Mental Health Services (2018 review)

Introduction – Mental health services for adults and older people 2018 review

We are currently reviewing the mental health services which are available for adults and older people in Harrogate and Rural District. We are conducting this review in partnership with our specialist mental health provider Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV). Our role is to commission (buy) services which meet the health care needs of people in Harrogate and Rural District, including mental health services. TEWV provides mental health services for adults and older people in our area.

Some of the mental health services we commission are delivered in people's homes or the community (for example specialist dementia nurses, some crisis teams and community mental health teams) and some take place in hospital. We want to make sure we are providing the best blend of community-based and hospital services to meet the needs of local people with the money we have available and we are currently discussing this with the people of the district.

This review looks only at mental health services for adults and older people. It does not include children and young people’s services.

Why we are conducting the review

There are a number of reasons we are conducting this review.

We think that there is an opportunity to do things differently. In particular, we are looking to put people at the centre of services and do more to ensure that services are joined-up. We want to make sure that the right types of services are available in, or near, people’s homes, and we have heard from many local people that this is what they want too. We would like to do more to focus on prevention and sustained recovery, with admission to hospital only when it is truly the best option to meet a person’s needs.

Another reason we are reviewing future mental health services now is because some of the inpatient (hospital) beds available in the area currently are not fit for purpose for the long term. We will need to make choices about where future beds will be located, and we want to consider this within the context of all the mental health services which may be needed by the local population.

Finally we want to make sure that the services which are available best meet the needs of local people and are sustainable. This means that we will be able to offer services for the long term, within the money which is available to us.

Timescales for the review

We have been having conversations with people about what they think good mental health services would look like since 2017. This has included conversations with a wide range of people across the area, including service users, their families and carers, health and care professionals, people in the volunteer and community sector, local leaders and decision makers and partners in the police and fire services.

What we have heard, together with our ambition for positive changes for local people mean that we will be developing a new model of services this year.

We are currently gathering views to inform our review and prepare our views on what future mental health services for adults and older people should look like in Harrogate and Rural District.

These are the current timescales for the review:

  • June through September: continued engagement to inform review of local services
  • December 2018: Governing Body to discuss proposed solutions
  • Early 2019: engagement on implementation agreed solution

We welcome you to share your views with us as this review continues. There is more information on how you can do this below.

Our Governing Body approved proposals for the mental health services transformation in Harrogate and Rural District on 6 December 2019. You can read more about that decision here.

Next steps

There will be further conversations with patients and the public about shaping fit for the future mental health services for the district in the months ahead. These conversations will focus on developing enhanced community mental health services.

Sharing your views with us

There are a number of ways to share your views with us.

You can email us at mhsreview.2018@nhs.net or call us on 01423 799300.

We will also publish here any details of upcoming events where you can learn more about this review and discuss your views with us.

Additional information

Developing mental health services in Harrogate - Engagement Report by Mental Health Strategies, November 2017

Harrogate and Rural District Review of Mental Health Service for Adults and Older People (2017-19)2018 Summer Survey Results

Harrogate and Rural District Review of Mental Health Service for Adults and Older People (2017-19) - Communications and engagement through September 2018

Mental health services transformation Governing Body paper 6 December 2018