 5 summary\nOur aim is to change how care is delivered and build it around the needs of children and young people and families. This means moving away from a system of care defined in terms of the services organisations provide to ensure that children and young people have easy access to the right support from the right service at the right time.","Readiness Rating:","Complexity:","Size:"]
["Current",{"$f":"VLOOKUP(D23,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"6. Moving away from the current tiered system of mental health services to investigate other models of integrated service delivery based on existing best practice. ","3. Changes Agreed but Not Started","4. Complex","4. Large",{"$f":"VLOOKUP(D23,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E23=\"\",0,VLOOKUP(E23,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F23=\"\",0,VLOOKUP(F23,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D24,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7. Enabling single points of access and One-Stop-Shop services to increasingly become a key part of the local offer, harnessing the vital contribution of the voluntary sector. ","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D24,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E24=\"\",0,VLOOKUP(E24,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F24=\"\",0,VLOOKUP(F24,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
[null,{"$f":"VLOOKUP(D25,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.1 One point of contact for a wide range of universal services to access a team of children and young people’s mental health professionals for advice, consultation, assessment and onward referral. ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E25=\"\",0,VLOOKUP(E25,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F25=\"\",0,VLOOKUP(F25,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D26,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.2 Initial risk assessment to ensure children and young people at high risk are seen as a priority. ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E26=\"\",0,VLOOKUP(E26,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F26=\"\",0,VLOOKUP(F26,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D27,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.3 Prompt decision-making about who can best meet the child/young person’s needs (including targeted or specialist services, voluntary sector youth services and counselling services). ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E27=\"\",0,VLOOKUP(E27,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F27=\"\",0,VLOOKUP(F27,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D28,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"7.4 Young people and parents are able to self-refer into the single point of access.","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",null,{"$f":"IF(E28=\"\",0,VLOOKUP(E28,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F28=\"\",0,VLOOKUP(F28,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D29,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"7.5 Provide a key role for the voluntary and community sector to encourage an increase in the number of one-stop shop services, based in the community . ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E29=\"\",0,VLOOKUP(E29,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F29=\"\",0,VLOOKUP(F29,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D30,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"8. Improving communications and referrals, for example, local mental health commissioners and providers should consider assigning a named point of contact in specialist children and young people’s mental health services for schools and GP practices; and schools should consider assigning a named lead on mental health issues. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",{"$f":"VLOOKUP(D30,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E30=\"\",0,VLOOKUP(E30,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F30=\"\",0,VLOOKUP(F30,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D31,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"8.1 There is a dedicated named contact point in targeted or specialist mental health services for every school and primary care provider, including GP practices. ","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E31=\"\",0,VLOOKUP(E31,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F31=\"\",0,VLOOKUP(F31,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D32,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"8.2 There should be a specific individual responsible for mental health in schools, to provide a link to expertise and support to discuss concerns about individual children and young people, identify issues and make effective referrals.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E32=\"\",0,VLOOKUP(E32,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F32=\"\",0,VLOOKUP(F32,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D33,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"9. Developing a joint training programme to support lead contacts in specialist children and young people’s mental health services and schools. ","2. Partially Implemented","4. Complex","4. Large",{"$f":"VLOOKUP(D33,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E33=\"\",0,VLOOKUP(E33,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F33=\"\",0,VLOOKUP(F33,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D34,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"10. Strengthening the links between children’s mental health and learning disabilities services and services for children and young people with special educational needs and disabilities (SEND). ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D34,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E34=\"\",0,VLOOKUP(E34,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F34=\"\",0,VLOOKUP(F34,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D35,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"10.1 There is a strategic link between children’s mental health services and services for children and young people with special educational needs and disabilities (SEND)","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E35=\"\",0,VLOOKUP(E35,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F35=\"\",0,VLOOKUP(F35,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D36,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"10.2 There should be involvement, where necessary, of mental health professionals in co-ordinated assessment and planning (for children and young people with and without Education, Health and Care Plans.)","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E36=\"\",0,VLOOKUP(E36,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F36=\"\",0,VLOOKUP(F36,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D37,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"11. Extending use of peer support networks for young people and parents based on comprehensive evaluation of what works, when and how. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",{"$f":"VLOOKUP(D37,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E37=\"\",0,VLOOKUP(E37,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F37=\"\",0,VLOOKUP(F37,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D38,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"11.1 Peer support schemes should be led and designed by children and young people or by parents or carers, with careful professional support to reduce and manage risk both to peer mentors and the young people and families they are involved with","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E38=\"\",0,VLOOKUP(E38,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F38=\"\",0,VLOOKUP(F38,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D39,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"11.2 Further work should be done with relevant education and third sector partners to audit where peer support is currently available and evaluate it, building on existing work such as the Royal Society for Public Health Youth Health Champions. Local areas can then consider closing gaps in provision.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E39=\"\",0,VLOOKUP(E39,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F39=\"\",0,VLOOKUP(F39,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D40,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12. Ensuring the support and intervention for young people being planned in the Mental Health Crisis Care Concordat are implemented. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D40,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E40=\"\",0,VLOOKUP(E40,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F40=\"\",0,VLOOKUP(F40,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D41,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"12.1 CYP experiencing mental health crisis receive appropriate support/intervention as outlined in the Crisis Care Concordat","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E41=\"\",0,VLOOKUP(E41,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F41=\"\",0,VLOOKUP(F41,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D42,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12.2 There is an out-of-hours mental health service available for children and young people experiencing mental health crisis","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E42=\"\",0,VLOOKUP(E42,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F42=\"\",0,VLOOKUP(F42,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D43,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12.3 Supporting a CYP in a crisis includes a swift and comprehensive assessment of the nature of the crisis. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E43=\"\",0,VLOOKUP(E43,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F43=\"\",0,VLOOKUP(F43,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D44,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"12.4 There are  dedicated home treatment teams for children and young people.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E44=\"\",0,VLOOKUP(E44,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F44=\"\",0,VLOOKUP(F44,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D45,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12.5 The national development of all-age liaison psychiatry services in A&E Departments should mean that appropriate mental health support in A&E is more readily available.","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E45=\"\",0,VLOOKUP(E45,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F45=\"\",0,VLOOKUP(F45,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D46,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"13. Implementing clear evidence-based pathways for community-based care, including intensive home treatment where appropriate, to avoid unnecessary admissions to inpatient care. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D46,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E46=\"\",0,VLOOKUP(E46,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F46=\"\",0,VLOOKUP(F46,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D47,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"13.1 There is strong support for investing in effective targeted and specialist community provision, including admission prevention and ‘step-down’ provision.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E47=\"\",0,VLOOKUP(E47,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F47=\"\",0,VLOOKUP(F47,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D48,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"13.2 This are clear pathways for young people leaving inpatient care to help avoid unnecessary use of inpatient provision and shorten duration of stay by easing the transition out of inpatient care","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E48=\"\",0,VLOOKUP(E48,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F48=\"\",0,VLOOKUP(F48,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D49,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14. Include appropriate mental health and behavioural assessment in admission gateways for inpatient care for young people with learning disabilities and/or challenging behaviour. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D49,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E49=\"\",0,VLOOKUP(E49,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F49=\"\",0,VLOOKUP(F49,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D50,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.1 There is a robust admission gateway processes for CYP with learning difficulties","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E50=\"\",0,VLOOKUP(E50,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F50=\"\",0,VLOOKUP(F50,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D51,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.2 There is a challenge process that checks that there is no alternative to admission for CYP with learning disabilities and/or challenging behaviour. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E51=\"\",0,VLOOKUP(E51,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F51=\"\",0,VLOOKUP(F51,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D52,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.3 The creation of an agreed discharge plan on admission for CYP with learning disabilities and/or challenging behaviour is standard practice. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E52=\"\",0,VLOOKUP(E52,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F52=\"\",0,VLOOKUP(F52,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D53,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"15. Promoting implementation of best practice in transition, including ending arbitrary cut-off dates based on a particular age.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D53,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E53=\"\",0,VLOOKUP(E53,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F53=\"\",0,VLOOKUP(F53,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D54,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"15.1 There is flexibility around age boundaries, in which transition is based on individual circumstances rather than absolute age, with joint working and shared practice between services to promote continuity of care.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E54=\"\",0,VLOOKUP(E54,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F54=\"\",0,VLOOKUP(F54,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D55,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"16. Improving communications, referrals and access to support through every area having named points of contact in specialist mental health services and schools, single points of access and one-stop-shop services, as a key part of any universal local offer.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D55,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E55=\"\",0,VLOOKUP(E55,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F55=\"\",0,VLOOKUP(F55,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D56,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"17. Putting in place a comprehensive set of access and waiting time standards that bring the same rigour to mental health as is seen in physical health services. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D56,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E56=\"\",0,VLOOKUP(E56,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F56=\"\",0,VLOOKUP(F56,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Future",{"$f":"VLOOKUP(D57,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"18. Enabling clear and safe access to high quality information and online support for children, young people and parents/carers, for example through a national, branded web-based portal. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D57,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E57=\"\",0,VLOOKUP(E57,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F57=\"\",0,VLOOKUP(F57,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D58,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19. Legislating to ensure no young person under the age of 18 is detained in a police cell as a place of safety.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D58,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E58=\"\",0,VLOOKUP(E58,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F58=\"\",0,VLOOKUP(F58,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D59,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.1 No child or young person under-18 would be detained in a police cell as a place of safety, subject to there being sufficient alternative places of safety.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E59=\"\",0,VLOOKUP(E59,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F59=\"\",0,VLOOKUP(F59,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D60,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.2 Develop improved data on the availability of crisis/home treatment for under-18 year olds and the use of section 136 for children and young people under-18 to support better planning. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E60=\"\",0,VLOOKUP(E60,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F60=\"\",0,VLOOKUP(F60,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D61,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.3 CQC should carry out routine assessments of places of safety with a focus on their age-appropriateness for children and young people.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E61=\"\",0,VLOOKUP(E61,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F61=\"\",0,VLOOKUP(F61,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D62,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Supporting Information:","Theme Readiness Rating:"]
