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TEWV - the first 10 years
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Page 1: TEWV - the first 10 years... · 2020. 6. 12. · TEWV - The first 10 years 6 Working with everyone In our first ten years we have won a wide range of contracts covering every aspect

TEWV - the first 10 years

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more people in different locations we arecommitted to supporting our amazingstaff who give the best possible care tothose who use our services and help themon their recovery journey. We are alsokeen to celebrate their professionalachievements either through our ownawards schemes or by sharing their prideat winning national recognition for theirwork.

This brochure is our chance to look atback on some of the many highlights ofthe past decade, and to look to the futureand what we hope to achieve in the nextten years. It has been a momentousjourney, and we have faced somechallenges along the way, but we are ascommitted as ever to ensuring we cangive the right care, to the right people atthe right time.

2006TEWV at a glance

2008TEWV became thefirst mental health

Foundation Trustin the North-East

2006TEWV is createdthrough the mergerof the CountyDurham andDarlington PriorityServices NHS Trustand the Tees andNorth East YorkshireNHS Trust

2010£74m Roseberry Park,

Middlesbrough opened

2009Lanchester Road

Hospital, Durhamopened

2010paid £18m for West ParkHospital, Darlington andbecame the first NHS Trust inthe country to voluntaryterminate a PFI contract

2011took overresponsibility forall mental healthand learningdisability provisionin Harrogate,Hambleton andRichmondshire

2011opened our first regionalspecialist centre foradults and children witheating disorders in WestPark Hospital, Darlingtonand West Lane Hospital,Middlesbrough

2011named Mental HealthService Provider of theYear by Royal Collegeof Psychiatrists

2011awarded first everResearch Culture

Award by theHealth Service

Journal

Celebratingour first ten yearsTen years ago, in April 2006,TEWV was created followingthe merger of CountyDurham and DarlingtonPriority Services NHS Trustand Tees and North EastYorkshire NHS Trust. Our aimthen, as now, was to providea high quality range ofmental health and learningdisability services for thepeople who live in our areas,and beyond.

Since then we have expanded bothgeographically, taking in much of NorthYorkshire, and in the number and type ofservices we provide.

Expanding our area has broughtchallenges but we have welcomed moreservice users and staff into the TEWVfamily.

We work in the community with thosewho need our care and expertise as wellas running specialist hospitals throughoutthe area.

We have formed partnerships withorganisations including the police andprison service to ensure mental healthservices are provided to those who mayfind themselves in challenging positions.We also run a number of specialistservices such as eating disorders.

Our work covers all ages from children incrisis to the elderly and those withdementia.

Our innovative quality improvementsystem (TEWV QIS) is ensuring serviceusers get the most benefit fromeverything we do and our researchteams are looking to the future to ensurewe can provide the best possible care andtreatment for those most in need.

As we continue to work with more and

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2016

2013the redeveloped Cross Lane Hospital,Scarborough reopened by TheArchbishop of York Dr John Sentamu

2014ARCH recovery collegeopened in Durham

2015took over mentalhealth services in

seven prisons as partof the North East

Prison Cluster

2015awarded Gold Standard byInvestors in People

2016awarded the contractto run mental healthand learningdisability services inthe York area

20162016 completed the £13.8mrebuilding project at West LaneHospital, Middlesbrough

2016all our sites became smoke free

2015Care Quality Commissionrate us as ‘good’

If you would like to become a member of the Trust please go to our website www.tewv.nhs.uk,

email [email protected] or call 01325 552314.

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Building for the futureOne of our main aims has always been to provide the best possiblecare in the best possible surroundings. In the last ten years we haveinvested heavily in new buildings and refurbishments. Here we lookback at some of the highlights.

Children and young people are at theheart of everything we do at West LaneHospital, Middlesbrough.

Our £13.8 long-term rebuilding projecthas created a safe environment for theassessment and treatment of youngpeople from across the UK. Uniquely wegave young people the opportunity tohave their say about all parts of thedevelopment, from facilities and

furnishings to the care they receive. Workstarted on this special rebuilding projectat West Lane Hospital in 2013 and wascompleted in 2016.

