Assumptions and caution

Assumptions

Our assumptions are:

There are some fuzzy bits. In practice, not accounting for these in detail does not seem to matter as much as you may think.

We do not explicitly take into account co-therapy rates.

Audit

No-one really knows what the average number of sessions or clinical hours families have in Core Partnership work.

There is no national collection of this data but we have taken into account these audits:

These audits cover all types of CAMHS clinical work - using CAPA terminology they included the equivalent of Choice, Core and Specific Partnership work. The audits show us that the vast majority of families came for 8 appointments or less and needed 8 or less hours of time, even taking into account co-therapy. We have therefore assumed that 7.5 appointments/hours in Core Partnership is a generous assumption. In fact, we suspect it is far less!

DNA's

We have also ignored DNA's - those who do not book into Choice (or do but don’t turn up) and those who book Core Partnership but don’t turn up. We exclude these as: Even if they don’t book into Choice you need to ensure you have enough slots in case they do Those who book a Choice but DNA still consume clinical time (even if you spend it doing something else) You need to be able to provide Core Partnership slots, even if people then don’t turn up.

Audit in Richmond has found that there is around 5% DNA for each of these. However, those not coming to the first Core Partnership often come eventually. So we assume 0% DNA in the planning to be generous.