[null,{"$f":"VLOOKUP(D63,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"The devolution of Tiers will be a large step change for us, but was always a part of our current Children and Young People's Community Health Transformation programme. Further planning and implementation is required.  We did see 6.5% of our children and young people in 2014/15. There has been a 20% increase in demand (2014/15) and waiting times for youth counselling have doubled.  CAMHS has had a reduction in wait times due to the transformation programme, but the Children and Families Act has had an impact on paediatric resourcing.  We have a designated crisis and home intervention team. We have not had any under 18s in police cells.  However, there has been a 6 fold increase in demand at the acutes. Therefore a key priority currently is reviewing the acute pathways and specifically our approaches to high risk or unknown risk presentations to A&E.  There are complaints there is not a psych service in the middle of the night, but we adhere to NICE guidance where we give kids an 8 hour cooling down period prior to assessment. So if someone presents at midnight, we can assess at 8:30 the next morning (30 minutes later). In terms of demand, when reviewed in 2013, there were less than 2 incidents each month. Awaiting data, but the view is that this is now a key pressure point. This remains under review as the acutes are concerned about risk and we are mapping the pathways and commissioning intentions. We record outcomes measures, but this is an area for further improvement. Our referal management centre went live with 14 services in June 2014, there are plans to roll out the rest of the emotional wellbeing pathways by April 2016. Our Ask Normen and Talk Out Loud websites are key tools for supporting access and support information.  Self Referral will be a challenge with current resourcing. 3/5 of our Youth Counselling Agencies operate a drop in and they make referrals to CAMHS as required. But this is an area that requires further review. The CAMHS Community Liaison team operate an advice line and are piloting designated contacts for schools, but this is an area that may require additional resources due to capacity constraints.\n\nStaggered transition pathways and reducing waiting times will likely require additional funding to enable the services to meet the increase in demand.  There will be resource provision and workforce development issues as well with a full project portfolio requirement for those two areas. There is also potentially an issue that the Better Care Fund Transformation programme could deem it too big a risk at this time. There is a need to work with adult and children social care to look at the intentions for social care and align practices.\n\nFor SEN and LD, We are currently joined up through the Children with Disabilities Working Group, Young Healthy Minds Partnership, Autism Network and the ASD/ADHD Strategy Board, but the governance and workplans need to be further aligned.\n\nAll Age Liaison Psychiatry: We are implementing an Acute Psychiatric Liaison Service in adult services and reviewing the integration of children's pathways. There is still significant work to do in this area, but it is partially implemented.",{"$f":"AVERAGE(G23:G61)","v":2.2857142857142856}]
[null,{"$f":"VLOOKUP(D64,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}}]
[null,{"$f":"VLOOKUP(D65,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Caring for the most vulnerable – chapter 6 summary\nCurrent service constructs present barriers making it difficult for many vulnerable children, young people and those who care for them to get the support they need. Our aim is to dismantle these barriers and reach out to children and young people in need.","Readiness Rating:","Complexity:","Size:"]
["Current",{"$f":"VLOOKUP(D66,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20. Making sure that children, young people or their parents who do not attend appointments are not discharged from services. Instead, their reasons for not attending should be actively followed up and they should be offered further support to help them to engage. This can apply to all children and young people. ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D66,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E66=\"\",0,VLOOKUP(E66,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F66=\"\",0,VLOOKUP(F66,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D67,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20.1 Not attending appointments should not lead to a family or young person being discharged from services, but should be considered as an indicator of need and actively followed up\n","4. Not Ready/ Anticipate Some Barriers to Change","2. Simple","3. Medium",null,{"$f":"IF(E67=\"\",0,VLOOKUP(E67,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F67=\"\",0,VLOOKUP(F67,Lookups!$B$22:$C$27,2,FALSE))","v":3},6]
[null,{"$f":"VLOOKUP(D68,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20.2 Services monitor attendance and actively follow up families and young people who miss appointments and inform the referrer","4. Not Ready/ Anticipate Some Barriers to Change","2. Simple","3. Medium",null,{"$f":"IF(E68=\"\",0,VLOOKUP(E68,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F68=\"\",0,VLOOKUP(F68,Lookups!$B$22:$C$27,2,FALSE))","v":3},{"$f":"SUM(H68*I68)","v":6}]
[null,{"$f":"VLOOKUP(D69,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"20.3 It may be necessary to find alternative ways to engage the child, young person or family.","3. Changes Agreed but Not Started","4. Complex","3. Medium",null,{"$f":"IF(E69=\"\",0,VLOOKUP(E69,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F69=\"\",0,VLOOKUP(F69,Lookups!$B$22:$C$27,2,FALSE))","v":3},12]
["Current",{"$f":"VLOOKUP(D70,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"21. Commissioners and providers across education, health, social care and youth justice sectors working together to develop appropriate and bespoke care pathways that incorporate models of effective, evidence-based interventions for vulnerable children and young people, ensuring that those with protected characteristics such as learning disabilities are not turned away. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D70,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E70=\"\",0,VLOOKUP(E70,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F70=\"\",0,VLOOKUP(F70,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D71,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"21.1 Health inequalities duties apply only to the Health Secretary and NHS, the Taskforce encourages all those involved in commissioning mental health and wellbeing services for children and young people to give the same consideration to the need to reduce health inequalities in access and outcomes","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E71=\"\",0,VLOOKUP(E71,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F71=\"\",0,VLOOKUP(F71,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D72,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"22. Making multi-agency teams available with flexible acceptance criteria for referrals concerning vulnerable children and young people. These should not be based only on clinical diagnosis, but on the presenting needs of the child or young person and the level of professional or family concern. ","2. Partially Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D72,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E72=\"\",0,VLOOKUP(E72,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F72=\"\",0,VLOOKUP(F72,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Current",{"$f":"VLOOKUP(D73,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"23. Mental health assessments should include sensitive enquiry about the possibility of neglect, violence and abuse, including child sexual abuse or exploitation and, for those aged 16 and above, routine enquiry, so that every young person is asked about violence and abuse.","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D73,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E73=\"\",0,VLOOKUP(E73,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F73=\"\",0,VLOOKUP(F73,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D74,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"24. Ensuring those who have been sexually abused and/or exploited receive a comprehensive assessment and referral to appropriate evidence-based services. Those who are found to be more symptomatic who are suffering from a mental health disorder should be referred to a specialist mental health service. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D74,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E74=\"\",0,VLOOKUP(E74,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F74=\"\",0,VLOOKUP(F74,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D75,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"25. Specialist services for children and young people’s mental health should be actively represented on Multi-Agency Safeguarding Hubs to identify those at high risk who would benefit from referral at an earlier stage. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D75,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E75=\"\",0,VLOOKUP(E75,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F75=\"\",0,VLOOKUP(F75,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D76,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"26. For the most vulnerable young people with multiple and complex needs, strengthening the lead professional approach to co-ordinate support and services to prevent them falling between services.","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D76,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E76=\"\",0,VLOOKUP(E76,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F76=\"\",0,VLOOKUP(F76,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
[null,{"$f":"VLOOKUP(D77,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"26.1 A designated or lead professional should be identified and their role strengthened – someone who knows the family well – to liaise with all agencies and ensure that services are targeted and delivered in an integrated way.","2. Partially Implemented","5. Very Complex","4. Large",null,{"$f":"IF(E77=\"\",0,VLOOKUP(E77,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F77=\"\",0,VLOOKUP(F77,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
["Future",{"$f":"VLOOKUP(D78,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"27. Improving the skills of staff working with children and young people with mental health problems by working with the professional bodies, NHS England, PHE and HEE, to ensure that staff are more aware of the impact that trauma has on mental health and on the wider use of appropriate evidence-based interventions. ","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D78,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E78=\"\",0,VLOOKUP(E78,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F78=\"\",0,VLOOKUP(F78,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
["Future",{"$f":"VLOOKUP(D79,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28. Piloting the roll-out of teams specialising in supporting vulnerable children and young people such as those who are looked after and adopted, possibly on a sub-regional basis, and rolling these out if successful.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D79,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E79=\"\",0,VLOOKUP(E79,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F79=\"\",0,VLOOKUP(F79,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D80,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.1 Specialist services are available to provide advice, rather than to see those who need help directly to advise on concerns about mental health or neurodevelopmental difficulties.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E80=\"\",0,VLOOKUP(E80,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F80=\"\",0,VLOOKUP(F80,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D81,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.2 Consultation and liaison teams are used to help staff working with those with highly complex needs which include mental health difficulties – such as those who have been adopted or those with harmful sexual behaviour, and those in contact with the youth justice system – based on the complexity of the issues involved above and beyond the level of existing cross-agency provision (including specialist services). ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E81=\"\",0,VLOOKUP(E81,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F81=\"\",0,VLOOKUP(F81,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D82,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.3 There is an identified specialist point of reference, including a senior clinician with specific expertise within mental health services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E82=\"\",0,VLOOKUP(E82,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F82=\"\",0,VLOOKUP(F82,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D83,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29. Improving the care of children and young people who are most excluded from society, such as those involved in gangs, those who are homeless or sexually exploited, looked-after children and/or those in contact with the youth justice system, by embedding mental health practitioners in services or teams working with them.","2. Partially Implemented","4. Complex","4. Large",{"$f":"VLOOKUP(D83,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E83=\"\",0,VLOOKUP(E83,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F83=\"\",0,VLOOKUP(F83,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D84,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29.1 This is a small number of young people, who may not even recognise that they have mental health problems. They benefit from having a mental health practitioner embedded in teams that have relationships with, and responsibility for such groups, such as a youth club or hostel. This model shall incorporate the necessary governance structures essential for success. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E84=\"\",0,VLOOKUP(E84,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F84=\"\",0,VLOOKUP(F84,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D85,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29.2 Develop a highly flexible team structure which includes the regular mapping of each young person’s needs, informing a consistent and psychologically-informed approach across the team members.","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E85=\"\",0,VLOOKUP(E85,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F85=\"\",0,VLOOKUP(F85,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D86,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Supporting Information:","Theme Readiness Rating:"]
