Recurring concern
Insufficient CAMHS staffing capacity and competence for safe care
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Request correctionFirst reported 3 Jul 2014•Latest report 30 Apr 2024
What this concern includes
Includes recurring failures in CAMHS staffing capacity, coverage, skill mix, recruitment or retention, consultant caseload capacity, and experience or training of staff working with children and adolescents where these leave CAMHS unable to provide safe care.
Not included
- Excludes staffing or competence deficiencies outside CAMHS unless the report explicitly connects them to CAMHS staffing arrangements.
- Excludes generic mental-health service capacity, psychiatric-bed or appointment-access concerns where CAMHS staffing capacity or competence is not the unsafe condition.
- Excludes isolated clinical errors or individual performance concerns where no recurring CAMHS staffing or competence deficiency is identified.
- Excludes failures in CAMHS referrals, communication, care planning or multidisciplinary coordination when staffing capacity or competence is not the shared unsafe condition.
- Reports
- 4
- Individual concerns
- 6
- Date range
- 2014–2024
- Stated actions
- 4
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
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Concerns raised1
Insufficient specialist workforce capacity within CAMHS and paediatrics for gender identity services
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Establish new regional Children and Young People’s Gender Incongruence Services under an interim service specification.
Stated by NHS England -
Action
Develop a substantive service specification strengthening infrastructure and regional links between specialist centres and local services.
Stated by NHS England
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
Expanding clinical capacity is constrained by shortages of suitable workforce potential in children’s and adult gender services, rather than funding.
Stated by NHS England
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Concerns raised2
Lack of adequate numbers of suitably trained CAMHS staff
Excessive consultant caseloads in CAMHS
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Inadequate staffing levels for one-to-one care in inpatient CAMHS units
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Existing staffing reviews, multidisciplinary support, on-call arrangements and staff redeployment are considered sufficient to determine appropriate staffing levels.
Stated by Priory Group
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Position
Existing staffing guidance, continual staffing reviews, multidisciplinary support and escalation arrangements are considered sufficient to determine appropriate staffing levels.
Stated by Priory Group
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Concerns raised2
Inadequate CAMHS staffing numbers
Insufficient CAMHS staff experience and training in working with teenagers
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Increase CAMHS staffing from 45 to 63 and improve skill mix through development plans.
Stated by North Cumbria Integrated Care NHS Foundation Trust -
Action
Deliver the identified CAMHS staff training programme, including prioritised suicide-prevention training.
Stated by North Cumbria Integrated Care NHS Foundation Trust
Data last updated 7 September 2026