Service types used in the mapping
Each service or team that you report must be given a service type. The questions you will be asked about the service will depend on the service type. The finance spreadsheets also ask you to break down the commissioning spend by service types. For each of the service types listed below you can click on the name to view the definition, play with a sample on-line questionnaire in the sandbox, or view a sample pdf version of the questionnaire.
If you have questions about how a particular service should be classified, try our documentation search.
School health service
Staff, mainly School Nurses and support workers, working in a team or network to offer needs based approach to the provision of healthcare within schools for children and young people aged 5 to 18 (school age range). School Nurses have a public health role with school-aged children, their families, schools and the surrounding communities to promote health, carry out school-based activities and to work with partners to address health inequalities.
They are most likely to offer the following activities:
* Screening and examination
* Personal health support and advice
* Promotion
* Liaison with multiagency colleagues, families and carers
* Training/education
* Care plans
* Administering immunisation programmes
* Child protection and safeguarding
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Early years and health visiting service
This service type refers to multi disciplinary early years teams delivering a family centred public health role to pre-schoolers and their families and health visiting specific services delivering a similar service to children, young people and their families. In many cases these services will be one and the same but named differently by PCTs but the role of both is to improve health and to tackle inequalities.
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Childrens therapy service
This service type refers to those allied health professions whose primary identity is within this professional grouping rather than formally integrated with another service type delivery, delivering a specific function such as disabilities. They are likely to provide input across any number of service types listed in this exercise including universal, targeted, hospital and maternity services. You may wish to refer to the definition of services for children with a disability/special needs to decide where to best place your service - it is important that you do not double count.
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Service for children with a disability / special needs
This service type refers to separately established services whose primary function is to provide support to children with a lifelong disability. This includes children with learning disabilities, physical disabilities, sensory impairment, complex health needs and autistic spectrum disorder. You need to include both staff who are full-time within this team as well as the sessional input of staff from other service types (expressed in WTE).
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Safeguarding children service
This service type refers to teams/staff specifically established to respond to Child Protection issues. A typical service would provide advice, support and training to a range of professionals and organisations and respond to requests for clinical examinations and participation in safeguarding procedures. You should include the dedicated time (measured in wte) of staff employed to deliver this service such as designated doctors and nurses, named doctors and nurses, all of whom should be reported under their appropriate staff profession. Please note, you should report all staff working within this service, irrespective of whether they hold a named professional role. You should not include the implicit duty of all child health professionals to adhere to Child Protection responsibilities. Please note that identification of designated and named roles is being mapped through the organisation level questions.<br />
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Service for children in special circumstances
This service type refers to separately established services whose primary function is to support children considered to have a specific need and to be regarded as being at risk of health problems due to their situation. Include here:
* Services for homeless children;
* Services for substance misusing children;
* Services for teenage parents;
* Services for children looked after;
* Services for children with blood borne illnesses;
* Services for asylum seekers;
* Services for travellers;
* Services for children who are on remand or in prison. <br />You need to include both staff who are full-time within this team as well as the sessional input of staff from other service types (expressed in WTE).
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Tier 1 CAMHS
This service type refers to separately established mental health services that are not mapped as part of the National CAMHS Service Mapping exercise, which captures services mainly provided by specialist mental health providers. Services captured under this service type are most likely to be provided by Primary Care Trusts and the voluntary sector. Examples include counselling services, services for children with ADHD and services for children who have been abused. <br />You need to include staff who are full-time in this team only and the professional input from other staff seconded in from another service type. You must not include more generic mental health activities delivered by most service types as one of a number of functions. For example, ADHD clinics provided by community paediatricians as part of their community paediatric service would be not collected here but within the service type Community paediatrics. Separately established and funded ADHD services would be included here. Please note services for autism should be collected within disabilities.
The Children's National Service Framework defines specialist CAMHS as services where the provision of mental health care is their primary function. They are mainly composed of a multi disciplinary workforce with specialist training in child and adolescent mental health. Services outside specialist CAMHS are those whose primary function is mental health care, for example General Practice. They are sometimes referred to as tier 1 services. Such services might include mental health promotion and therapeutic help that does not require intensive specialist training, such as services for children with anxiety and behavioural problems.