[null,{"$f":"VLOOKUP(D87,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Need to review flexible approaches to DNAs rather than discharges. There are myths around what CAMHS will and won't see, we use the Common Global Assessment Scale (CGAS) that looks at impact of issues. We have been undertaking briefings and creating documentation to help front line staff understand. Again, a better use of the CAF would also benefit providing the right support. This is an ongoing piece of work, but expanding the RMC to cover T1 & 2 services should alleviate the issue. The highlighted vulnerable groups are in the strategy and are key areas of targeted services - LGBT, SARC Counselling for sexual abuse, LD, CAMHS LAC, CAMHS YOS, DAAT workers in the RMC. We have or are producing toolkits around Self Harm, Child Sexual Exploitation and Domestic Violence. Currently there are no CAMHS provision in the MASH. It would be expected that the MASH would contact the RMC where appropriate. Need to work with partners to review this. We have A CAMHS Community Liaison team with a consultation line open during core office hours. This team also provides liaison with schools, Gp Surgeries, Social Care and Community Settings. \n\nSome modelling is being looked at around staffing distribution. The RMC has 14 disciplines working together. There are CAMHS CPNs in the YOS team. We are currently reviewing the LAC/Adoption model. There are some discrepencies in the advice however. Prof Peter Fonagy talks about better outcomes with social workers in CAMHS from the IAPT pilots, but Futures in Mind suggests having clinicians in other non clinical teams. Need to model what is likely to deliver the best outcomes in Northants. Also we are currently developing our ASD/ADHD strategy and workplan.",{"$f":"AVERAGE(G66:G85)","v":1.9}]
[null,{"$f":"VLOOKUP(D88,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}}]
[null,{"$f":"VLOOKUP(D89,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"To be accountable and transparent – chapter 7 summary\nFar too often, a lack of accountability and transparency defeats the best of intention and hides the need for action in a fog of uncertainty. Our aim is to drive improvements in the delivery of care, and standards of performance to ensure we have a much better understanding of how to get the best outcomes for children, young people and families/carers and value from our investment.","Readiness Rating:","Complexity:","Size:"]
["Current",{"$f":"VLOOKUP(D90,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30. Having lead commissioning arrangements in every area for children and young people’s mental health and wellbeing services with aligned or pooled budgets by developing a single integrated plan for child mental health services in each area, supported by a strong Joint Strategic Needs Assessment. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D90,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E90=\"\",0,VLOOKUP(E90,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F90=\"\",0,VLOOKUP(F90,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D91,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.1 There is a lead accountable commissioning body to co-ordinate commissioning and the implementation of evidenced-based care. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E91=\"\",0,VLOOKUP(E91,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F91=\"\",0,VLOOKUP(F91,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D92,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.2 There is a single, separately identifiable budget for children’s mental health services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E92=\"\",0,VLOOKUP(E92,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F92=\"\",0,VLOOKUP(F92,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D93,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.3 The work of the lead commissioner should be based upon an agreed local plan for child mental health services, agreed by all relevant agencies and with a strong input from children, young people and parents/ carers. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E93=\"\",0,VLOOKUP(E93,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F93=\"\",0,VLOOKUP(F93,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D94,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.4 The local plan itself should be derived from the local Health and Wellbeing Strategy which places an onus on Health and Wellbeing Boards to demonstrate the highest level of local senior leadership commitment to child mental health.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E94=\"\",0,VLOOKUP(E94,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F94=\"\",0,VLOOKUP(F94,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D95,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.5 Health and Wellbeing Boards have strategic oversight of the commissioning of the whole pathway or offer regarding children and young people’s mental health and wellbeing. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E95=\"\",0,VLOOKUP(E95,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F95=\"\",0,VLOOKUP(F95,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D96,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.6 As some individual commissioners and providers, including schools, are not statutory members of Health and Wellbeing Boards, they should put in place arrangements to involve them in the development of the local plan, drawing on approaches already used in some areas such as Mental Health Advisory Panels or Children’s Partnership Boards.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E96=\"\",0,VLOOKUP(E96,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F96=\"\",0,VLOOKUP(F96,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D97,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"31. Health and Wellbeing Boards ensuring that both the Joint Strategic Needs Assessments and the Health and Wellbeing Strategies address the mental and physical health needs of children, young people and their families, effectively and comprehensively. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D97,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E97=\"\",0,VLOOKUP(E97,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F97=\"\",0,VLOOKUP(F97,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D98,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"32. By co-commissioning community mental health and inpatient care between local areas and NHS England to ensure smooth care pathways to prevent inappropriate admission and facilitate safe and timely discharge. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D98,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E98=\"\",0,VLOOKUP(E98,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F98=\"\",0,VLOOKUP(F98,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D99,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"33. Ensuring Quality Standards from the National Institute for Health and Care Excellence (NICE) inform and shape commissioning decisions ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D99,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E99=\"\",0,VLOOKUP(E99,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F99=\"\",0,VLOOKUP(F99,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D100,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"34. By Ofsted and CQC working together to consider how to monitor the implementation of the proposals from this report in the future. ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D100,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E100=\"\",0,VLOOKUP(E100,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F100=\"\",0,VLOOKUP(F100,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D101,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"}," 34.1 CQC and Ofsted should develop a joint cross inspectorate view of how the health, education and social care systems are working together to improve children and young people’s mental health outcomes and how this area should be monitored in future (34).","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E101=\"\",0,VLOOKUP(E101,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F101=\"\",0,VLOOKUP(F101,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D102,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"35. The Department of Health fulfilling its commitment to complete a prevalence survey for children and young people’s mental health and wellbeing, and working with partner organisations to implement the Child and Adolescent Mental Health Services dataset within the currently defined timeframe. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D102,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E102=\"\",0,VLOOKUP(E102,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F102=\"\",0,VLOOKUP(F102,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D103,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"35.1 The CAMHS Minimum Dataset, already in development, will allow specific outcome metrics by condition, activity and evidence based interventions to support evaluation of the effectiveness of the care commissioned (35). ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E103=\"\",0,VLOOKUP(E103,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F103=\"\",0,VLOOKUP(F103,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D104,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"35.2 Routine data collection of key indicators of child and adolescent mental health service activity, patient experience and patient outcomes are properly co-ordinated and incentivised.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E104=\"\",0,VLOOKUP(E104,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F104=\"\",0,VLOOKUP(F104,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D105,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"36. Developing and implementing a detailed and transparent set of measures covering access, waiting times and outcomes to allow benchmarking of local services at national level, in line with the vision set out in Achieving Better Access to Mental Health Services by 2020. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D105,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E105=\"\",0,VLOOKUP(E105,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F105=\"\",0,VLOOKUP(F105,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D106,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"36.1 The introduction of the first ever waiting time standards in respect of early intervention in psychosis. ","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E106=\"\",0,VLOOKUP(E106,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F106=\"\",0,VLOOKUP(F106,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D107,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"36.2 Access to services is reported as time to different events in a pathway of care linked to delivery of NICE concordant treatment and measurement of outcomes.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E107=\"\",0,VLOOKUP(E107,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F107=\"\",0,VLOOKUP(F107,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D108,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"37. Monitoring access and wait measurement against pathway standards – linked to outcome measures and the delivery of NICE-concordant treatment at every step.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D108,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E108=\"\",0,VLOOKUP(E108,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F108=\"\",0,VLOOKUP(F108,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D109,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"}," 38. Making the investment of those who commission children and young people’s mental health services fully transparent.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D109,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E109=\"\",0,VLOOKUP(E109,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F109=\"\",0,VLOOKUP(F109,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D110,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"38.1 NHS England will be able to identify the overall children’s mental health spend by the NHS.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E110=\"\",0,VLOOKUP(E110,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F110=\"\",0,VLOOKUP(F110,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D111,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"38.2 Further work is undertaken to improve understanding of child and adolescent mental health funding flows across health, education, social care and youth justice to support a transparent, coherent, whole system approach to future funding decisions and investment.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E111=\"\",0,VLOOKUP(E111,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F111=\"\",0,VLOOKUP(F111,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D112,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"39. Committing to a prevalence survey being repeated every five years.","1. Fully Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D112,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E112=\"\",0,VLOOKUP(E112,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F112=\"\",0,VLOOKUP(F112,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D113,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Supporting Information:","Theme Readiness Rating:"]
[null,{"$f":"VLOOKUP(D114,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"This is an area of strength in Northamptonshire. Currently awaiting the inspection framework guidance and national data sets to model and implement in the county. The Ask Normen and Talk Out Loud websites are key portals for out information across the county. Need to ensure there are more published papers from key reports and studies.\n\nWe currently have a pooled budget under a S75 agreement between Nene and Corby CCGs, Northamptonshire County Council and Peterborough/Cambridgeshire CCGs for the borders of North East Northamptonshire. Nene CCG hosts the pooled budget and is the lead commissioner on behalf of the Young Healthy Minds Partnership. The arrangements and governance are currently under review.Also there are interdependencies with many Public Health provisions such as school nursing, health visiting, family nurse partnership, sexual health etc. We already have a local transformaion plan, and are through the 1st year of a 3 year strategy, but these will need to be reviewed to include the Futures in Mind recommendations.\n\nWe are likely to go to market in 2016/17 and will seek to continue to have a range of providers working in consortia. WE also have a relationship with NHS England, but this needs to be strengthened. Currently our provider NHFT is also an Inpatient provider for NHS England, so that helps with step up and step down.\n\nWe have undertaken an annual survey of CYP for the last two years.  2013 provided 776 responses and one in 2014 with c500 responses. It has been agreed the Young Leaders will conduct a survey annually from now on.\n\nWe welcome the introduction of a national dataset. This will need to be implemented locally. The taskforce recommend a basket of indicators each year rather than implementing all of them. We need to work with partners on implementation once the specification has been published. We use the CORC and IAPT data. Also the 2015 NHS England East Midlands mapping should assist us further.",{"$f":"AVERAGE(G90:G112)","v":1.6}]
[null,{"$f":"VLOOKUP(D115,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}}]
[null,{"$f":"VLOOKUP(D116,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Developing the workforce – chapter 8 summary\nIt is our aim that everyone who works with children, young people and their families is ambitious for every child and young person to achieve goals that are meaningful and achievable for them. They should be excellent in their practice and able to deliver the best evidenced care, be committed to partnership and integrated working with children, young people, families and their fellow professionals and be respected and valued as professionals themselves.","Readiness Rating:","Complexity:","Size:"]