The Newberry Centre, The WestwoodCentre, The Evergreen Centre and theGlades provides state-of-the arteducation and leisure facilities, as well ascomfortable accommodation, meetingspaces, therapy and consulting rooms.

Giving young people a voice

We are dedicated to modernising thecare we provide as demonstrated in2013 when Bankfields Court, a£5.3m unit for people with learningdisabilities, opened in Middlesbrough.

The building has transformed the carewe offer with two six-bedded in-patient assessment and treatmentunits and six rehabilitation flats. AtBankfields Court we provide inpatienttreatment for people fromMiddlesbrough, Redcar andCleveland, with learning disabilities,

who have mental health problems,challenging behaviour or epilepsy.Clients, who helped plan thedevelopment, benefit from atherapeutic environment withfacilities including a sensory room andactivity rooms.

Modern care for all

In 2009 we opened LanchesterRoad Hospital, a 76 bed facility ina beautifully landscapedenvironment on the outskirts ofDurham. The hospital providesaccommodation for a range ofmental health and learningdisability services. Each of the en-suite bedrooms is on theground floor with a window seat,most of which overlook thecountryside. Each of the wardshas its own enclosed garden andeach unit includes communalliving areas and kitchens. The lightand spacious entrance opens upto a coffee shop and leads into abeautiful central courtyard withseating areas for everyone toenjoy.

All thingsbright andbeautiful

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A safe place to be Some of our service users can feelanxious and it is vital we create a calm,safe environment for them. With this ismind, we opened a specialist inpatientunit for older people with dementia andcomplex needs in Malton, NorthYorkshire in 2013.

The £3.9m purpose-designedSpringwood offers patients from NorthYorkshire 24 hour care in homelysurroundings. The innovative designincludes internal and external wanderpathways which give patients withdementia the space to walk around insafety without feeling agitated.

In Ripon, one of our newest builds isspecially equipped to help those withcomplex mental health problems improvetheir quality of life.

The £3.6m Orchard, which opened in July2015, provides both a specialist in-patientservice and a base for staff working in thecommunity.

The in-patient rehabilitation and recoveryunit allows service users to live in ahomely environment as they worktowards community integration and,where possible, independence.

Improving service usersquality of life

Art plays an important role ineveryday life at the £10.4mredeveloped Cross Lane Hospital inScarborough, which was officiallyopened by The Archbishop of York, DrJohn Sentamu, in 2013

Our investment has led to animproved standard of accommodationincluding a new specialist mentalhealth unit for older people andextensive refurbishment of the adults’inpatient unit.

The unit for older people, which wasplanned with help from service users,carers and staff, provides care forpeople with needs such as dementiaand depression. Artwork, chosen withthe help of patient groups, featuresheavily and does more than simplybrighten the living space. Photos oflocal people and places are an aid torecognition for patients andelsewhere art is used as signpostingwith photos of harvests and cookingon the way to the dining room.

In May 2010, we opened the award-winning £75m Roseberry Park inMiddlesbrough, built under theGovernment’s private financeinitiative (PFI). This mental health andlearning disability developmentformed a key part of our plans tomodernise the way services areprovided. Roseberry Park is made upof a number of self-contained wardunits, clustered around closedlandscaped courtyards. The facilitiesare complemented by various activityand recreational areas with easilyaccess to safe and secure courtyardsand gardens.

We offer a range of specialist servicesat Roseberry Park and the therapeuticnature of art is recognised withpieces, many designed by staff and

service users, being used to greateffect around the development toprovide a relaxed environment. Sinceit was built, Roseberry Park has won anumber of awards for improving thepatient environment through itsinnovative design.

Award-winningRosebery Park

Home is where the art is

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Working with everyone In our first ten years we have won a wide range of contracts coveringevery aspect of mental health and learning disability care. We prideourselves on sharing our knowledge and good practice to ensure weprovide the very best care for everyone.

In June 2011 we were givenresponsibility for all mental health andlearning disability service provision inHarrogate, Hambleton andRichmondshire, welcoming serviceusers and more than 500 staff toTEWV. This was an important time forthe Trust as we were able to provideservices and implement our goodpractice across a much wider area.

