Mr. Derek Chambers:

Self-harm alone requires a particular response. In the first instance, that would be to make sure the young person is physically being looked after. Thereafter, CAMHS may not be the best or most appropriate service for that young person. We heard presentations from colleagues in respect of the prevalence of self-harm, and we have known for a long time that the prevalence is very high. The specialist mental health services may not be the best place for a young person who is self-harming to present. We have to get the entire range and suite of services working well together to ensure the appropriate response to a young person in that kind of scenario. It is often the case that a young person would be better off with services elsewhere in the health services, whether that is in primary care or through one of our funded agencies, such as Jigsaw. Jigsaw has its own criteria relating to presentations around self-harm. We also work with Pieta in that space specifically. It depends on the needs of the young person.