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Newcastle Gateshead Clinical Commisioning Group

Newcastle Gateshead Clinical Commisioning Group

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Background to the Deciding Together consultation process

Over the past year, the NHS in Newcastle and Gateshead has worked with hundreds of patients, families and stakeholders to gather their views on options for the future of NHS mental health services in the area.

During summer 2015 Newcastle Gateshead CCG and its partners, including Northumberland, Tyne and Wear NHS Foundation Trust (NTW), developed its case for change, which was informed by feedback and comments from the listening exercise, which began in June 2014.

Between November 2015 and February 2016, the CCG put forward a range of different ways in which in-patient and community mental health services could be arranged and consulted with the public on the different scenarios and their hopes for the future.

All the scenarios include changes to in-patient and community services, as well as steps to make it easier for service users and carers to get the support they need.

This is part of the CCG’s commitment to ensure that mental healthcare has equal status to healthcare for physical complaints, with increased investment in more flexible mental health services in community settings balanced against a reduction in the reliance on inpatient services. The main services covered by the consultation included:

  • Community mental health services for adults of working age living in Newcastle and Gateshead (provided by NTW and by community and voluntary sector organisations)
  • Community mental health services for older people living in Newcastle (provided by NTW and by community and voluntary sector organisations)
  • Inpatient mental health services for adults of working age living in Newcastle and Gateshead (provided by NTW – this covers acute care and rehabilitation inpatient services)
  • Inpatient mental health services for older people living in Newcastle provided by NTW

    The consultation did NOT cover:

  • Mental health services provided by GPs, primary care counsellors and therapists, including IAPT services (Improving Access to Psychological Services)
  • Community and inpatient mental health services for older people in Gateshead provided by Gateshead Health NHS Foundation Trust
  • Other specialist inpatient mental health services (such as psychiatric intensive care, forensic psychiatry etc.)
  • Children and young people’s mental health services
  • Mental health services provided or commissioned by Newcastle or Gateshead councils
  • Existing mental health services provided by the voluntary sector The scenarios put forward comprised:
  • Seven community mental health service scenarios
  • Three in-patient care scenarios
  • Two scenarios for the delivery of older people’s services for Newcastle.

The consultation process included:

  • Focus groups
  • An online survey (and paper based equivalent)
  • A street survey with a representative sample of the public
  • Letters, emails and other written submissions, including feedback from meetings with voluntary and community sector service providers
  • Public consultation events
  • Results independently analysed and reported by Kenyon Fraser
  • In-depth interviews – carried out by Northumbria University peer researchers
  • Travel analysis carried out by North East Quality Observatory:
  • 1,249 responses (individuals or organisations):
  • A minimum of 147 people attended 15 focus groups (not all evaluations were completed)
  • 165 people responded to the online and paper survey
  • 797 people responded to the street survey
  • 26 written submissions were received from individuals and organisations,
  • 18 in-depth interviews with service users and carers
  • 114 people attended public consultation events.