Mental Health Services

Developing community mental health services for adults and older people in Harrogate and Wetherby

Engagment Period: 24th Jun 2019 - 13th Sep 2019

Harrogate and Rural District CCG and Tees, Esk and Wear Valley NHS Foundation Trust are currently engaging with local people to help develop community mental health services for adults and older people in Harrogate, its surrounding areas and Wetherby, who also receive mental health services from the trust.

Brief summary

Proposals for the future development of mental health services for adults and older people were recently approved by the Harrogate and Rural District CCG (you can read more about this below or at the link here). These proposals enable us to maximise patient safety and provide the best possible patient experience, whilst remaining true to our commitment to providing care as close to home as possible.

In the future, when people need to spend time in hospital these services will be provided in a specialist facility in York where TEWV is already building a new mental health hospital (expected to be completed in 2020).

By investing in community services, the aim is to reduce the number of inpatient admissions as well as the length of time individuals need to spend in hospital (this is what people told us they wanted). The approved approach releases £500,000 per year to invest in community services. TEWV have already begun looking at how they can improve the way they work to give people the support they need.

We now want to work with local people to develop community mental health services that will support more people to remain in their home environment. We anticipate implementing these developments by Spring 2020.

You can read more about the proposals here:

Developing mental health services for adults and older people in Harrogate and Rural District - narrative document

Developing mental health services for adults and older people in Harrogate and Rural District - summary and survey document

Who do we want to hear from?

We want to hear from as many people as possible in order to  help us develop our plans. This includes current or previous users of mental health services, carers, family members, volunteers and health and care staff.

What are we asking?

We want to hear your views on the proposals for developing mental health services for adults and older people and if there is anything we’ve missed that would help support people.

How can you share your views?

You can share your views by filling out our online survey:

Have your say on the proposals for community mental health services

You can request a paper copy by emailing us on tewv.enquiries@nhs.net or calling 01642 516468. You can also email your thoughts across or post them out using the address: FREEPOST TEWV

You can also attend one of our drop-ins/events:

  • Thursday 25 July, 2pm – 4pm at Ripon Rugby Club
  • Friday 2 August, 4pm – 6pm at Fairfax Community Centre, Harrogate
  • Monday 2 September, 10am – 12pm at Chain Lane Community Hub, Knaresborough
  • Wednesday 4 September, 10am – 12pm at Wetherby Town Hall

If you think it would be of use for a member of the team to attend your group or organisations to discuss this, you can invite us to attend existing meetings or events (email tewv.enquiries@nhs.net).

What will happen with my feedback?

All the feedback received will be considered. TEWV will analyse and theme the responses and write an engagement report that will outline the findings and provide recommendations to the commissioning team.

The report will be published on our website.

If you would like to read more information about this engagement please see the downloads section below.

If you have any questions about this engagement please contact tewv.enquirues@nhs.net or HARDCCG.Enquiries@nhs.net.

Mental health services transformation for adults and older people 2017 - 2019

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
  • 2019: engagement on implementation of 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 2018. 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 HARDCCG.Enquiries@nhs.net or call us on 01423 799300.

We will also publish here 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