Unnamed respondent
Form 6.2 Response SHERIFFDOM OF TAYSIDE CENTRAL AND FIFE AT DUNDEE AT DUNDEE SHERIFF COURT Court ref: DUN-B558-19 Procurator Fiscal ref: DN14001616/SRQ RESPONSE to the DETERMINATION OF SHERIFF DRUMMOND UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC. (SCOTLAND) ACT 2016 IN THE INQUIRY INTO THE DEATH OF SOPHIE …
View full response
Form 6.2 Response
SHERIFFDOM OF TAYSIDE CENTRAL AND FIFE AT DUNDEE AT DUNDEE
SHERIFF COURT
Court ref: DUN-B558-19
Procurator Fiscal ref: DN14001616/SRQ
RESPONSE
to the
DETERMINATION OF SHERIFF DRUMMOND
UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS
ETC. (SCOTLAND) ACT 2016
IN THE
INQUIRY INTO THE DEATH OF SOPHIE ANNE PARKINSON
To: The Scottish Courts and Tribunals Service
1. Tayside Health Board, Ninewells Hospital & Medical School Dundee
DD1 9SY being a person to whom a recommendation under section
26(1)(b) was addressed do respond as follows.
2. Tayside Health Board was a participant in the inquiry
3. It was recommended to Tayside Health Board that:
(i) CAMHS provide written information to CAMHS patients and their
carers explaining the organisational structure and role of
clinicians within CAMHS;
(ii) CAMHS investigate the viability of “safe space” beds as
currently provided to CAMHS patients of the Lancashire and
South Cumbria NHS Foundation Trust;
(iii) CAMHS provide an out of hours contact number for CAMHS
patients so that patients and their carers know how to contact
CAMHS’ out of hours.
Tayside Health Board’s response to these three recommendations is set out in the
appended Action Plan.
FAI RECOMMENDATIONS
NHS TAYSIDE CHILD AND ADOLESCENT
MENTAL HEALTH SERVICES ACTION PLAN
20 November 2020
Recommendation Recommendation Actions to Address Lead(s) Evidence of Completion
(Individual, Team, Factors
Service,
Directorate, Date of expected completion
Organisation)
CAMHS provide written Service A service leaflet has been developed for Service Leaflet will be distributed across
information to CAMHS children, young people and families. It Manager all CAMHS sites, sent to partners,
patients and their highlights the roles played by individual and be available on NHS Tayside
carers explaining the clinicians, as well as the role of the core CAMHS website and partners’
organisational worker. The leaflet will be sent alongside a website by end of December
structure and role of patient’s initial letter of acknowledgement 2020.
the core worker within and also their first appointment letter.
CAMHS. CAMHS website launched.
The leaflet will also be widely available
within CAMHS departments and distributed
to our partners, including schools and GP
surgeries.
A digital, downloadable version of the leaflet
will be available on the new NHS Tayside
CAMHS website and partners’ websites.
There will be a social media campaign to
ensure awareness of this new resource and
promotion through social media platforms.
CAMHS Website also provides
organisational structure and role of the core
worker:
http://eds.tayside.scot.nhs.uk/Internet01/OurS
ervicesA-Z/CAMHS/index.htm.
Completion, end of December 2020.
CAMHS investigate the Organisation – and A multi-agency, multi-disciplinary team has Service Partner organisations present
viability of “safe space” partner been established to investigate viability. The Manager options for delivery of a new
beds as currently organisations provision of “safe space” beds would require model of care for safe space-type
provided to CAMHS the involvement of, at least, the Social Work referrals.
patients of the Departments of Dundee City, Perth &
Lancashire and South Kinross and Angus Councils and CAMHS.
Cumbria NHS
Foundation Trust. As part of the investigation, contact has
been made with Lancashire and South
Cumbria NHS Foundation Trusts to
understand the delivery model in these
areas.
Once a finalised report is available, NHS
Tayside will consider its recommendations,
together with the other agencies.
To note: currently, there is a service within
NHS Tayside for children and young people
requiring an urgent or immediate admission
into an inpatient facility.
