Transforming mental health services Transforming mental health services

The consultation

Please note that this consultation is now closed. Read our statement on the outcome

Background

Together with the local provider of mental health services, Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV), we invited service users, carers and the public of Hambleton and Richmondshire to share views on proposals for improving adult and older people's mental health services.

The aim of the full process was to gather information first-hand from the public including clinicians patients, carers of adults and older people with mental health problems in the local area in order to develop options to take forward for consultation. Three options were put forward and proposed to the local community over a period of 12 weeks.
 
We built on learning from DISCOVER! engagement, the North Yorkshire Dementia Strategy engagement and the recent ‘Fit 4 the Future, Transforming Our Communities’ consultation, where a majority of people said they wanted services at home or as close to home as possible. We engaged with over 480 clinicians, service users and carers since January 2017 prior to formal consultation which started in June.
 
Clinical evidence showed us:
  • One in four people will experience a mental health problem in their lifetime.
  • People with mental health problems receive poorer physical healthcare and those living with severe mental illness are at risk of dying on average 15-20 years earlier than the general population. 
  • Improved mental health and wellbeing is associated with a range of better outcomes for people of all ages and backgrounds. 
  • In the last 15 years the way mental health services are provided has changed. More people are able (and want) to receive the care and support they need in or near their own home. Increasingly, hospitals are focussing on caring for the most seriously ill people.  
  • Although some people with dementia will need to spend time in hospital, most people will benefit from being able stay in familiar surroundings, which are less disorientating. 
Local evidence showed us:
  • There is an opportunity to support more people at home by strengthening community services and social care.
  • Access to residential or nursing homes for people with dementia is limited, which means that people are spending longer than they should in hospital (mental health and general acute hospitals).  
  • The current inpatient facilities in wards 14 and 15 at the Friarage Hospital, Northallerton do not meet the standards of a modern therapeutic mental health service.  
What were our overall proposals?
It is our ambition to support people to live fulfilling and meaningful lives in their own communities, no matter what their symptoms or diagnosis of mental illness are (known as a recovery-focussed approach).
We aimed to do this by:
  • Providing more recovery-focussed services in the community, closer to patients’ homes.
  • Making sure patients and their carers get the treatment and support they need, when they need it (any time, day or night).
  • Supporting access to specialist assessments and treatments, such as inpatient care, when required.
  • Providing evidence-based treatment in the most appropriate care setting.
  • Ensuring mental health services continue to work closely with GPs to provide local services for local people.
  • Delivering inpatient and community services in high quality, fit-for-purpose buildings.
Please note that this consultation is now closed. 
 
We received approval from NHS England and the North Yorkshire County Council Scrutiny of Health Committee to proceed with a formal consultation. This consultation started at 9am on Monday 26 June 2017 and finished at 5pm on Friday 15 September 2017. A full consultation report will be presented to an Extraordinary CCG Governing Body meeting on 26 October 2017 to review and make a decision, as is statutorily required. 
 

Supporting materials