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Community paediatrics
This service type refers to community based teams providing for a range of secondary care paediatric issues in non-acute settings. These services are service types that have not been included elsewhere. This could include community nursing, community based palliative care, care for acutrly ill and care for chronically ill children in the community. You need to include both staff that are full-time in this service and also the time of staff whose primary identity is with another team but contributes on a part-time basis to the delivery of this service (expressed in WTE). You must not include in these staffing figures the sessioned input from staff in the community paediatrics out to separately established teams set up for disabilities, hospital based general paediatrics or mental health services or child in special circumstances. This time expressed in WTE must be recorded under these service types.
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Children's surgery
This service type refers to those staff whose primary function is to undertake surgery on children and young people when provided on any operating list. Some areas may have a specific team with dedicated staff for children's surgery, in other areas children's surgery many be provided sessionally by general surgeons from generic all age services. You need to capture both staff whose sole role is to undertake this work, in addition to the sessional input of other staff from different hospital departments such as general surgery.
Do not include inpatient wards as these are covered under General paediatrics.
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Specialist paediatric service
Specialised health care for children provided by specialist clinicians either directly in a specialist centre, in partnership with local hospitals through a shared care or outreach arrangement, or in children's own homes through a specialist outreach team. The location of care is not the determining factor in identifying the specialised nature of a treatment regime. Any place of delivery should be child-tailored because of the long-recognised need to treat children as children, as close to home as possible, and to involve families in their care. Further information on specialist services for children can be found within the National Definition Set which can be downloaded from www.dh.gov.uk.
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Paediatric intensive care unit (PICU)
This service type refers to a child specific intensive care unit whose primary function is to cater for level 2 care and above. You need to capture here staff who only work within this service and the part-time input of staff whose primary identity may be within a different service type such as general paediatrics or paediatric therapies, but who contribute to the care provided within a paediatric intensive care unit.
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General paediatrics
This service type refers to all non-tertiary hospital based activity, predominantly inpatient and outpatient work that deals with the health of the child.
You need to include both staff working full-time in this service as well as staff inputting sessionally to this service but whose primary function is within another service type such as paediatric emergency services.
You should not include sessional input from staff in this team out to other services in this section which should be included as part of the resource for this service, such as specialist paediatric services.
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Paediatric emergency service
This service type refers to a range of provisions whose primary function is to care for children presenting at accident and emergency departments. <br /> Some areas may have a separate A & E facility for children only with dedicated paediatric staff, other areas may have dedicated staff but children may be treated within designated areas within an A & E department covering all ages. <br /> You need to capture here staff who work only within this service type and the part-time input of staff whose primary function may be within a different service type such as paediatric intensive care but contribute to the paediatric emergency service.
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Neonatal intensive care unit (NICU) and Special care baby unit (SCBU)
Neonatal Intensive Care is defined in the Department of Health (2003) Neonatal Intensive Care Review - Strategy for Improvement. NICUs offer level 3 care which is for babies who require considerable help with breathing as well as feeding and/or whose weight is low and they require intravenous fluids.
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Maternity service
This section should only include services providing any of the range of maternity services listed below. These aspects of maternity provision have been grouped together under one service type - maternity - due to the difficulty of disaggregating staff who often work across three or more areas:
* Antenatal care;
* Intrapartum care;
* Post natal care;
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Multidisciplinary generic CAMHS team
Generic CAMHS teams meet a wide range of the mental health and
psychological needs of children and adolescents within a defined
geographical area.<br />Generic multi-disciplinary teams are made up of CAMHS professionals from a number of disciplines who work together to ensure integrated provision.
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Single disciplinary generic CAMHS team
Generic CAMHS teams meet a wide range of the mental health and psychological needs of children and adolescents within a defined geographical area.<br />Generic single disciplinary teams are single-disciplinary groups of staff who provide a range of therapeutic interventions.
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Targeted CAMHS team
These teams provide for children with particular problems or requiring particular types of therapeutic intervention.
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Dedicated CAMHS worker working in a non-CAMHS team
Dedicated workers are fully trained CAMHS professionals who are out-posted in teams that are not specialist CAMHS teams but have a wider function, such as a youth offending team or a generic social work children's team.
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Tier 4 CAMHS unit/team
These services provide longer term or more intensive provision. This may take the form of whole- or half-day activities, in-patient care, or outreach support (such as emergency or after care) which is considered an alternative to in-patient care. Some may provide more than one of these types of care.
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