CAMHS provide an out- Service An out-of-hours contact number will be Service
of- hours contact number provided to existing CAMHS patients as Manager
for CAMHS patients so soon as the nurse-led out-of-hours service,
that patients and their referred to below, is established.
carers know how to
contact CAMHS out of Currently, patients requiring urgent or
hours. emergency care in the out-of-hours period
contact NHS 24 on 111 or attend their local
emergency department. This information is
included in the Keeping in touch with
CAMHS section in the new CAMHS leaflet,
NHS Tayside website and NHS Tayside
social media platforms.
Going forward, NHS Tayside are developing
a local nurse-led out-of-hours service which
will operate between 5pm and 9am, Monday
to Friday and 24 hours Saturday and
Sunday. The service would provide care for
young people already being seen within
CAMHS experiencing a mental health crisis.
This could include young people who are:
• At risk of imminent and significant
self harm
• May be an immediate significant risk
to others due to their mental health
• Are in acute psychological or
emotional distress
• already a patient within CAMHS.
The aim of the nurse-led service is to:
• Reduce or prevent admission to a
mental health unit.
• Complete a mental health
assessment.
• Offer advice and support about how
to cope in a crisis.
• Help the young person and carers
make plans to keep the young
person safe.
• Develop plans to offer ongoing
support if required.
Completion date of the nurse-led out-of-
hours service is expected to be March 2021.
Welcome to Tayside
CAMHS
A guide for young
people and their
families
Child and Adolescent Mental Health
Services in Tayside
Child and Adolescent Mental Health Services cover a
whole range of services and support available to you as a
young person. They are there for you if you are having a
difficult time with how you are feeling, how you are
coping emotionally or if you are behaving in a way that’s
not usual for you.
CAMHS, which is what people often call the services, is
the more specialist part of this range of services. We’re a
specialist service because we support children and young
people with more severe or concerning emotional,
behavioural or functional difficulties including anxiety,
depression, eating disorder, ADHD and ASD. The young
people we support are six years old all the way up to 18-
year-olds, who are still on a school roll.
How are children and young people referred
to CAMHS?
The first step to getting help
from CAMHS is usually a
referral for a CAMHS
assessment. This can come
from a professional such as a
teacher, GP or school nurse.
How to prepare for your appointment
The most important thing for any child or young person or
family to know before attending an appointment is that
whoever you see at CAMHS wants to help you.
It’s their job to try to find out as much as they can about
you, your life and what’s been happening so that they can
think about where best, who best and what's best to
support you.
Remember - whether you’re a young person, child, parent
or carer, no one is judging you, no matter what you tell us,
no matter what’s been happening.
On the next page you will find our 6 simple steps to help
you, as a young person - and your family - prepare for your
appointment.
6 simple steps for your CAMHS appointment
Write down any questions you would like to ask
about CAMHS. That can be anything at all. Will
you tell my parents what I say? How many
appointments will I have? Will you have to tell
anyone else about anything I say? Will you
contact my school? You might also want to
check our Frequently Asked Questions page on
our website to make sure the answer to some of
your questions isn’t already there. Go to
www.taysidecamhs.scot.nhs.uk
Write down as much as you can about what’s
been happening recently? How you’ve been
feeling and or behaving. Focus on the things
that make you feel you need to come to CAMHS.
For example, how your mood has been, how
you’ve been sleeping, eating, whether you are
still managing to do the things you always did
such as seeing friends or enjoying hobbies.
Write down anything else you feel it would be
important for us to know. Even things that
happened to you a while ago or when you were
little because these can have an impact on how
you’re doing now. This could include things like
parents separating, moving house or school,
bullying, any bereavement or the loss of
someone you’ve cared about.
Think about what might help you to get the
most out of the session. If talking is difficult try
writing things down. If you find the first
appointment too tricky, would this feel better
over a video appointment? Having a chat over
the phone first? Whatever you think might
help to make it okay for you to engage with us.
Spend a few days before the appointment
thinking about and checking in on how you (or
your child) are doing? We all feel different on
different days. Be more aware of how you're
doing day to day. Is every day the same? Are
some days better than others? Are some
situations better than others? Are things better
at school or at home? Are some situations more
difficult than others?
Bring something with
you that makes you
feel comfortable. A toy
or a teddy, something
to fidget with, a book or
magazine to read to
distract yourself whilst
you wait. The main
thing is for you to feel
comfortable.
What happens at my appointment?