In 2014 we took over three moreservices for North Yorkshire; theimproving access to psychologicaltherapies (IAPT) service, thevulnerable veterans and adultdependents service based at CatterickGarrison and the community eatingdisorders services. In 2015 we tookover responsibility for mental healthservices in York and Selby.

Since April 2015, we have providedmental health and learning disabilityservices in seven prison across the region,as part of the North East Prison Cluster(NEPC) Healthcare Community.

We work with prisoners at HMP LowNewton and HMP Frankland, Brasside;HMP Durham; HMP young offendersinstitute, Deerbolt; HMP Holme House,Stockton; HMP Kirklevington Grange,Yarm and HMO Northumberland.

We also provide services at the dangerousand serious personality disorder unit atHMP Frankland. We work with partnersto provide assessment, treatment,primary care services, trauma services,psychiatry clinics, and day services such asart groups, healthy lifestyle groups.

Prison partnership

Spreading our wings

Approval needed

In 2013/14 the Departmentof Health appointed us tomanage the North ofEngland (Mental Health Act)approval panel (NEAP).Under the Mental HealthAct, decisions to detainsomeone in hospital areagreed by at least onespecially trained doctor who

is ‘approved’ by an expertpanel. Once detained peoplemust be allocated an‘approved’ clinician. NEAPmanages this approvalprocess for the North ofEngland and provides adviceto professionals applying tocome approved clinicians orSection 12 doctors.

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Specalist eatingdisorder centre

Military contractImproving care for children and young people

We have been part of the nationalChildren and Young People’sImproving Access to PsychologicalTherapies (CYP IAPT) programmesince 2012, when we were successfulalong with another NHS Trust andNorthumbria University in bidding toestablish the North East, Yorkshireand Humber CYP IAPT LearningCollaborative. The Trust-wide CAMHSService Transformation project, whichaligns with Future in Mind and Local

Transformation Planning, works toensure services are appropriate,accessible, effective and efficient.

The project supports existing CAMHSservices to deliver the bestinterventions, working with youngpeople, their parents and carers. Theservice regularly talks to families andyoung people who have used it, ormay use it, to ensure it is the verybest it can be.

We are one of eight mental health trusts,contracted by the Ministry of Defence, toprovide acute mental health inpatientservices for serving military personnel.

As part of a national network oforganisations, we can ensure servingmilitary personnel who require admissionare never more than two hours awayfrom their base.

We provide our service at West ParkHospital, Darlington and have establishedlinks with Catterick Garrison to ensurepatient admission, treatment anddischarge is easy, safe and delivered withhelp from military service liaison officersand clinical staff.

We opened the first regionalspecialist centre for adults andchildren with eating disorders in2011. Specialist teams ensureinpatients get the mental andphysical support they need.Dedicated chefs and kitchen facilitiesare provided so patients can plan andprepare food as part of themanagement of their condition.

The adult inpatient unit at West ParkHospital, Darlington was the first inthe country to adopt a fullyintegrated team approach toproviding physical and mental healthcare for eating disorders. TheEvergreen Centre, our eating disorderunit for children and young people atWest Lane Hospital Middlesbrough,provides a comfortable and calmenvironment, designed with helpfrom young people. In 2013 we wereaccredited as excellent by The RoyalCollege of Psychiatrists, as part of theQuality Network for Eating Disorders.

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Aiming to be the bestWe aim to deliver high quality services which make a positivedifference to people's lives. Over the past ten years we havedeveloped a number of ways of working to help us achieve this.

Quality is everything

We are now eight years in to our journey using ouraward-winning quality improvement system called TEWVQIS. The system helps us remove waste whilst focusingon those things that add value to our service users, theircarers and the people who commission our services.

