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Wetherby and Its Surrounding Areas (Wetherby Area Report) Engagement Dates: 24 June – 13 September 2019

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Wetherby and Its Surrounding Areas (Wetherby Area Report) Engagement Dates: 24 June – 13 September 2019 Developing community mental health services for Harrogate and Rural Districts, Wetherby and its surrounding areas (Wetherby Area Report) Engagement dates: 24 June – 13 September 2019 Assessment of Equality Impact, Communications and Engagement Report Author: Adam Stewart NHS Leeds CCG Published: 16 December 2019 Assessment of Equality Impact, Communications and Engagement Report 2019 12 16 V1.2 Executive summary As part of a contract between NHS Leeds CCG and NHS Harrogate and Rural District CCG, Tees, Esk and Wear Valley (TEWV) NHS Foundation Trust provides inpatient and community mental health services for the residents of Wetherby and its surrounding areas. Proposals for the future development of mental health services for adults and older people were recently approved by NHS Harrogate and Rural District CCG. These proposals allow TEWV to maximise patient safety and provide the best possible patient experience, whilst remaining true to their 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 NHS Foundation Trust is already building a new mental health hospital. By transferring inpatient services from the Briary Wing, Harrogate, it enables TEWV NHS Foundation Trust to reinvest money in community services to focus on supporting people at home whenever possible. This engagement seeks the views of the people of the Harrogate and Wetherby areas on the proposals to develop the community mental health services for adults and older people. This will help us understand what people think of the proposals for community mental health services and help us make sure that these new services meet the needs and preferences of service users and their carers. The report will also help to identify any potential positive or negative impacts in relation to characteristics/groups protected by the Equality Act 2010. A survey was used to gather people’s thoughts and experiences of mental health services. We also used drop-in sessions and focus groups to understand the needs of people in the Wetherby area. We asked whether the proposals would help people stay well and/or recover at home and if there was anything missing from the proposals. The survey was shared widely, including with; Service users in the community and care homes Carers and family members CCG patient, public and voluntary sector networks; and GP practices in the Wetherby area. 89 patients, carers, family members and members of the public from the Wetherby area responded to the survey. A majority of people who filled in the survey told us that they believe the proposals would help them stay well and/or recover at home. This report makes a series of recommendations to the mental health commissioning team who will use the findings of the engagement to develop community mental health services. A regular briefing will be produced once the project has begun, to show to what extent the engagement recommendations and recommendations to remove or reduce any identified negative impacts on protected characteristics/groups have been implemented. The public feedback will also be used to inform a wider strategy for enhancing communication, access and the quality of services. The report will be shared with those involved in the engagement and will also be available on the NHS Leeds CCG website. This report focuses on the feedback collected from people in Wetherby and its surrounding areas and forms part of a larger report written by Tees, Esk and Wear Valley NHS Foundation Trust. 1 1. Background information a. Clinical Commissioning Groups (CCGs) NHS Leeds CCG and NHS Harrogate and Rural District CCG are responsible for planning and buying (commissioning) the majority of health services for people in Leeds and Harrogate, respectively. CCGs commission a range of services for adults and children including planned care, urgent care, NHS continuing care, mental health and learning disability services and community health services. Leeds is an area of great contrasts, including a densely populated, inner city area with associated challenges of poverty and deprivation, as well as a more affluent city centre, suburban and rural areas with villages and market towns. As of 1 November 2019, NHS Digital estimates that there are 896,000 people who are registered with a GP practice in the Leeds area. Leeds has a relatively young and dynamic population and is an increasingly diverse city with over 140 ethnic groups including black, Asian and other ethnic-minority populations representing almost 19% of the total population compared to 11% in 2001. There are 96 GP practices in Leeds. Involving people and the public in developing and evaluating health services is essential if we want to have excellent services that meet local people’s needs. It is our responsibility, and one that we take very seriously, to ensure that our local communities have the opportunity to be fully engaged in the decisions we take. b. Tees, Esk and Wear Valley NHS Foundation Trust (TEWV) TEWV NHS Foundation Trust provide a range of mental health, learning disability and eating disorder services for the people living in County Durham and Darlington, the Tees Valley and most of North Yorkshire. TEWV NHS Foundation Trust delivers community and inpatient mental health services for Harrogate and its rural district. c. Wetherby Wetherby and the surrounding villages are situated in the North East of Leeds and have a population of over 36,000 people registered with a GP practice. Wetherby is surrounded by a number of smaller villages, including; Boston Spa, Collingham, Thorner, Harewood and Bramham. Wetherby is one of the least deprived areas in Leeds; fewer than 1% of the population claim unemployment benefits (Jobseekers Allowance/Universal Credit) and 56% of the population are working age. 8% of the population experience ‘fuel poverty’, 15% of households have no car and 2.2% of households have no central heating. 6% of children under 16 are living in low income families. Further details on demographics of the Wetherby area and how it compares to the Leeds area can be found here: https://bit.ly/2VsRvm3 2 The Wetherby area is above the Leeds average for the prevalence of ‘common mental health issues’ and asthma (under 16s). Wetherby is below the Leeds average for ‘severe mental health issues’. Further details and how it compares to the rest of Leeds can be found here: https://bit.ly/2VvIA3f As part of a contract between the NHS Leeds CCG and Harrogate and Rural District CCG, TEWV NHS Foundation Trust provides inpatient and community mental health services for the residents of Wetherby and its surrounding areas. This contract was informed by residents of the Wetherby area who previously told us they would like to be able to access services in Harrogate. d. Engagement support We commission Voluntary Action Leeds (VAL) to support our engagement work. VAL delivers the ‘Leeds Voices’ project to undertake public and community consultations on behalf of NHS Leeds CCG. e. Developing community mental health services for Harrogate, its rural districts, Wetherby and its surrounding areas Inpatient mental health services – Background these are services that people receive whilst being an ‘inpatient’ in Tees, Esk and Wear Valley (TEWV) NHS Foundation a hospital. This means you spend Trust deliver community and inpatient mental health time in the hospital when your services for Harrogate and its rural district including the mental health is at a point where Wetherby area. TEWV NHS Foundation Trust do not you need additional support and provide primary care mental health services, these care to keep you safe and well. are delivered by the GP practices local to the area; people in Wetherby receive primary care mental health services from Leeds GPs they are registered with. Community mental health services - these are services that Proposals for the future development of mental health are delivered ‘in the community’. services for adults and older people were recently You may receive these services in approved by the Harrogate and Rural District CCG. your home or from a nearby NHS organisation. In the future, when people need to spend time in hospital these services will be provided in a specialist Primary care mental health services facility in York where TEWV NHS Foundation Trust is – these are services delivered from already building a new mental health hospital (expected your GP in the first instance. You may to be completed in 2020). be prescribed medication or referred to receive support through ‘talking What is changing? therapies’. In Wetherby and the surrounding areas, people will notice the following changes: From 2021, inpatient care will no longer be provided in Harrogate and patients and their carers will travel to a new hospital in York. People will be able to access enhanced community care, closer to home, reducing the need to be admitted to hospital People who are admitted to hospital will experience enhanced care in a purpose built facility 3 Why are we changing? Transferring inpatient services from the Briary Wing, Harrogate will enable TEWV to reinvest money in community services to focus on supporting people at home whenever possible. It also ensures that when someone needs inpatient care they will receive it in a safe, high- quality environment. The aim of investing community mental health services is that it will reduce the number of inpatient admissions as well as the length of time individuals
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