On arriving at the building, you will meet our receptionist
who will take your name and date of birth. This helps them
know they have the correct young person and find out who
you have come to see that day. They will then let the
healthcare professional know you are here and ask you to
take a seat until they come to collect you.
Your healthcare professional will collect you from the
reception to take you into their clinic room. The process is
different depending on the type of appointment you are
attending and the person you see. Don't worry, the person
you are seeing will talk you through the process once they
have introduced themselves. There will be lots of
questions to begin with in order for us to get to know you
and understand the difficulties you are experiencing. This
could take a few appointments then everyone will agree
the best way forward together.
Is the service confidential?
Your healthcare professional at CAMHS will, in the main,
keep what you say confidential. You may be asked if you
want your parents/carer to be involved in the appointment
and you can decide. However, there are times when the
healthcare professional has to break that confidentiality if
they feel there is a risk of harm to you or someone else.
They will always let you know before they do this.
Remember, this is only ever done to keep you and others
safe from harm.
Who’s who at CAMHS?
Nurses
The nurses working in our CAMHS service are Registered
Mental Health or Learning Disability nurses. They are
trained to carry out assessments with children, young
people and their families and can provide treatment for
mental health illnesses, whilst also reviewing how you
are progressing. Some of the nurses have had further
training and can deliver psychological therapy and
prescribe medication.
Psychologists
Clinical and other Psychological therapists are trained
to assess and treat young people with mental health
difficulties by using a range of approaches.
Psychologists mainly use talking therapies to
understand and help young people, their families and
support networks to achieve their goals, and make
changes that improve their health and wellbeing.
Psychologists work together with young people to find a
joint understanding of the difficulties and help young
people to develop skills and techniques to manage and
overcome these difficulties.
Psychiatrists
Psychiatrists are medical doctors who work with people
with mental and emotional health difficulties. They
provide specialist assessments, can diagnose a mental
illness and use a range of medications to help a person
recover. A Child and Adolescent Psychiatrist works with
young people and their families to better understand
what is going on for them, to provide information and
advice, as well as helping put together a care plan. They
work closely with your allocated healthcare professional
and with other team members to ensure you are well
supported.
Paediatricians
Paediatricians are medically
qualified doctors who
specialise in the medical
care of children and young
people.
Occupational Therapists
Occupational Therapists help children and young
people who have been suffering with mental health
problems build up the confidence and skills needed to
live a fulfilling life.
Dieticians
A dietician provides individual
information and advice
around food and nutrition,
particularly for people who
have specific dietary
requirements or difficulties
with eating, food or dietary
conditions.
Family Therapists
Mental health difficulties
can have a big impact on
the whole family, not just
the young person who has
been referred to CAMHS.
Family therapists can
help families to explore
each other’s experiences
and views, appreciate
each other’s needs, build
on strengths and make
useful changes in their
relationships and lives.
Clinical Support Workers
Support workers work with a young person's main
healthcare professional to provide additional help and
support both practically and emotionally. This can be
useful if young people and families are really struggling
and need extra support or advice. They will often see a
young person and their family at home, at school or in
the community to help them achieve specific goals as
part of the care plan.
Administration staff
Administration staff
organise appointments,
answer the phones,
provide administrative
support and welcome
children, young people
and their families into the
service.
If more than one healthcare professionals is going to be
involved in your care, you will be assigned a Core
Worker. They will be your point of contact and they will
link with other agencies such as schools, social care
and the voluntary sector.
Confidentiality and information sharing
What we discuss at each appointment is normally kept
between the people attending the appointment.
Sometimes professionals will seek the opinions of other
CAMHS professionals. At times it is helpful to talk with
other professionals outside the service, such as a teacher,
but we will always get permission from you first.
Your GP will be kept informed in writing of any agreed
CAMHS involvement.
If a CAMHS practitioner has concerns about the safety of a
child or young person they are obliged by law to involve
other professionals. Whenever possible, the family will be
informed before this happens.
We can provide you with leaflets detailing how we gather
and store data and data sharing.
Keeping in touch with CAMHS
CAMHS is open between the hours of 9am and 5pm,
Monday to Friday.
if you need to contact someone outside of these hours for
urgent care please call NHS 24 on 111.
If it is an emergency attend your local Emergency
Department.