["Current",{"$f":"VLOOKUP(D117,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40. Targeting the training of health and social care professionals and their continuous professional development to create a workforce with the appropriate skills, knowledge and values to deliver the full range of evidence-based treatments ","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D117,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E117=\"\",0,VLOOKUP(E117,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F117=\"\",0,VLOOKUP(F117,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D118,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.1 Professionals trained to be able to: Recognise the value and impact of mental health in children and young people, its relevance to their particular professional responsibilities to the individual and how to provide an environment that supports and builds resilience. \n","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E118=\"\",0,VLOOKUP(E118,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F118=\"\",0,VLOOKUP(F118,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D119,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"40.2 Professionals trained to: Promote good mental health to children and young people and educate them and their families about the possibilities for effective and appropriate intervention to improve wellbeing. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E119=\"\",0,VLOOKUP(E119,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F119=\"\",0,VLOOKUP(F119,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D120,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.3 Professionals trained to be able to: Identify mental health problems early in children and young people. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E120=\"\",0,VLOOKUP(E120,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F120=\"\",0,VLOOKUP(F120,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D121,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.4 Professionals trained to be able to: Offer appropriate support to children and young people with mental health problems and their families and carers, which could include liaison with a named appropriately trained individual responsible for mental health in educational settings. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E121=\"\",0,VLOOKUP(E121,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F121=\"\",0,VLOOKUP(F121,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D122,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.5 Professionals trained to be able to:  Refer appropriately to more targeted and specialist support. ","2. Partially Implemented","3. Medium","5. Very Large",null,{"$f":"IF(E122=\"\",0,VLOOKUP(E122,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F122=\"\",0,VLOOKUP(F122,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D123,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.6 Professionals trained to be able to:  Use feedback gathered meaningfully on a regular basis to guide treatment interventions both in supervision and with the child, young person or parent/carer during sessions. ","2. Partially Implemented","3. Medium","5. Very Large",null,{"$f":"IF(E123=\"\",0,VLOOKUP(E123,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F123=\"\",0,VLOOKUP(F123,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D124,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.7 Professionals trained to be able to: Work in a digital environment with young people who are using online channels to access help and support.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E124=\"\",0,VLOOKUP(E124,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F124=\"\",0,VLOOKUP(F124,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D125,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"41. Implementing the recommendations of the Carter Review of Initial Teacher Training (ITT) to commission a sector body to produce a framework of core content for ITT which would include child and adolescent development. ","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D125,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E125=\"\",0,VLOOKUP(E125,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F125=\"\",0,VLOOKUP(F125,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D126,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"42. By continuing investment in commissioning capability and development through the national mental health commissioning capability development programme.","3. Changes Agreed but Not Started","1. Very Simple","1. Very Small",{"$f":"VLOOKUP(D126,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E126=\"\",0,VLOOKUP(E126,Lookups!$B$15:$C$20,2,FALSE))","v":1},{"$f":"IF(F126=\"\",0,VLOOKUP(F126,Lookups!$B$22:$C$27,2,FALSE))","v":1},1]
[null,{"$f":"VLOOKUP(D127,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"42.1 Attendance at these accredited courses should be a requirement for all those working in commissioning of children and young people’s services","3. Changes Agreed but Not Started","1. Very Simple","1. Very Small",null,{"$f":"IF(E127=\"\",0,VLOOKUP(E127,Lookups!$B$15:$C$20,2,FALSE))","v":1},{"$f":"IF(F127=\"\",0,VLOOKUP(F127,Lookups!$B$22:$C$27,2,FALSE))","v":1},1]
["Future",{"$f":"VLOOKUP(D128,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43. Extending the CYP IAPT curricula and training programmes to train staff to meet the needs of children and young people who are currently not supported by the existing programmes.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D128,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E128=\"\",0,VLOOKUP(E128,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F128=\"\",0,VLOOKUP(F128,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D129,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.1 The workforce in targeted and specialist services need a wide range of skills brought together in the CYP IAPT Core Curriculum.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E129=\"\",0,VLOOKUP(E129,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F129=\"\",0,VLOOKUP(F129,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D130,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"43.2 All staff should be trained to practise in a non-discriminatory way with respect to gender, ethnicity, religion and disability.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E130=\"\",0,VLOOKUP(E130,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F130=\"\",0,VLOOKUP(F130,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D131,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"43.3 Skills gaps in the current workforce around the full range of evidence-based therapies recommended by NICE shall be addressed.","3. Changes Agreed but Not Started","5. Very Complex","5. Very Large",null,{"$f":"IF(E131=\"\",0,VLOOKUP(E131,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F131=\"\",0,VLOOKUP(F131,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D132,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.4 Skills gaps in the training of staff working with children and young people with Learning Difficulties, Autistic Spectrum Disorder, and those in inpatient settings shall be addressed.","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E132=\"\",0,VLOOKUP(E132,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F132=\"\",0,VLOOKUP(F132,Lookups!$B$22:$C$27,2,FALSE))","v":3},{"$f":"SUM(H132*I132)","v":9}]
[null,{"$f":"VLOOKUP(D133,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.5 Counsellors working in schools and the community will receive further training to improve evidence-based care","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E133=\"\",0,VLOOKUP(E133,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F133=\"\",0,VLOOKUP(F133,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D134,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"44. Building on the success of the CYP IAPT transformation programme by rolling it out to the rest of the country and extending competencies based on the programme’s principles to the mental wellbeing workforce, as well as providing training for staff in schools. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",{"$f":"VLOOKUP(D134,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E134=\"\",0,VLOOKUP(E134,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F134=\"\",0,VLOOKUP(F134,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
["Future",{"$f":"VLOOKUP(D135,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"45. Developing a comprehensive workforce strategy, including an audit of skills, capabilities, age, gender and ethnic mix.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D135,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E135=\"\",0,VLOOKUP(E135,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F135=\"\",0,VLOOKUP(F135,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D136,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Supporting Information:","Theme Readiness Rating:"]
[null,{"$f":"VLOOKUP(D137,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"There is a need to improve the general knowledge base of our front line staff as an average send in referrals where 50% do not have mental health needs (though the unified pathway and single poing of access for emotional welbeing is more important). The continued training of health visitors and school nurses are crucial. We are currently trialling webinars and digital interventions such as video conferencing that can be cascaded to the rest of our workforce. Standardisation of IAPT informed working will continue to be rolled out, but additional funding will be required to do so. Our Young Healthy Minds Partnership have agreed to roll out Minded.Org, however this needs a formal campaign behind it to raise awareness and champion it. We endorse the Carter Review and need to continue to work with our education and school colleagues to support their training (e.g. the anti stigma programme, mindfulness training, TaMHS, Self Harm Toolkit, CSE toolkit, Domestic Violence toolkit etc.)\n\n750 staff members have been trained on the use of the Self Harm toolkit in 2014/15, and there are ongoing trainings and briefings to social workers, GPs, SENCOs and school nurses. Also, in development is a shortened pathway document to be included in the staff handbooks across agencies. There is a need however to increase the scale and reach of the workforce development programme.\n\nA key challenge is the interface with schools and we need to review within Northamptonshire how we can further extend the resources used and how we can integrate more. Although we open up training to all disciplines, the uptake is variable by the schools. This is an area for further improvement working with NCC and the schools including their strategic head teacher forums.\n\nEquality training in most organisations are computer based training, and there is a risk that while fully compliant, there may be a gap in practice that we should monitor through CYP feedback. However the voluntary sector partners are very good at demonstrating areas of best practice (though interventions are largely with white british young people and there is a need for more targeted outreach - the Lowdown in Northampton are very good in this regard).",{"$f":"AVERAGE(G117:G135)","v":2.8333333333333335}]
[null,{"$f":"VLOOKUP(D138,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}}]
[null,{"$f":"VLOOKUP(D139,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Making Change Happen – chapter 9 summary","Readiness Rating:","Complexity:","Size:"]
["Current",{"$f":"VLOOKUP(D140,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"46. Establishing a local Transformation Plan in each area during 2015/16 to deliver a local offer in line with the national ambition. Conditions would be attached to completion of these Plans in the form of access to specific additional national investment, already committed at the time of the Autumn Statement 2014. ","2. Partially Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D140,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E140=\"\",0,VLOOKUP(E140,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F140=\"\",0,VLOOKUP(F140,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D141,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"46.1 Develop agreed Transformation Plans for Children and Young People’s Mental Health and Wellbeing which will clearly articulate the local offer. These Plans would cover the whole spectrum of services for children and young people’s mental health and wellbeing from health promotion and prevention work, to support and interventions for children and young people who have existing or emerging mental health problems, as well as transitions between services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E141=\"\",0,VLOOKUP(E141,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F141=\"\",0,VLOOKUP(F141,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D142,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"47. Establishing clear national governance to oversee the transformation of children’s mental health and wellbeing provision country-wide over the next five years. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",{"$f":"VLOOKUP(D142,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E142=\"\",0,VLOOKUP(E142,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F142=\"\",0,VLOOKUP(F142,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
["Current",{"$f":"VLOOKUP(D143,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"48. Enabling more areas to accelerate service transformation.","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D143,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E143=\"\",0,VLOOKUP(E143,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F143=\"\",0,VLOOKUP(F143,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Future",{"$f":"VLOOKUP(D144,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"49. The development of an improved evidence base, on the safety and efficacy of different interventions and service approaches, supported by a world class research programme.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D144,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E144=\"\",0,VLOOKUP(E144,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F144=\"\",0,VLOOKUP(F144,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D145,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"Supporting Information:","Theme Readiness Rating:"]
[null,{"$f":"VLOOKUP(D146,Lookups!$B$9:$C$13,1,FALSE)","v":{"$error":"#N/A"}},"We have a local transformation plan, but it needs to be reviewed in light of Futures in Mind. We have 50 schools  through TAMHS and Talk Out Loud that we can tap into to help us develop the plans, however, we should try to gain a further reach through the strategic heads forums.  we work with the University of Northamptonshire to bolster our evidence base, and look forward to being very active with the national governance of transformation.  Our key priority areas are to develop:\n\n1. Perinatal mental health service\n2. Planned growth in youth counselling (and children counselling) as depression/ anxiety rates grow\n3. ADHD and ASD – we are working to improve access to the diagnostic pathway (when indicated) for all children and young people, no matter where they present in services;  we are also introducing  screening processes to manage the significant numbers of referrals; and that we will have dedicated Educational Psychology input reducing wait times, demedicalising the model and improving post diagnostic support\na. Transformation (Referral criteria – we have too many people being referred - opportunity to develop other interventions through early help)\nb. Capacity growth \nc. Management of the CYP during assessment (coping strategies for parents)\n4. On line tools – develop and promote new ways of working\n5. RMC development particularly about \na. communication and advice for all parties (referrers; carers; CYP themselves)\nb. Links with the MASH\nc. Appropriate step down and guidance\n6. OWD and education for all (referrers; carers; CYP themselves; staff) – have a programme with a board\n7. Prevention of admission and early step down:\na. General admission\nb. Self-harm (challenging behaviour)\nc. Continue to develop anti stigma and mental health awareness messages for younger children\n8. Capacity uplift to manage increasing LAC and adoption needs in an integrated way\n9. CSE services transformation and growth\n10. Continue to work with adult services to meet adult needs in a family friendly way - Domestic Violence, Drug and Alcohol Use, Parental Mental Health needs\n11. Ensure when we go to market, we have a range of providers and provisions, especially for our vulnerable cohorts.\n12. Continue to improve our evidence base through outcomes monitoring and look at the potential of payment by results and co-production models with service users and carers.\n\nWe have an appetite to innovate and put ourselves forward as an exemplar. Northamptonshire would welcome additional resources to support our transformation programme (we will continue applying for grants and work to develop our input into the Early Help Families (nee Troubled Families) initiative and ability to enhance our offer to continue to reduce waiting times due to demand.",{"$f":"AVERAGE(G140:G144)","v":2.5}]

