YoungMinds – Have your say on standards for Tier 4 Services

NHS England are currently conducting a National Review of Children and Adolescent Mental Health Service (CAMHS) Tier 4. This page will tell you what the review is, why it’s happening, and how you can participate as a young person, parent or carer.

Who is this page for?

We want to hear from you if you’re a young person (up to the age of 25), parent or carer, and interested in ensuring that young people accessing mental health services can access the right care – whether or not you have used Tier 4 services themselves.

What are tier 4 services?

Tier 4 services offer specialised day and inpatient units where young people with more severe mental health problems can be assessed and treated. Accessing Tier 4 services involves either:

  • checking into a hospital or clinic on a daily basis
  • staying in a hospital or clinic

What is a service review?

A service review makes sure that the right services are commissioned (supported to happen) in the right place and at the right time for the people that need it.

Wherever a young person lives in England, they and their family should expect to have the same access to the services they need, and they should experience the same high quality of care wherever they are receiving treatment.

Why am I being asked?

To ensure the standards and requirements that make up NHS England service specifications are informed by the children, young people, parents and carers who are impacted by these decisions. It will shape the specification before providers bid to run these services.

How does this work?

NHS England have opened a consultation for 90 days to gather as much feedback from as many people impacted by these services. This includes professionals and charities that support work with young people and their families. They will be publishing an easy read version of these documents shortly.

NHS England have asked YoungMinds to produce a survey for young people, parents and carers so that as many voices are heard.

As well as this survey, YoungMinds will host two interactive workshops with Young People (January 28th 2017) and Parents and Carers (January 26th 2017) to have a more detailed conversation about the service review. If you are interested in taking part, you can sign up by emailing