Centre for Child Health CAMHS
19 Dudhope Terrace 8 St Leonards Bank
Dundee Perth
DD3 6HH PH2 8EB
01382 204004 01738 458950
For more information please visit
www.taysidecamhs.scot.nhs.uk
SHERIFFDOM OF TAYSIDE CENTRAL AND FIFE AT DUNDEE AT DUNDEE
SHERIFF COURT
Court ref: DUN-B558-19
Procurator Fiscal ref: DN14001616/SRQ
RESPONSE
to the
DETERMINATION OF SHERIFF DRUMMOND
UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS
ETC. (SCOTLAND) ACT 2016
IN THE
INQUIRY INTO THE DEATH OF SOPHIE ANNE PARKINSON
To: The Scottish Courts and Tribunals Service
1. Tayside Health Board, Ninewells Hospital & Medical School Dundee
DD1 9SY being a person to whom a recommendation under section
26(1)(b) was addressed do respond as follows.
2. Tayside Health Board was a participant in the inquiry
3. It was recommended to Tayside Health Board that:
(i) CAMHS provide written information to CAMHS patients and their
carers explaining the organisational structure and role of
clinicians within CAMHS;
(ii) CAMHS investigate the viability of “safe space” beds as
currently provided to CAMHS patients of the Lancashire and
South Cumbria NHS Foundation Trust;
(iii) CAMHS provide an out of hours contact number for CAMHS
patients so that patients and their carers know how to contact
CAMHS’ out of hours.
Tayside Health Board’s response to these three recommendations is set out in the
appended Action Plan.
FAI RECOMMENDATIONS
NHS TAYSIDE CHILD AND ADOLESCENT
MENTAL HEALTH SERVICES ACTION PLAN
20 November 2020
Recommendation Recommendation Actions to Address Lead(s) Evidence of Completion
(Individual, Team, Factors
Service,
Directorate, Date of expected completion
Organisation)
CAMHS provide written Service A service leaflet has been developed for Service Leaflet will be distributed across
information to CAMHS children, young people and families. It Manager all CAMHS sites, sent to partners,
patients and their highlights the roles played by individual and be available on NHS Tayside
carers explaining the clinicians, as well as the role of the core CAMHS website and partners’
organisational worker. The leaflet will be sent alongside a website by end of December
structure and role of patient’s initial letter of acknowledgement 2020.
the core worker within and also their first appointment letter.
CAMHS. CAMHS website launched.
The leaflet will also be widely available
within CAMHS departments and distributed
to our partners, including schools and GP
surgeries.
A digital, downloadable version of the leaflet
will be available on the new NHS Tayside
CAMHS website and partners’ websites.
There will be a social media campaign to
ensure awareness of this new resource and
promotion through social media platforms.
CAMHS Website also provides
organisational structure and role of the core
worker:
http://eds.tayside.scot.nhs.uk/Internet01/OurS
ervicesA-Z/CAMHS/index.htm.
Completion, end of December 2020.
CAMHS investigate the Organisation – and A multi-agency, multi-disciplinary team has Service Partner organisations present
viability of “safe space” partner been established to investigate viability. The Manager options for delivery of a new
beds as currently organisations provision of “safe space” beds would require model of care for safe space-type
provided to CAMHS the involvement of, at least, the Social Work referrals.
patients of the Departments of Dundee City, Perth &
Lancashire and South Kinross and Angus Councils and CAMHS.
Cumbria NHS
Foundation Trust. As part of the investigation, contact has
been made with Lancashire and South
Cumbria NHS Foundation Trusts to
understand the delivery model in these
areas.
Once a finalised report is available, NHS
Tayside will consider its recommendations,
together with the other agencies.
To note: currently, there is a service within
NHS Tayside for children and young people
requiring an urgent or immediate admission
into an inpatient facility.
CAMHS provide an out- Service An out-of-hours contact number will be Service
of- hours contact number provided to existing CAMHS patients as Manager
for CAMHS patients so soon as the nurse-led out-of-hours service,
that patients and their referred to below, is established.
carers know how to
contact CAMHS out of Currently, patients requiring urgent or
hours. emergency care in the out-of-hours period
contact NHS 24 on 111 or attend their local
emergency department. This information is
included in the Keeping in touch with
CAMHS section in the new CAMHS leaflet,
NHS Tayside website and NHS Tayside
social media platforms.