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[null,null,"Northampton Self Assessment","Readiness Rating:","Complexity:","Size:",null,"C","S","Rat"]
[null,{"$f":"VLOOKUP(D2,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"2.3 DfE has invited schools, colleges and organisations to bid for a £3.5 million character education grant fund for local projects.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E2=\"\",0,VLOOKUP(E2,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F2=\"\",0,VLOOKUP(F2,Lookups!$B$22:$C$27,2,FALSE))","v":5},{"$f":"SUM(H2*I2)","v":25}]
[null,{"$f":"VLOOKUP(D3,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"8.2 There should be a specific individual responsible for mental health in schools, to provide a link to expertise and support to discuss concerns about individual children and young people, identify issues and make effective referrals.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E3=\"\",0,VLOOKUP(E3,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F3=\"\",0,VLOOKUP(F3,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D4,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"11.2 Further work should be done with relevant education and third sector partners to audit where peer support is currently available and evaluate it, building on existing work such as the Royal Society for Public Health Youth Health Champions. Local areas can then consider closing gaps in provision.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E4=\"\",0,VLOOKUP(E4,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F4=\"\",0,VLOOKUP(F4,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D5,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"15. Promoting implementation of best practice in transition, including ending arbitrary cut-off dates based on a particular age.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D5,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E5=\"\",0,VLOOKUP(E5,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F5=\"\",0,VLOOKUP(F5,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D6,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"15.1 There is flexibility around age boundaries, in which transition is based on individual circumstances rather than absolute age, with joint working and shared practice between services to promote continuity of care.","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",null,{"$f":"IF(E6=\"\",0,VLOOKUP(E6,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F6=\"\",0,VLOOKUP(F6,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D7,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"41. Implementing the recommendations of the Carter Review of Initial Teacher Training (ITT) to commission a sector body to produce a framework of core content for ITT which would include child and adolescent development. ","4. Not Ready/ Anticipate Some Barriers to Change","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D7,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E7=\"\",0,VLOOKUP(E7,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F7=\"\",0,VLOOKUP(F7,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D8,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"16. Improving communications, referrals and access to support through every area having named points of contact in specialist mental health services and schools, single points of access and one-stop-shop services, as a key part of any universal local offer.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D8,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E8=\"\",0,VLOOKUP(E8,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F8=\"\",0,VLOOKUP(F8,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D9,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29.1 This is a small number of young people, who may not even recognise that they have mental health problems. They benefit from having a mental health practitioner embedded in teams that have relationships with, and responsibility for such groups, such as a youth club or hostel. This model shall incorporate the necessary governance structures essential for success. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E9=\"\",0,VLOOKUP(E9,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F9=\"\",0,VLOOKUP(F9,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D10,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"}," 38. Making the investment of those who commission children and young people’s mental health services fully transparent.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D10,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E10=\"\",0,VLOOKUP(E10,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F10=\"\",0,VLOOKUP(F10,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D11,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"38.2 Further work is undertaken to improve understanding of child and adolescent mental health funding flows across health, education, social care and youth justice to support a transparent, coherent, whole system approach to future funding decisions and investment.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E11=\"\",0,VLOOKUP(E11,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F11=\"\",0,VLOOKUP(F11,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Current",{"$f":"VLOOKUP(D12,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40. Targeting the training of health and social care professionals and their continuous professional development to create a workforce with the appropriate skills, knowledge and values to deliver the full range of evidence-based treatments ","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D12,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E12=\"\",0,VLOOKUP(E12,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F12=\"\",0,VLOOKUP(F12,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D13,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.1 Professionals trained to be able to: Recognise the value and impact of mental health in children and young people, its relevance to their particular professional responsibilities to the individual and how to provide an environment that supports and builds resilience. \n","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E13=\"\",0,VLOOKUP(E13,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F13=\"\",0,VLOOKUP(F13,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D14,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.3 Professionals trained to be able to: Identify mental health problems early in children and young people. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E14=\"\",0,VLOOKUP(E14,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F14=\"\",0,VLOOKUP(F14,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D15,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.4 Professionals trained to be able to: Offer appropriate support to children and young people with mental health problems and their families and carers, which could include liaison with a named appropriately trained individual responsible for mental health in educational settings. ","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E15=\"\",0,VLOOKUP(E15,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F15=\"\",0,VLOOKUP(F15,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D16,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.7 Professionals trained to be able to: Work in a digital environment with young people who are using online channels to access help and support.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E16=\"\",0,VLOOKUP(E16,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F16=\"\",0,VLOOKUP(F16,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D17,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43. Extending the CYP IAPT curricula and training programmes to train staff to meet the needs of children and young people who are currently not supported by the existing programmes.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D17,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E17=\"\",0,VLOOKUP(E17,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F17=\"\",0,VLOOKUP(F17,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D18,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.1 The workforce in targeted and specialist services need a wide range of skills brought together in the CYP IAPT Core Curriculum.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E18=\"\",0,VLOOKUP(E18,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F18=\"\",0,VLOOKUP(F18,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D19,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.3 Skills gaps in the current workforce around the full range of evidence-based therapies recommended by NICE shall be addressed.","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E19=\"\",0,VLOOKUP(E19,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F19=\"\",0,VLOOKUP(F19,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D20,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.5 Counsellors working in schools and the community will receive further training to improve evidence-based care","2. Partially Implemented","5. Very Complex","5. Very Large",null,{"$f":"IF(E20=\"\",0,VLOOKUP(E20,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F20=\"\",0,VLOOKUP(F20,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D21,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"45. Developing a comprehensive workforce strategy, including an audit of skills, capabilities, age, gender and ethnic mix.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D21,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E21=\"\",0,VLOOKUP(E21,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F21=\"\",0,VLOOKUP(F21,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
["Future",{"$f":"VLOOKUP(D22,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"49. The development of an improved evidence base, on the safety and efficacy of different interventions and service approaches, supported by a world class research programme.","2. Partially Implemented","5. Very Complex","5. Very Large",{"$f":"VLOOKUP(D22,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E22=\"\",0,VLOOKUP(E22,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F22=\"\",0,VLOOKUP(F22,Lookups!$B$22:$C$27,2,FALSE))","v":5},25]
[null,{"$f":"VLOOKUP(D23,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"2.2 DfE is developing an evidence-based schools counselling strategy to encourage more and better use of counsellors in schools, with practical and evidence-based advice to ensure quality provision, that improves children’s outcomes and achieves value for money. This will be published in spring 2015. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",null,{"$f":"IF(E23=\"\",0,VLOOKUP(E23,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F23=\"\",0,VLOOKUP(F23,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
["Future",{"$f":"VLOOKUP(D24,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"44. Building on the success of the CYP IAPT transformation programme by rolling it out to the rest of the country and extending competencies based on the programme’s principles to the mental wellbeing workforce, as well as providing training for staff in schools. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",{"$f":"VLOOKUP(D24,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E24=\"\",0,VLOOKUP(E24,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F24=\"\",0,VLOOKUP(F24,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
["Current",{"$f":"VLOOKUP(D25,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"47. Establishing clear national governance to oversee the transformation of children’s mental health and wellbeing provision country-wide over the next five years. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","5. Very Large",{"$f":"VLOOKUP(D25,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E25=\"\",0,VLOOKUP(E25,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F25=\"\",0,VLOOKUP(F25,Lookups!$B$22:$C$27,2,FALSE))","v":5},20]
["Current",{"$f":"VLOOKUP(D26,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7. Enabling single points of access and One-Stop-Shop services to increasingly become a key part of the local offer, harnessing the vital contribution of the voluntary sector. ","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D26,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E26=\"\",0,VLOOKUP(E26,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F26=\"\",0,VLOOKUP(F26,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
["Current",{"$f":"VLOOKUP(D27,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"26. For the most vulnerable young people with multiple and complex needs, strengthening the lead professional approach to co-ordinate support and services to prevent them falling between services.","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D27,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E27=\"\",0,VLOOKUP(E27,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F27=\"\",0,VLOOKUP(F27,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
[null,{"$f":"VLOOKUP(D28,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"26.1 A designated or lead professional should be identified and their role strengthened – someone who knows the family well – to liaise with all agencies and ensure that services are targeted and delivered in an integrated way.","2. Partially Implemented","5. Very Complex","4. Large",null,{"$f":"IF(E28=\"\",0,VLOOKUP(E28,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F28=\"\",0,VLOOKUP(F28,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
["Future",{"$f":"VLOOKUP(D29,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"27. Improving the skills of staff working with children and young people with mental health problems by working with the professional bodies, NHS England, PHE and HEE, to ensure that staff are more aware of the impact that trauma has on mental health and on the wider use of appropriate evidence-based interventions. ","2. Partially Implemented","5. Very Complex","4. Large",{"$f":"VLOOKUP(D29,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E29=\"\",0,VLOOKUP(E29,Lookups!$B$15:$C$20,2,FALSE))","v":5},{"$f":"IF(F29=\"\",0,VLOOKUP(F29,Lookups!$B$22:$C$27,2,FALSE))","v":4},20]
