Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what guidance his Department gives to mental health trusts on (a) reducing did not attend cases and (b) ensuring risk assessments are carried out when young people fail to attend.

NHS England has issued guidance through the Local Transformation Plans for Children and Young People’s Mental Health and Wellbeing: Guidance and Support for local areas (published August 2015) that states that services should set out a clear plan to transform the design and delivery of a local offer of services for children and young people with mental health needs in line with the Future in mind report.

Future in mind was clear that services should monitor attendance and actively follow up families and young people who miss appointments, and that it may be necessary to find alternative ways to engage the child, young person or family. The Local Transformation Plans present an opportunity to make a step change in how agencies support the mental health and wellbeing of children and young people, especially the most vulnerable. This includes those who - for whatever reason - find it more difficult to engage with traditional models of service delivery and would instead benefit from seeing a clinician in a less conventional setting. Missed appointments should not lead to a family or young person being discharged from services, but instead be considered as an indicator of need and actively followed up, where necessary finding alternative ways to engage the child, young person or family.