Going forward, NHS Tayside are developing
a local nurse-led out-of-hours service which
will operate between 5pm and 9am, Monday
to Friday and 24 hours Saturday and
Sunday. The service would provide care for
young people already being seen within
CAMHS experiencing a mental health crisis.
This could include young people who are:
• At risk of imminent and significant
self harm
• May be an immediate significant risk
to others due to their mental health
• Are in acute psychological or
emotional distress
• already a patient within CAMHS.
The aim of the nurse-led service is to:
• Reduce or prevent admission to a
mental health unit.
• Complete a mental health
assessment.
• Offer advice and support about how
to cope in a crisis.
• Help the young person and carers
make plans to keep the young
person safe.
• Develop plans to offer ongoing
support if required.
Completion date of the nurse-led out-of-
hours service is expected to be March 2021.
Welcome to Tayside
CAMHS
A guide for young
people and their
families
Child and Adolescent Mental Health
Services in Tayside
Child and Adolescent Mental Health Services cover a
whole range of services and support available to you as a
young person. They are there for you if you are having a
difficult time with how you are feeling, how you are
coping emotionally or if you are behaving in a way that’s
not usual for you.
CAMHS, which is what people often call the services, is
the more specialist part of this range of services. We’re a
specialist service because we support children and young
people with more severe or concerning emotional,
behavioural or functional difficulties including anxiety,
depression, eating disorder, ADHD and ASD. The young
people we support are six years old all the way up to 18-
year-olds, who are still on a school roll.
How are children and young people referred
to CAMHS?
The first step to getting help
from CAMHS is usually a
referral for a CAMHS
assessment. This can come
from a professional such as a
teacher, GP or school nurse.
How to prepare for your appointment
The most important thing for any child or young person or
family to know before attending an appointment is that
whoever you see at CAMHS wants to help you.
It’s their job to try to find out as much as they can about
you, your life and what’s been happening so that they can
think about where best, who best and what's best to
support you.
Remember - whether you’re a young person, child, parent
or carer, no one is judging you, no matter what you tell us,
no matter what’s been happening.
On the next page you will find our 6 simple steps to help
you, as a young person - and your family - prepare for your
appointment.
6 simple steps for your CAMHS appointment
Write down any questions you would like to ask
about CAMHS. That can be anything at all. Will
you tell my parents what I say? How many
appointments will I have? Will you have to tell
anyone else about anything I say? Will you
contact my school? You might also want to
check our Frequently Asked Questions page on
our website to make sure the answer to some of
your questions isn’t already there. Go to
www.taysidecamhs.scot.nhs.uk
Write down as much as you can about what’s
been happening recently? How you’ve been
feeling and or behaving. Focus on the things
that make you feel you need to come to CAMHS.
For example, how your mood has been, how
you’ve been sleeping, eating, whether you are
still managing to do the things you always did
such as seeing friends or enjoying hobbies.
Write down anything else you feel it would be
important for us to know. Even things that
happened to you a while ago or when you were
little because these can have an impact on how
you’re doing now. This could include things like
parents separating, moving house or school,
bullying, any bereavement or the loss of
someone you’ve cared about.
Think about what might help you to get the
most out of the session. If talking is difficult try
writing things down. If you find the first
appointment too tricky, would this feel better
over a video appointment? Having a chat over
the phone first? Whatever you think might
help to make it okay for you to engage with us.
Spend a few days before the appointment
thinking about and checking in on how you (or
your child) are doing? We all feel different on
different days. Be more aware of how you're
doing day to day. Is every day the same? Are
some days better than others? Are some
situations better than others? Are things better
at school or at home? Are some situations more
difficult than others?
Bring something with
you that makes you
feel comfortable. A toy
or a teddy, something
to fidget with, a book or
magazine to read to
distract yourself whilst
you wait. The main
thing is for you to feel
comfortable.
What happens at my appointment?
On arriving at the building, you will meet our receptionist
who will take your name and date of birth. This helps them
know they have the correct young person and find out who
you have come to see that day. They will then let the
healthcare professional know you are here and ask you to
take a seat until they come to collect you.
