Dr. Joseph Duffy:

We know there is a lot of talking about it and a lot of planning around it. The question is how much can happen immediately. Some of the things I would like to see more immediately include the standard operating guidelines, which have been mentioned, being accepted, particularly with regard to NGOs such as Jigsaw. What does that mean in practice? If a young person comes to Jigsaw, we may believe his or her issues would be more supported in CAMHS. For half of the CAMHS teams we deal with, we can write a letter, that letter will be accepted, the young person will be seen and the team will take our assessment. However, the other half will say that we need to bring the young person back to a GP, get that GP to write a referral and bring the young person back through that process.