[null,{"$f":"VLOOKUP(D30,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"7.4 Young people and parents are able to self-refer into the single point of access.","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",null,{"$f":"IF(E30=\"\",0,VLOOKUP(E30,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F30=\"\",0,VLOOKUP(F30,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D31,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"8. Improving communications and referrals, for example, local mental health commissioners and providers should consider assigning a named point of contact in specialist children and young people’s mental health services for schools and GP practices; and schools should consider assigning a named lead on mental health issues. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",{"$f":"VLOOKUP(D31,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E31=\"\",0,VLOOKUP(E31,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F31=\"\",0,VLOOKUP(F31,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D32,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"11. Extending use of peer support networks for young people and parents based on comprehensive evaluation of what works, when and how. ","4. Not Ready/ Anticipate Some Barriers to Change","4. Complex","4. Large",{"$f":"VLOOKUP(D32,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E32=\"\",0,VLOOKUP(E32,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F32=\"\",0,VLOOKUP(F32,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D33,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"6. Moving away from the current tiered system of mental health services to investigate other models of integrated service delivery based on existing best practice. ","3. Changes Agreed but Not Started","4. Complex","4. Large",{"$f":"VLOOKUP(D33,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E33=\"\",0,VLOOKUP(E33,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F33=\"\",0,VLOOKUP(F33,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D34,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.1 One point of contact for a wide range of universal services to access a team of children and young people’s mental health professionals for advice, consultation, assessment and onward referral. ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E34=\"\",0,VLOOKUP(E34,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F34=\"\",0,VLOOKUP(F34,Lookups!$B$22:$C$27,2,FALSE))","v":4},{"$f":"SUM(H34*I34)","v":16}]
[null,{"$f":"VLOOKUP(D35,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.2 Initial risk assessment to ensure children and young people at high risk are seen as a priority. ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E35=\"\",0,VLOOKUP(E35,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F35=\"\",0,VLOOKUP(F35,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D36,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"7.3 Prompt decision-making about who can best meet the child/young person’s needs (including targeted or specialist services, voluntary sector youth services and counselling services). ","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E36=\"\",0,VLOOKUP(E36,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F36=\"\",0,VLOOKUP(F36,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D37,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"9. Developing a joint training programme to support lead contacts in specialist children and young people’s mental health services and schools. ","2. Partially Implemented","4. Complex","4. Large",{"$f":"VLOOKUP(D37,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E37=\"\",0,VLOOKUP(E37,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F37=\"\",0,VLOOKUP(F37,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Future",{"$f":"VLOOKUP(D38,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29. Improving the care of children and young people who are most excluded from society, such as those involved in gangs, those who are homeless or sexually exploited, looked-after children and/or those in contact with the youth justice system, by embedding mental health practitioners in services or teams working with them.","2. Partially Implemented","4. Complex","4. Large",{"$f":"VLOOKUP(D38,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E38=\"\",0,VLOOKUP(E38,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F38=\"\",0,VLOOKUP(F38,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
[null,{"$f":"VLOOKUP(D39,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"29.2 Develop a highly flexible team structure which includes the regular mapping of each young person’s needs, informing a consistent and psychologically-informed approach across the team members.","2. Partially Implemented","4. Complex","4. Large",null,{"$f":"IF(E39=\"\",0,VLOOKUP(E39,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F39=\"\",0,VLOOKUP(F39,Lookups!$B$22:$C$27,2,FALSE))","v":4},16]
["Current",{"$f":"VLOOKUP(D40,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2. Continuing to develop whole school approaches to promoting mental health and wellbeing, including building on the Department for Education’s current work on character and resilience, PSHE and counselling services in schools.","2. Partially Implemented","3. Medium","5. Very Large",{"$f":"VLOOKUP(D40,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E40=\"\",0,VLOOKUP(E40,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F40=\"\",0,VLOOKUP(F40,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D41,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.5 Professionals trained to be able to:  Refer appropriately to more targeted and specialist support. ","2. Partially Implemented","3. Medium","5. Very Large",null,{"$f":"IF(E41=\"\",0,VLOOKUP(E41,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F41=\"\",0,VLOOKUP(F41,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D42,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"40.6 Professionals trained to be able to:  Use feedback gathered meaningfully on a regular basis to guide treatment interventions both in supervision and with the child, young person or parent/carer during sessions. ","2. Partially Implemented","3. Medium","5. Very Large",null,{"$f":"IF(E42=\"\",0,VLOOKUP(E42,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F42=\"\",0,VLOOKUP(F42,Lookups!$B$22:$C$27,2,FALSE))","v":5},15]
[null,{"$f":"VLOOKUP(D43,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"1.4(Current Action) Public Health England is publishing an update of the evidence base for the Healthy Child Programme (0-5 years) that will guide professionals including supporting early attachment between infant and parents","3. Changes Agreed but Not Started","3. Medium","4. Large",null,{"$f":"IF(E43=\"\",0,VLOOKUP(E43,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F43=\"\",0,VLOOKUP(F43,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Future",{"$f":"VLOOKUP(D44,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"4. Enhancing existing maternal, perinatal and early years health services and parenting programmes to strengthen attachment between parent and child, avoid early trauma, build resilience and improve behaviour by ensuring parents have access to evidence based programmes of intervention and support.","3. Changes Agreed but Not Started","3. Medium","4. Large",{"$f":"VLOOKUP(D44,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E44=\"\",0,VLOOKUP(E44,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F44=\"\",0,VLOOKUP(F44,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D45,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"4.1 (Potential Action) Achieving Better Access to Mental Health Services by 2020 sets out that DH and NHS England will consider developing an access and/or waiting standard for rapid access to mental health services for women in pregnancy or in the postnatal period with a known or suspected mental health problem.","3. Changes Agreed but Not Started","3. Medium","4. Large",null,{"$f":"IF(E45=\"\",0,VLOOKUP(E45,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F45=\"\",0,VLOOKUP(F45,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D46,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"20.3 It may be necessary to find alternative ways to engage the child, young person or family.","3. Changes Agreed but Not Started","4. Complex","3. Medium",null,{"$f":"IF(E46=\"\",0,VLOOKUP(E46,Lookups!$B$15:$C$20,2,FALSE))","v":4},{"$f":"IF(F46=\"\",0,VLOOKUP(F46,Lookups!$B$22:$C$27,2,FALSE))","v":3},12]
[null,{"$f":"VLOOKUP(D47,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2.5 The new draft Ofsted inspection framework ‘Better Inspection for All’ includes a new judgement on personal development, behaviour and welfare of children and learners.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E47=\"\",0,VLOOKUP(E47,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F47=\"\",0,VLOOKUP(F47,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D48,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"4.2 (Potential) The DfE and DH are to run '0-2 year old early intervention pilots looking to prevent avoidable problems later in life. The Government will consider the emerging evidence in relation to prevention and intervening early with mental health problems.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E48=\"\",0,VLOOKUP(E48,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F48=\"\",0,VLOOKUP(F48,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D49,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"13.1 There is strong support for investing in effective targeted and specialist community provision, including admission prevention and ‘step-down’ provision.","2. Partially Implemented","3. Medium","4. Large",null,{"$f":"IF(E49=\"\",0,VLOOKUP(E49,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F49=\"\",0,VLOOKUP(F49,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Current",{"$f":"VLOOKUP(D50,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"22. Making multi-agency teams available with flexible acceptance criteria for referrals concerning vulnerable children and young people. These should not be based only on clinical diagnosis, but on the presenting needs of the child or young person and the level of professional or family concern. ","2. Partially Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D50,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E50=\"\",0,VLOOKUP(E50,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F50=\"\",0,VLOOKUP(F50,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Current",{"$f":"VLOOKUP(D51,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"46. Establishing a local Transformation Plan in each area during 2015/16 to deliver a local offer in line with the national ambition. Conditions would be attached to completion of these Plans in the form of access to specific additional national investment, already committed at the time of the Autumn Statement 2014. ","2. Partially Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D51,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E51=\"\",0,VLOOKUP(E51,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F51=\"\",0,VLOOKUP(F51,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
["Future",{"$f":"VLOOKUP(D52,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"39. Committing to a prevalence survey being repeated every five years.","1. Fully Implemented","3. Medium","4. Large",{"$f":"VLOOKUP(D52,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E52=\"\",0,VLOOKUP(E52,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F52=\"\",0,VLOOKUP(F52,Lookups!$B$22:$C$27,2,FALSE))","v":4},12]
[null,{"$f":"VLOOKUP(D53,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"2.1 DfE is to produce guidance for schools in teaching about mental health safely and effectively (spring 2015). Alongside the guidance will be a series of lesson plans covering key stages 1-4 (5-16 year olds). For older pupils, they will address such topics as self harm and eating disorders, as well as issues directly concerned with school life, such as managing anxiety and stress around exams.","2. Partially Implemented","2. Simple","5. Very Large",null,{"$f":"IF(E53=\"\",0,VLOOKUP(E53,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F53=\"\",0,VLOOKUP(F53,Lookups!$B$22:$C$27,2,FALSE))","v":5},10]
["Current",{"$f":"VLOOKUP(D54,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"1. Promoting and driving established requirements and programmes of work on prevention and early intervention, including harnessing learning from the new 0-2 year old early intervention pilots.","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D54,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E54=\"\",0,VLOOKUP(E54,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F54=\"\",0,VLOOKUP(F54,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D55,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"1.1 (Current Action) Reduce the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E55=\"\",0,VLOOKUP(E55,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F55=\"\",0,VLOOKUP(F55,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D56,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"12.5 The national development of all-age liaison psychiatry services in A&E Departments should mean that appropriate mental health support in A&E is more readily available.","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E56=\"\",0,VLOOKUP(E56,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F56=\"\",0,VLOOKUP(F56,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D57,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20. Making sure that children, young people or their parents who do not attend appointments are not discharged from services. Instead, their reasons for not attending should be actively followed up and they should be offered further support to help them to engage. This can apply to all children and young people. ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D57,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E57=\"\",0,VLOOKUP(E57,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F57=\"\",0,VLOOKUP(F57,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D58,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"34. By Ofsted and CQC working together to consider how to monitor the implementation of the proposals from this report in the future. ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",{"$f":"VLOOKUP(D58,Lookups!$B$9:$C$13,2,FALSE)","v":4},{"$f":"IF(E58=\"\",0,VLOOKUP(E58,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F58=\"\",0,VLOOKUP(F58,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D59,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"}," 34.1 CQC and Ofsted should develop a joint cross inspectorate view of how the health, education and social care systems are working together to improve children and young people’s mental health outcomes and how this area should be monitored in future (34).","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E59=\"\",0,VLOOKUP(E59,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F59=\"\",0,VLOOKUP(F59,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D60,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"35.1 The CAMHS Minimum Dataset, already in development, will allow specific outcome metrics by condition, activity and evidence based interventions to support evaluation of the effectiveness of the care commissioned (35). ","4. Not Ready/ Anticipate Some Barriers to Change","3. Medium","3. Medium",null,{"$f":"IF(E60=\"\",0,VLOOKUP(E60,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F60=\"\",0,VLOOKUP(F60,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D61,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"1.2 (Current action) Every birthing unit should have access to a specialist perinatal mental health clinician by 2017.","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E61=\"\",0,VLOOKUP(E61,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F61=\"\",0,VLOOKUP(F61,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D62,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"8.1 There is a dedicated named contact point in targeted or specialist mental health services for every school and primary care provider, including GP practices. ","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E62=\"\",0,VLOOKUP(E62,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F62=\"\",0,VLOOKUP(F62,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D63,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"36.1 The introduction of the first ever waiting time standards in respect of early intervention in psychosis. ","3. Changes Agreed but Not Started","3. Medium","3. Medium",null,{"$f":"IF(E63=\"\",0,VLOOKUP(E63,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F63=\"\",0,VLOOKUP(F63,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D64,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"10. Strengthening the links between children’s mental health and learning disabilities services and services for children and young people with special educational needs and disabilities (SEND). ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D64,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E64=\"\",0,VLOOKUP(E64,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F64=\"\",0,VLOOKUP(F64,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D65,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"10.2 There should be involvement, where necessary, of mental health professionals in co-ordinated assessment and planning (for children and young people with and without Education, Health and Care Plans.)","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E65=\"\",0,VLOOKUP(E65,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F65=\"\",0,VLOOKUP(F65,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D66,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"11.1 Peer support schemes should be led and designed by children and young people or by parents or carers, with careful professional support to reduce and manage risk both to peer mentors and the young people and families they are involved with","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E66=\"\",0,VLOOKUP(E66,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F66=\"\",0,VLOOKUP(F66,Lookups!$B$22:$C$27,2,FALSE))","v":3},{"$f":"SUM(H66*I66)","v":9}]
