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Mental health services at Birmingham Women and Children's NHS Foundation Trust must improve, inspectors say.

Issues within this area have led to watchdog the Care Quality Commission (CQC) warning enforcement action will be taken if progress is not made.

But the trust, which was inspected last year, responded to concerns and mitigated any risks, the CQC said.

The trust said it was disappointed by the findings, which saw its mental health service rated as inadequate.

Following the inspection, the trust's overall rating has dropped from good to requires improvement.

The CQC looked at specialist community mental health services for children and young people, child and adolescent mental health wards (CAMHS), community-based mental health services for adults of working age and mental health crisis services and health-based places of safety.

The inspection - in June, July, August and October - also looked at critical care and surgery at Birmingham Children's Hospital.

But concerns within specialist community mental health services and CAMHS wards prompted inspectors to issue a letter of intent telling the trust urgent enforcement action would be taken if significant assurances were not made.

Self-harm risk

"Staff didn't always re. Send your story ideas to: newsonline.westmidlands@bbc.co.uk

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