Janet, I think those two questions have been touched on, the remaining questions. We are going to discuss in more detail the legacy arrangements, but if I could just ask on psychological therapies: you referred to the fact that you were a bit disappointed with progress in this area, and the area hasn't been directly led on by the Together for Children and Young People programme. Do you think that means now that there is more of a threat to progress in this area, because, you know, we've got different compartmentalising of actions, and this is absolutely key, isn't it, really?
Yes. I think there's—. There is some refinement to be done, I think, in making sure the connections are there. So, I think, as we move to programme end, we'll want to be absolutely assured that there are no strands left hanging, so to speak. I am confident—I mentioned the mental health network board that I chair—that we have those strands nailed down, but recognising that the early help and enhanced support and the provision of psychological support is beyond the NHS. So, this will be an area that needs to be very much seen as a key part of that. My own sense is that—. There's been quite a lot of other developments through the life of the programme. So, in the evidence that I've provided, you'll see the First 1000 days, all the adverse childhood experiences work, the Cymru Well Wales partnership, et cetera, et cetera. So, there is a bit of what I would call tidying up of the landscape to be done, and this is the ideal opportunity to do that.
Okay. Thank you. We've got some questions now on specialist CAMHS—if I can just ask about the impact of the specialist CAMHS framework, and how effective you feel that has been in promoting a consistent delivery of care for young people.
Thanks very much for that. Without wanting to go back too far in history, I remember coming into this area back in 2014 as I was asked to establish a CAMHS network. My observation was there wasn't really a strong and well-connected clinical community in this area. When we spin forward five years, I can confidently say that there is a strong and well-connected clinical community around specialist CAMHS. The programme has helped; the emphasis and the focus of the programme has helped to bring people together with that more common endeavour to understand, actually, there is a good case for consistency in the main, with local variation. There has been a case for much greater learning between organisations. If I just give you an example—you'll know that the community intensive service teams were put in place in 2015-ish. Some areas have them, but a lot of areas didn't. We do have inconsistency in that, but the consistent part is there is a service now right the way across Wales for more intensive support to children and young people and their families in their own homes, which helps to prevent admissions and then, where there are admissions, helps to support people to be at home. They're all called slightly different things. So, I might have referred in my papers to CITT, CATT, COT and CITE. So, they've all got slightly different names and they've got slightly different opening hours. The key thrust of this is that there is a backbone, if you like, of a consistent approach with that local variation. We have to check. So, things like frameworks for improvement—there is a coming together of the clinicians and the professionals to agree what that framework for improvement is. That then gets implemented, with some local variation. So, I think the process of moving in that way has been extremely helpful. There will be some variation. We want some variation, to some extent, as places try new things and evaluate new things. So, if I just refer to the previous question that I had, and I talked about hot clinics and different ways of reaching out; that's been tried in one area, been evaluated—let's see the spread of that. So, you'll know my view on internet counselling, for example; I feel that is quite a strong offer for children—not necessarily in the specialist end. If that works in one area, why aren't we rolling that out to other areas? So, I think the framework for improvement has provided a vehicle for those clinicians and professionals to come together. It's in a stronger place—a much stronger place—than it was five years ago.