Information Page!

This survey has been created to gather the views of parents and young people on the service specification for Child and Adolescent Medium Secure Services. It should take about 5 minutes to complete. If you have any questions or would like some support completing the survey, please email

Who can participate?
Any young person, parent or carer - whether or not you have accessed or tried to access Tier 4 CAMHS services.


What is a CAMHS Medium Secure Service?

CAMHS Medium Secure Services provide a place for young people who present an especially high risk to others, this includes young people who have committed crimes.  Young people would usually stay in them for months or years and the units have a special team to help the young people stay safe and be able to recover.

What is a service specification?
This is a set of requirements and standards for the people responsible for running a service. These key requirements form a contract between NHS England and the providers of a service.

It may be helpful to have the service specification open in another window whilst you complete the survey.

You can click here to open the proposed service specification from NHS England (opens in a new window).

The service specification for Medium Secure Services has 5 parts:

1. Needs of the population (what mental health needs do young people have?)
2. Service Outcomes (what impact will this have on the young people using services?)
3. Scope of the service (what it will deliver)
4. Service Standards (what makes that service good?)
5. Quality requirements (how do you make good services?)

How has the service specification changed?
The main changes NHS England is proposing is to significantly update the service specification to strengthen the focus on pathway working and network approaches to organising and delivering services. This means Medium Secure services are a clearer part of a young person’s care journey, and that it fits better with the support services young people may already be receiving.

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.