TEWV QIS puts staff at the centre of planning andimplementing any changes and has led to some realsuccesses. Our award winning purposeful inpatientadmission model has reduced people’s length of stay inhospital and helped promote recovery. We are buildingon this work with the launch of the community servicesprogramme that will look to further improve how wework with service users in the community. The success ofTEWV QIS relies on training our staff to use the tools intheir everyday work. We have trained more than 80 staffto be certified leaders so they can lead improvementwork across the Trust. Another 270 staff havecompleted QIS leader training so they can leadimprovement work in their area and 250 staff havecompleted QIS admin training. We are also training andcoaching a range of organisations across the UK to helpthem maximise quality and reduce waste.

Business matters

As a Trust we consistently meet our financial and otherbusiness targets. In 2010 we became the first NHS Trustis the country to voluntary terminate a PFI contract whenwe paid £18m to buy out West Park Hospital inDarlington.

This decision saved the Trust £14m and gave us fullcontrol over our flagship hospital, which houses ourTrust-wide head offices.

We review our strategic plans annually with the board,governors, managers and clinical leaders actively involvedin decision-making. In 2011 we introduced newmanagement and leadership arrangements to strengthenour links with local communities. This means we havepeople who understand the specific needs of thecommunity as well as senior staff ensuring key decisions fit into the Trust’s wider ethos and direction.

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Breaking new boundaries High quality research underpins all our clinicalservices and ensures we can offer the best care toour service users. Our research and developmentteam works across the Trust offering a variety oflocal, national and international research studies toservice users leading to cutting edge care.

Our work with the School of Medicine and Health atDurham University shows how we embed researchinto everything we do. In 2010, we launched a majornew research centre with the university focusing onyoung people’s mental health. This has beenrecognised as an international centre of NHS-drivenmental health research. More recently, we werenamed as the highest UK recruiter to research trialsfor people with dementia.

Helping our staff to help others

Our staff are very important to us andover the past decade we have workedhard to support them. It is importantthat we look after staff welfare as thisultimately benefits the people who useour services. Our employee supportofficer gives advice and support to staffwith mental health issues and we runaward-winning wellbeing retreatswhich give staff time to reassess theirlives. We also celebrate our staff withthe bi-monthly Living the Values awardsand our annual Making a Differenceawards ceremony

We also value our staff’s professionaldevelopment. In 2012, we set up atalent board to ensure we have theright number of staff with the right

skills in the right places at the righttime. Initially our focus was onsupporting staff in leadership andmanagement roles but over time wehave extended the approach to otherstaff groups. Our healthcare assistant(HCA) framework is helping new andexisting healthcare assistants improvetheir career development. Using both e-leaning and learning in theworkplace, HCAs are encouraged tofurther their careers and benefit theservice users they work with.

Our dedication to training is reflected inour psychiatry summer school whichattracts students from across the UK,giving them the opportunity to find outwhat it’s really like to be a psychiatrist.

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A host of new services on offerTo prosper and provide the best possible care to our service users wehave had to develop new and innovative ways of working over thepast ten years. We make sure people get the care and support theyneed in the right place, at the right time.

Helping people in the community

We know that the experiencespeople have during militaryservice, and the move to civilianlife, can sometimes trigger mentalhealth illness. Our staff have beenspecially trained in military cultureand mental health awareness sothey can better understand andtreat the mental health illnessesof people who have served in theArmed Forces. We are part of theveterans' wellbeing assessmentand liaison service (VWALS) is runin partnership with Combat Stressand the Royal British Legion. Itprovides assessment, liaison andsignposting for military veteransand their families.

We work hard to ensure,where appropriate, serviceusers get the care they needoutside of hospital. Weknow that people prefer tobe cared for in their ownhomes and this helps tomaximise their quality of lifeso, wherever possible, wehelp people stay in a safe,familiar environment.

Our rehabilitation serviceswork to help peopledevelop the confidence andskills they need to lead asindependent and sociallyinclusive lives as possible.Since 2011 we have seen a

reduction in the need forinpatient rehabilitationservices, as we work to helpmore people move intoappropriate accommodationincluding residential care,nursing homes andsupported accommodation.

We also provide crisisservices for adults andchildren to ensure thosewho need urgentassessment and care canreceive it and are nothospitalised unnecessarily.These crisis services haveseen a reduction in waitingtimes and admissions.