["Current",{"$f":"VLOOKUP(D67,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12. Ensuring the support and intervention for young people being planned in the Mental Health Crisis Care Concordat are implemented. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D67,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E67=\"\",0,VLOOKUP(E67,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F67=\"\",0,VLOOKUP(F67,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D68,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12.2 There is an out-of-hours mental health service available for children and young people experiencing mental health crisis","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E68=\"\",0,VLOOKUP(E68,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F68=\"\",0,VLOOKUP(F68,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D69,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"12.3 Supporting a CYP in a crisis includes a swift and comprehensive assessment of the nature of the crisis. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E69=\"\",0,VLOOKUP(E69,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F69=\"\",0,VLOOKUP(F69,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D70,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14. Include appropriate mental health and behavioural assessment in admission gateways for inpatient care for young people with learning disabilities and/or challenging behaviour. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D70,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E70=\"\",0,VLOOKUP(E70,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F70=\"\",0,VLOOKUP(F70,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D71,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.1 There is a robust admission gateway processes for CYP with learning difficulties","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E71=\"\",0,VLOOKUP(E71,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F71=\"\",0,VLOOKUP(F71,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D72,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.2 There is a challenge process that checks that there is no alternative to admission for CYP with learning disabilities and/or challenging behaviour. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E72=\"\",0,VLOOKUP(E72,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F72=\"\",0,VLOOKUP(F72,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D73,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"14.3 The creation of an agreed discharge plan on admission for CYP with learning disabilities and/or challenging behaviour is standard practice. ","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E73=\"\",0,VLOOKUP(E73,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F73=\"\",0,VLOOKUP(F73,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Future",{"$f":"VLOOKUP(D74,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"17. Putting in place a comprehensive set of access and waiting time standards that bring the same rigour to mental health as is seen in physical health services. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D74,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E74=\"\",0,VLOOKUP(E74,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F74=\"\",0,VLOOKUP(F74,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D75,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"23. Mental health assessments should include sensitive enquiry about the possibility of neglect, violence and abuse, including child sexual abuse or exploitation and, for those aged 16 and above, routine enquiry, so that every young person is asked about violence and abuse.","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D75,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E75=\"\",0,VLOOKUP(E75,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F75=\"\",0,VLOOKUP(F75,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D76,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"25. Specialist services for children and young people’s mental health should be actively represented on Multi-Agency Safeguarding Hubs to identify those at high risk who would benefit from referral at an earlier stage. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D76,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E76=\"\",0,VLOOKUP(E76,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F76=\"\",0,VLOOKUP(F76,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D77,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"35. The Department of Health fulfilling its commitment to complete a prevalence survey for children and young people’s mental health and wellbeing, and working with partner organisations to implement the Child and Adolescent Mental Health Services dataset within the currently defined timeframe. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D77,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E77=\"\",0,VLOOKUP(E77,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F77=\"\",0,VLOOKUP(F77,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D78,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"36. Developing and implementing a detailed and transparent set of measures covering access, waiting times and outcomes to allow benchmarking of local services at national level, in line with the vision set out in Achieving Better Access to Mental Health Services by 2020. ","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D78,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E78=\"\",0,VLOOKUP(E78,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F78=\"\",0,VLOOKUP(F78,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D79,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"43.4 Skills gaps in the training of staff working with children and young people with Learning Difficulties, Autistic Spectrum Disorder, and those in inpatient settings shall be addressed.","2. Partially Implemented","3. Medium","3. Medium",null,{"$f":"IF(E79=\"\",0,VLOOKUP(E79,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F79=\"\",0,VLOOKUP(F79,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
["Current",{"$f":"VLOOKUP(D80,Lookups!$B$9:$C$13,1,FALSE)","v":"2. Partially Implemented"},"48. Enabling more areas to accelerate service transformation.","2. Partially Implemented","3. Medium","3. Medium",{"$f":"VLOOKUP(D80,Lookups!$B$9:$C$13,2,FALSE)","v":2},{"$f":"IF(E80=\"\",0,VLOOKUP(E80,Lookups!$B$15:$C$20,2,FALSE))","v":3},{"$f":"IF(F80=\"\",0,VLOOKUP(F80,Lookups!$B$22:$C$27,2,FALSE))","v":3},9]
[null,{"$f":"VLOOKUP(D81,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20.1 Not attending appointments should not lead to a family or young person being discharged from services, but should be considered as an indicator of need and actively followed up\n","4. Not Ready/ Anticipate Some Barriers to Change","2. Simple","3. Medium",null,{"$f":"IF(E81=\"\",0,VLOOKUP(E81,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F81=\"\",0,VLOOKUP(F81,Lookups!$B$22:$C$27,2,FALSE))","v":3},6]
[null,{"$f":"VLOOKUP(D82,Lookups!$B$9:$C$13,1,FALSE)","v":"4. Not Ready/ Anticipate Some Barriers to Change"},"20.2 Services monitor attendance and actively follow up families and young people who miss appointments and inform the referrer","4. Not Ready/ Anticipate Some Barriers to Change","2. Simple","3. Medium",null,{"$f":"IF(E82=\"\",0,VLOOKUP(E82,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F82=\"\",0,VLOOKUP(F82,Lookups!$B$22:$C$27,2,FALSE))","v":3},6]
["Future",{"$f":"VLOOKUP(D83,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"}," 5. Supporting self-care by incentivising the development of new apps and digital tools; and consider whether there is a need for a kite marking scheme in order to guide young people and their parents in respect of the quality of the different offers.","3. Changes Agreed but Not Started","2. Simple","3. Medium",{"$f":"VLOOKUP(D83,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E83=\"\",0,VLOOKUP(E83,Lookups!$B$15:$C$20,2,FALSE))","v":2},{"$f":"IF(F83=\"\",0,VLOOKUP(F83,Lookups!$B$22:$C$27,2,FALSE))","v":3},6]
["Current",{"$f":"VLOOKUP(D84,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"42. By continuing investment in commissioning capability and development through the national mental health commissioning capability development programme.","3. Changes Agreed but Not Started","1. Very Simple","1. Very Small",{"$f":"VLOOKUP(D84,Lookups!$B$9:$C$13,2,FALSE)","v":3},{"$f":"IF(E84=\"\",0,VLOOKUP(E84,Lookups!$B$15:$C$20,2,FALSE))","v":1},{"$f":"IF(F84=\"\",0,VLOOKUP(F84,Lookups!$B$22:$C$27,2,FALSE))","v":1},1]
[null,{"$f":"VLOOKUP(D85,Lookups!$B$9:$C$13,1,FALSE)","v":"3. Changes Agreed but Not Started"},"42.1 Attendance at these accredited courses should be a requirement for all those working in commissioning of children and young people’s services","3. Changes Agreed but Not Started","1. Very Simple","1. Very Small",null,{"$f":"IF(E85=\"\",0,VLOOKUP(E85,Lookups!$B$15:$C$20,2,FALSE))","v":1},{"$f":"IF(F85=\"\",0,VLOOKUP(F85,Lookups!$B$22:$C$27,2,FALSE))","v":1},1]
[null,{"$f":"VLOOKUP(D86,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"1.3 (Current Action) The Institute for Health Visitors is updating training given to all health visitors around mental health and the Department of Health is working with HEE, the Royal College of Midwives and the Maternal Mental Health Alliance to design training programmes for midwives.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E86=\"\",0,VLOOKUP(E86,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F86=\"\",0,VLOOKUP(F86,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D87,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"2.4 School nurses lead and deliver the Healthy Child Programme (HCP) 5-19 and are equipped to work at community, family and individual levels.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E87=\"\",0,VLOOKUP(E87,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F87=\"\",0,VLOOKUP(F87,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D88,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"3. Building on the success of the existing anti-stigma campaign led by Time to Change, and approaches piloted in 2014/15, to promote a broader national conversation about, and raise awareness of mental health issues for children and young people.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D88,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E88=\"\",0,VLOOKUP(E88,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F88=\"\",0,VLOOKUP(F88,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D89,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"7.5 Provide a key role for the voluntary and community sector to encourage an increase in the number of one-stop shop services, based in the community . ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E89=\"\",0,VLOOKUP(E89,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F89=\"\",0,VLOOKUP(F89,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D90,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"10.1 There is a strategic link between children’s mental health services and services for children and young people with special educational needs and disabilities (SEND)","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E90=\"\",0,VLOOKUP(E90,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F90=\"\",0,VLOOKUP(F90,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D91,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"12.1 CYP experiencing mental health crisis receive appropriate support/intervention as outlined in the Crisis Care Concordat","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E91=\"\",0,VLOOKUP(E91,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F91=\"\",0,VLOOKUP(F91,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D92,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"12.4 There are  dedicated home treatment teams for children and young people.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E92=\"\",0,VLOOKUP(E92,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F92=\"\",0,VLOOKUP(F92,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D93,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"13. Implementing clear evidence-based pathways for community-based care, including intensive home treatment where appropriate, to avoid unnecessary admissions to inpatient care. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D93,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E93=\"\",0,VLOOKUP(E93,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F93=\"\",0,VLOOKUP(F93,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D94,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"13.2 This are clear pathways for young people leaving inpatient care to help avoid unnecessary use of inpatient provision and shorten duration of stay by easing the transition out of inpatient care","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E94=\"\",0,VLOOKUP(E94,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F94=\"\",0,VLOOKUP(F94,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D95,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"18. Enabling clear and safe access to high quality information and online support for children, young people and parents/carers, for example through a national, branded web-based portal. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D95,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E95=\"\",0,VLOOKUP(E95,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F95=\"\",0,VLOOKUP(F95,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D96,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19. Legislating to ensure no young person under the age of 18 is detained in a police cell as a place of safety.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D96,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E96=\"\",0,VLOOKUP(E96,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F96=\"\",0,VLOOKUP(F96,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D97,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.1 No child or young person under-18 would be detained in a police cell as a place of safety, subject to there being sufficient alternative places of safety.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E97=\"\",0,VLOOKUP(E97,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F97=\"\",0,VLOOKUP(F97,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D98,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.2 Develop improved data on the availability of crisis/home treatment for under-18 year olds and the use of section 136 for children and young people under-18 to support better planning. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E98=\"\",0,VLOOKUP(E98,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F98=\"\",0,VLOOKUP(F98,Lookups!$B$22:$C$27,2,FALSE))","v":0},{"$f":"SUM(H98*I98)","v":0}]
