Waltham Forest

i-THRIVE Accelerator Site

Waltham Forest CCG applied to be an i-THRIVE accelerator site because it was interested in using the THRIVE framework to guide CAMHS transformation.

Waltham Forest CCG, with support from the Child Outcomes Research Consortium (CORC) have completed an in-depth analysis of the current system of services for children and young people’s mental health. Main priorities for transformation are to improve support for children and young people ‘Getting Advice’ and ‘Getting Risk Support’.

Some real progress has been made already with the development of an app by North East London Foundation Trust (NELFT) called ‘My Mind’, which children and young people linked to a CAMHS service can use to more easily communicate with their clinicians, track their progress and set their own goals. If you would like to learn more about this app, a case study has been developed and is available here.

Since the start of their transformation process, Waltham Forest have seen a 15% decrease in referrals to their CAMHS and have seen increased referrals to CAMHS from schools.

Waltham Forest CAMHS are also a part of the Health Foundation ‘Scaling up Improvement’ project which is taking place over the next two years. In this project, the core set of THRIVE principles will be translated into a model of care across Waltham Forest and the three other CAMHS localities provided by NELFT.

December 2017 update

You can read two case studies on the website from work that has been done in Waltham Forest which is aligned to the THRIVE framework. The first case study refers to the ‘long term conditions clinic’ which helps clinicians to manage discharges from CAMHS in a way that better meets the needs of children and young people. This is aligned to the THRIVE framework which encourages clinicians to discuss ‘endings’ with clients from the beginning and to recognise when further intervention or support is unlikely to lead to improved outcomes.

One of the quality improvement projects undertaken as part of the ‘Scaling up Improvement’ work has focused on developing a whole systems approach to ‘Getting Risk Support’. The second case study highlights the ‘THRIVE Clinic’, which supports children and young people considered to be at risk of harming themselves or others. In October 2017, the service worked with i-THRIVE to hold a redesign event for the THRIVE Clinic which was attended by people who work in local schools, social care, third sector organisations supporting children and young people, the lead of the multi-agency safeguarding hub and young people with lived experience of CAMHS.

At a macro or strategic level, Waltham Forest CCG worked with i-THRIVE to host a CAMHS Stakeholder Engagement Event also held in October 2017. The event brought together different agencies and young people from the borough to share ideas to inform the CCG’s upcoming CAMHS Transformation Refresh.

If you would like more information on the work Waltham Forest are doing with i-THRIVE, please contact Nuzhat Anjum, Head of Strategic Commissioning, Waltham Forest CCG,


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