Your healthcare professional will collect you from the
reception to take you into their clinic room. The process is
different depending on the type of appointment you are
attending and the person you see. Don't worry, the person
you are seeing will talk you through the process once they
have introduced themselves. There will be lots of
questions to begin with in order for us to get to know you
and understand the difficulties you are experiencing. This
could take a few appointments then everyone will agree
the best way forward together.
Is the service confidential?
Your healthcare professional at CAMHS will, in the main,
keep what you say confidential. You may be asked if you
want your parents/carer to be involved in the appointment
and you can decide. However, there are times when the
healthcare professional has to break that confidentiality if
they feel there is a risk of harm to you or someone else.
They will always let you know before they do this.
Remember, this is only ever done to keep you and others
safe from harm.
Who’s who at CAMHS?
Nurses
The nurses working in our CAMHS service are Registered
Mental Health or Learning Disability nurses. They are
trained to carry out assessments with children, young
people and their families and can provide treatment for
mental health illnesses, whilst also reviewing how you
are progressing. Some of the nurses have had further
training and can deliver psychological therapy and
prescribe medication.
Psychologists
Clinical and other Psychological therapists are trained
to assess and treat young people with mental health
difficulties by using a range of approaches.
Psychologists mainly use talking therapies to
understand and help young people, their families and
support networks to achieve their goals, and make
changes that improve their health and wellbeing.
Psychologists work together with young people to find a
joint understanding of the difficulties and help young
people to develop skills and techniques to manage and
overcome these difficulties.
Psychiatrists
Psychiatrists are medical doctors who work with people
with mental and emotional health difficulties. They
provide specialist assessments, can diagnose a mental
illness and use a range of medications to help a person
recover. A Child and Adolescent Psychiatrist works with
young people and their families to better understand
what is going on for them, to provide information and
advice, as well as helping put together a care plan. They
work closely with your allocated healthcare professional
and with other team members to ensure you are well
supported.
Paediatricians
Paediatricians are medically
qualified doctors who
specialise in the medical
care of children and young
people.
Occupational Therapists
Occupational Therapists help children and young
people who have been suffering with mental health
problems build up the confidence and skills needed to
live a fulfilling life.
Dieticians
A dietician provides individual
information and advice
around food and nutrition,
particularly for people who
have specific dietary
requirements or difficulties
with eating, food or dietary
conditions.
Family Therapists
Mental health difficulties
can have a big impact on
the whole family, not just
the young person who has
been referred to CAMHS.
Family therapists can
help families to explore
each other’s experiences
and views, appreciate
each other’s needs, build
on strengths and make
useful changes in their
relationships and lives.
Clinical Support Workers
Support workers work with a young person's main
healthcare professional to provide additional help and
support both practically and emotionally. This can be
useful if young people and families are really struggling
and need extra support or advice. They will often see a
young person and their family at home, at school or in
the community to help them achieve specific goals as
part of the care plan.
Administration staff
Administration staff
organise appointments,
answer the phones,
provide administrative
support and welcome
children, young people
and their families into the
service.
If more than one healthcare professionals is going to be
involved in your care, you will be assigned a Core
Worker. They will be your point of contact and they will
link with other agencies such as schools, social care
and the voluntary sector.
Confidentiality and information sharing
What we discuss at each appointment is normally kept
between the people attending the appointment.
Sometimes professionals will seek the opinions of other
CAMHS professionals. At times it is helpful to talk with
other professionals outside the service, such as a teacher,
but we will always get permission from you first.
Your GP will be kept informed in writing of any agreed
CAMHS involvement.
If a CAMHS practitioner has concerns about the safety of a
child or young person they are obliged by law to involve
other professionals. Whenever possible, the family will be
informed before this happens.
We can provide you with leaflets detailing how we gather
and store data and data sharing.
Keeping in touch with CAMHS
CAMHS is open between the hours of 9am and 5pm,
Monday to Friday.
if you need to contact someone outside of these hours for
urgent care please call NHS 24 on 111.
If it is an emergency attend your local Emergency
Department.
Centre for Child Health CAMHS
19 Dudhope Terrace 8 St Leonards Bank
Dundee Perth
DD3 6HH PH2 8EB
01382 204004 01738 458950
For more information please visit
www.taysidecamhs.scot.nhs.uk