[null,{"$f":"VLOOKUP(D99,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"19.3 CQC should carry out routine assessments of places of safety with a focus on their age-appropriateness for children and young people.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E99=\"\",0,VLOOKUP(E99,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F99=\"\",0,VLOOKUP(F99,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D100,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"21. Commissioners and providers across education, health, social care and youth justice sectors working together to develop appropriate and bespoke care pathways that incorporate models of effective, evidence-based interventions for vulnerable children and young people, ensuring that those with protected characteristics such as learning disabilities are not turned away. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D100,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E100=\"\",0,VLOOKUP(E100,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F100=\"\",0,VLOOKUP(F100,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D101,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"21.1 Health inequalities duties apply only to the Health Secretary and NHS, the Taskforce encourages all those involved in commissioning mental health and wellbeing services for children and young people to give the same consideration to the need to reduce health inequalities in access and outcomes","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E101=\"\",0,VLOOKUP(E101,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F101=\"\",0,VLOOKUP(F101,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D102,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"24. Ensuring those who have been sexually abused and/or exploited receive a comprehensive assessment and referral to appropriate evidence-based services. Those who are found to be more symptomatic who are suffering from a mental health disorder should be referred to a specialist mental health service. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D102,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E102=\"\",0,VLOOKUP(E102,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F102=\"\",0,VLOOKUP(F102,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Future",{"$f":"VLOOKUP(D103,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28. Piloting the roll-out of teams specialising in supporting vulnerable children and young people such as those who are looked after and adopted, possibly on a sub-regional basis, and rolling these out if successful.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D103,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E103=\"\",0,VLOOKUP(E103,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F103=\"\",0,VLOOKUP(F103,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D104,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.1 Specialist services are available to provide advice, rather than to see those who need help directly to advise on concerns about mental health or neurodevelopmental difficulties.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E104=\"\",0,VLOOKUP(E104,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F104=\"\",0,VLOOKUP(F104,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D105,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.2 Consultation and liaison teams are used to help staff working with those with highly complex needs which include mental health difficulties – such as those who have been adopted or those with harmful sexual behaviour, and those in contact with the youth justice system – based on the complexity of the issues involved above and beyond the level of existing cross-agency provision (including specialist services). ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E105=\"\",0,VLOOKUP(E105,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F105=\"\",0,VLOOKUP(F105,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D106,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"28.3 There is an identified specialist point of reference, including a senior clinician with specific expertise within mental health services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E106=\"\",0,VLOOKUP(E106,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F106=\"\",0,VLOOKUP(F106,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D107,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30. Having lead commissioning arrangements in every area for children and young people’s mental health and wellbeing services with aligned or pooled budgets by developing a single integrated plan for child mental health services in each area, supported by a strong Joint Strategic Needs Assessment. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D107,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E107=\"\",0,VLOOKUP(E107,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F107=\"\",0,VLOOKUP(F107,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D108,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.1 There is a lead accountable commissioning body to co-ordinate commissioning and the implementation of evidenced-based care. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E108=\"\",0,VLOOKUP(E108,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F108=\"\",0,VLOOKUP(F108,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D109,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.2 There is a single, separately identifiable budget for children’s mental health services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E109=\"\",0,VLOOKUP(E109,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F109=\"\",0,VLOOKUP(F109,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D110,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.3 The work of the lead commissioner should be based upon an agreed local plan for child mental health services, agreed by all relevant agencies and with a strong input from children, young people and parents/ carers. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E110=\"\",0,VLOOKUP(E110,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F110=\"\",0,VLOOKUP(F110,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D111,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.4 The local plan itself should be derived from the local Health and Wellbeing Strategy which places an onus on Health and Wellbeing Boards to demonstrate the highest level of local senior leadership commitment to child mental health.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E111=\"\",0,VLOOKUP(E111,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F111=\"\",0,VLOOKUP(F111,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D112,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.5 Health and Wellbeing Boards have strategic oversight of the commissioning of the whole pathway or offer regarding children and young people’s mental health and wellbeing. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E112=\"\",0,VLOOKUP(E112,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F112=\"\",0,VLOOKUP(F112,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D113,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"30.6 As some individual commissioners and providers, including schools, are not statutory members of Health and Wellbeing Boards, they should put in place arrangements to involve them in the development of the local plan, drawing on approaches already used in some areas such as Mental Health Advisory Panels or Children’s Partnership Boards.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E113=\"\",0,VLOOKUP(E113,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F113=\"\",0,VLOOKUP(F113,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D114,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"31. Health and Wellbeing Boards ensuring that both the Joint Strategic Needs Assessments and the Health and Wellbeing Strategies address the mental and physical health needs of children, young people and their families, effectively and comprehensively. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D114,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E114=\"\",0,VLOOKUP(E114,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F114=\"\",0,VLOOKUP(F114,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D115,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"32. By co-commissioning community mental health and inpatient care between local areas and NHS England to ensure smooth care pathways to prevent inappropriate admission and facilitate safe and timely discharge. ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D115,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E115=\"\",0,VLOOKUP(E115,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F115=\"\",0,VLOOKUP(F115,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D116,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"33. Ensuring Quality Standards from the National Institute for Health and Care Excellence (NICE) inform and shape commissioning decisions ","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D116,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E116=\"\",0,VLOOKUP(E116,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F116=\"\",0,VLOOKUP(F116,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D117,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"35.2 Routine data collection of key indicators of child and adolescent mental health service activity, patient experience and patient outcomes are properly co-ordinated and incentivised.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E117=\"\",0,VLOOKUP(E117,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F117=\"\",0,VLOOKUP(F117,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D118,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"36.2 Access to services is reported as time to different events in a pathway of care linked to delivery of NICE concordant treatment and measurement of outcomes.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E118=\"\",0,VLOOKUP(E118,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F118=\"\",0,VLOOKUP(F118,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
["Current",{"$f":"VLOOKUP(D119,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"37. Monitoring access and wait measurement against pathway standards – linked to outcome measures and the delivery of NICE-concordant treatment at every step.","1. Fully Implemented","n/a","n/a",{"$f":"VLOOKUP(D119,Lookups!$B$9:$C$13,2,FALSE)","v":1},{"$f":"IF(E119=\"\",0,VLOOKUP(E119,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F119=\"\",0,VLOOKUP(F119,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D120,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"38.1 NHS England will be able to identify the overall children’s mental health spend by the NHS.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E120=\"\",0,VLOOKUP(E120,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F120=\"\",0,VLOOKUP(F120,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D121,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"40.2 Professionals trained to: Promote good mental health to children and young people and educate them and their families about the possibilities for effective and appropriate intervention to improve wellbeing. ","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E121=\"\",0,VLOOKUP(E121,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F121=\"\",0,VLOOKUP(F121,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D122,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"43.2 All staff should be trained to practise in a non-discriminatory way with respect to gender, ethnicity, religion and disability.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E122=\"\",0,VLOOKUP(E122,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F122=\"\",0,VLOOKUP(F122,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]
[null,{"$f":"VLOOKUP(D123,Lookups!$B$9:$C$13,1,FALSE)","v":"1. Fully Implemented"},"46.1 Develop agreed Transformation Plans for Children and Young People’s Mental Health and Wellbeing which will clearly articulate the local offer. These Plans would cover the whole spectrum of services for children and young people’s mental health and wellbeing from health promotion and prevention work, to support and interventions for children and young people who have existing or emerging mental health problems, as well as transitions between services.","1. Fully Implemented","n/a","n/a",null,{"$f":"IF(E123=\"\",0,VLOOKUP(E123,Lookups!$B$15:$C$20,2,FALSE))","v":0},{"$f":"IF(F123=\"\",0,VLOOKUP(F123,Lookups!$B$22:$C$27,2,FALSE))","v":0},0]

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["Accountability and Transparency",{"$f":"'Self Assessment'!D114","v":1.6}]
["Developing the Workforce",{"$f":"'Self Assessment'!D137","v":2.8333333333333335}]
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["1. Fully Implemented",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$144,Graphs!A10)","v":39}]
["2. Partially Implemented",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$144,Graphs!A11)","v":52}]
["3. Changes Agreed but Not Started",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$144,Graphs!A12)","v":12}]
["4. Not Ready/ Anticipate Some Barriers to Change",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$144,Graphs!A13)","v":19}]
["5. Not At All Ready/ Anticipate Significant Barriers to Change",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$144,Graphs!A14)","v":0}]
["Still to Populate",{"$f":"122-SUM(B10:B14)","v":0}]
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["2. Partially Implemented",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$18,Graphs!A19)","v":5},{"$f":"COUNTIF('Self Assessment'!$D$23:$D$61,Graphs!A19)","v":19},{"$f":"COUNTIF('Self Assessment'!$D$66:$D$85,Graphs!A19)","v":9},{"$f":"COUNTIF('Self Assessment'!$D$90:$D$112,Graphs!A19)","v":4},{"$f":"COUNTIF('Self Assessment'!$D$117:$D$135,Graphs!A19)","v":12},{"$f":"COUNTIF('Self Assessment'!$D$140:$D$144,Graphs!A19)","v":3}]
["3. Changes Agreed but Not Started",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$18,Graphs!A20)","v":5},{"$f":"COUNTIF('Self Assessment'!$D$23:$D$61,Graphs!A20)","v":2},{"$f":"COUNTIF('Self Assessment'!$D$66:$D$85,Graphs!A20)","v":1},{"$f":"COUNTIF('Self Assessment'!$D$90:$D$112,Graphs!A20)","v":1},{"$f":"COUNTIF('Self Assessment'!$D$117:$D$135,Graphs!A20)","v":3},{"$f":"COUNTIF('Self Assessment'!$D$140:$D$144,Graphs!A20)","v":0}]
["4. Not Ready/ Anticipate Some Barriers to Change",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$18,Graphs!A21)","v":3},{"$f":"COUNTIF('Self Assessment'!$D$23:$D$61,Graphs!A21)","v":7},{"$f":"COUNTIF('Self Assessment'!$D$66:$D$85,Graphs!A21)","v":3},{"$f":"COUNTIF('Self Assessment'!$D$90:$D$112,Graphs!A21)","v":3},{"$f":"COUNTIF('Self Assessment'!$D$117:$D$135,Graphs!A21)","v":2},{"$f":"COUNTIF('Self Assessment'!$D$140:$D$144,Graphs!A21)","v":1}]
["5. Not At All Ready/ Anticipate Significant Barriers to Change",{"$f":"COUNTIF('Self Assessment'!$D$3:$D$18,Graphs!A22)","v":0},{"$f":"COUNTIF('Self Assessment'!$D$23:$D$61,Graphs!A22)","v":0},{"$f":"COUNTIF('Self Assessment'!$D$66:$D$85,Graphs!A22)","v":0},{"$f":"COUNTIF('Self Assessment'!$D$90:$D$112,Graphs!A22)","v":0},{"$f":"COUNTIF('Self Assessment'!$D$117:$D$135,Graphs!A22)","v":0},{"$f":"COUNTIF('Self Assessment'!$D$140:$D$144,Graphs!A22)","v":0}]
["Still to Populate",{"$f":"16-SUM(B18:B22)","v":0},{"$f":"39-SUM(C18:C22)","v":0},{"$f":"20-SUM(D18:D22)","v":0},{"$f":"23-SUM(E18:E22)","v":0},{"$f":"19-SUM(F18:F22)","v":0},{"$f":"5-SUM(G18:G22)","v":0}]
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[null,"Associate Development Solutions retain full ownership of all original content and functionality within this Self Assessment Tool and provide it to participating organisations and bodies with the express understanding that it will not be shared or distributed outside of that organisation without express permission."]

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[null,"Materials (e.g. leaflets, service user documentation etc.) "]
[null,"Methods (working practices, processes and procedures, management structures etc.)"]
[null,"Measurement (e.g. accurate tracking, correct measurements, lack of usable data etc.)"]
[null,"Environment (e.g. office locations, area covered by service, age appropriate settings etc.)"]
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["Complexity","n/a",0]
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[null,"1. Very Small",1]
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[null,"3. Medium",3]
[null,"4. Large",4]
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