In 2013 we launched our ‘recoveryprogramme’. Personal recovery is muchbroader than traditional clinical recoverywhich focuses on removing symptomsand getting back to normal. For manypeople recovery means finding a way ofliving a meaningful life within the limitsof mental illness. Helping someone torecover can include assisting them to find

a job, getting somewhere safe to live andsupporting them to develop relationships.In 2014, we opened the ARCH recoverycollege in Durham for service users,carers and staff. Courses aim to giveservice users the skills they need tomanage their recovery and help staffensure their practice is more recoverybased.

On the road to recovery

Veterans help

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Working on the wards

On the beat withthe police

Since we took over responsibility forservices in North Yorkshire we haveworked with partners and commissionersto set up much needed ‘136 suites’ inScarborough, Harrogate andNorthallerton. These ‘places of safety’ arefor vulnerable adults detained by thepolice under Section 136 of the MentalHealth Act who previously had to betaken into custody for their own safety,even though they may not havecommitted an offence. Now they can beassessed and arrangements can be madefor treatment and care. We also have‘136 suites’ in York and Middlesbrough.

Our street triage teams in Teesside,Scarborough and York are also workingto cut the number of peopleunnecessarily detained under Section 136of the Mental Health Act. When policebelieve someone involved in an incidenthas a mental illness they contact theirstreet triage team to carry out animmediate assessment. This means thosepeople who need care receive it quickly,and those who don’t need our servicesare not unnecessarily detained. We alsohave mental health nurses working inpolice custody suites and courts toidentify and assess mental healthproblems, substance misuse and learningdifficulties.

Our acute hospital liaisonteams provide mental healthassessment for inpatients inacute hospitals. The serviceensures patients get theright diagnosis, treatmentand care and are not kept inhospital unnecessarily. Ouracute liaison psychiatryteams, working across theTrust area, assesses and

develops care plans forpeople admitted into non-mental health hospitals,including accident andemergency, acute wards andcommunity hospitals. Theteams also help hospitalstaff increase their skills andcompetencies in the earlydetection of mental healthproblems.

Living well with dementiaWe provide specialist mentalhealth support for older people incare homes and work with staff tohelp them recognise mentalhealth issues and learn new waysto manage the symptoms. Thanksto this work, the number of carehome residents who are admittedto mental health hospitals hasdropped and the use of medicationhas significantly reduced.

The Harrogate DementiaCollaborative has led to a numberof new measures being adoptedincluding specialist dementia care

training in hospital and speedingup diagnosis. In Darlington, closerworking between our liaisonpsychiatry staff and ward staff atDarlington Memorial Hospital ishaving a significant impact ondementia care and we areworking closely with health andsocial care partners in the DurhamDales to improve care for olderpeople. Our memory services arealso making sure that people withdementia are diagnosed as quicklyas possible and get the supportthey need.

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Getting it right We aim to provide exceptional, quality services, supporting our staff ingiving people the best possible care. Our dedication has beenrecognised with a various national accolades as well as positivefeedback from the people who work for us, our service users andtheir carers.

Award winning services

In 2015 we were awarded the 'GoldStandard' by national business accreditorsInvestors in People (IIP).

IIP assesses how well organisationsmanage and develop their staff and thegold award puts us in just 7% ofaccredited businesses to have gained thisprestigious endorsement.

The IIP reviewers were impressed withhow our staff share ideas to improveservices and how we welcome feedbackfrom service users and their families. Theyalso highlighted our range of health andwellbeing activities for staff, such as ouraward-winning retreats, access tomindfulness programmes and ouroccupational health service

Going for gold We have won a vast number ofawards over the past ten years,proving our commitment to being thevery best we can. In 2011 we werenamed Mental Health Service Providerof the Year by the prestigious RoyalCollege of Psychiatrists (RCPsych). Inthe same year, we were awarded thefirst ever Research Culture Award bythe national Health Service Journal(HSJ) for our contribution toworldwide mental health research.More recently, we were shortlisted fortwo HSJ awards for board leadershipand staff engagement.

Many individual services, teams andstaff have also won awards for theirexcellent work. Earlier this year, staffon Ward 15 at The Friarage Hospital,Northallerton scooped the PsychiatricTeam of the Year for Working AgeAdults award at the annual RCPsychAwards.

At the 2015 Positive Practice MentalHealth Awards, we won two awards;Talking Changes won the award for

partnership working for improvingaccess to psychological therapies(IAPT) in County Durham andDarlington and our CAMHS crisis andliaison team won the award forInnovation in Child, Adolescent andYoung People’s Mental Health. Thesame team had previously won theaccolade for CAMHS at the NursingTimes Awards.

We are proud of all our achievementsand will continue to strive for nationaland international recognition foreverything we do.

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Following our first Care QualityCommission (CQC) Trust-wideinspection, the services we providewere rated as 'good’.

We were rated as outstanding orgood in 52 of 60 areas, none of ourservices were inadequate and theinspectors highlighted 16 areas ofgood practice.

The CQC also said our leadership wasoutstanding and support and care forpatients in all areas was rated as goodor outstanding.

Dr Paul Lelliott, CQC’sDeputy Chief Inspector ofHospitals, said: “TEWVprovides good, and someoutstanding, services to alarge population. We founda committed and caringworkforce that was meetingthe needs of its patients.”

CQC – so far so good

The NHS Staff Survey is thelargest survey of staff opinionin the UK. Each year a randomnumber of staff are invited togive their views on workingfor us. Over the past ten yearswe have had consistentlygood results and for the pastthree years we have been thehighest rated mental healthand learning disability trust inthe UK.

These positive scores werereflected further by the HealthService Journal which namedus as one of the top ten NHSemployers in the country.

As well as the national survey,we use regular feedback fromstaff via the ‘friends andfamily test’ to improveservices.

Listening to you We use feedback and suggestions from patients,families and their carers to deliver the very bestservices. On a day-to-day basis we ask service usersand families to complete the ‘friends and familytest’ so we can see whether our services would berecommended to others and if not, what we can doto improve. We are proud of the survey results with90% of people saying they would recommend ourservices and 91% of patients rating their care as‘excellent’ or ‘good’.

Positive staff experiences

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Looking to the future

The first ten years of the Trust have been busy and eventful witha number of significant highlights and achievements, many ofwhich are detailed in this special publication. Everyone involvedwith the Trust, from our staff and the people who use ourservices, to partner organisations and commissioners havecontributed to our success and we would like to thank them fortheir contributions.

We are now preparing to face the challenges of the next ten years, and beyond. As welook to the future there are a number of key areas we will be focusing on:

Recovery will continue to be animportant part of the work we do. Wehave already made significantdevelopments and we will continue striveto ensure all the work we do is recovery-focused. We will expand our work withvolunteers and peer support workers,who use their own experience of mentalhealth to support service users and eachother, in moving towards their recoverygoals. We want to create paid peerworker roles within community servicesand continue our work to enable thosewho have experience of mental health

issues to help design the services of thefuture. We are also expanding ourinvolvement peers programme, whichallows those with experience of mentalhealth to support our staff in self-management courses and groupinterventions, whilst helping us tocontinue to tackle stigma.

Partnership working is at the heart ofeverything we do. We recognise that GPs,acute hospitals, care homes, ambulanceservice and the voluntary and communitysector are “partners-in-care” and we

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work with them to provide truly joined-up modern care. In the future we willbuild on our links with the voluntarysector to help us deliver the services thatpeople want, when and where they wantthem. We are also developing a uniqueway of working with GPs; strengtheningworking relations, communication andlearning to improve community care,ensuring people receive the best possiblecare and treatment, at the right time andplace.

Care at home - developing services thatenable us to support people in theirhomes, whenever possible, remains a keypriority. We will continue to reduce theamount of time people need to spend inhospital, making sure they get care andtreatment they need, when and wherethey need it.

Hospital care - for those people who areadmitted to hospital, the quality of theenvironment is extremely important. Wehave some of the best inpatient facilitiesin the country and work to moderniseour facilities continues. As well asimproving existing facilities we are keento build new hospitals and care facilities.We are involving local people in plans fora new hospital for York, due to open in2019 and we are awaiting planningpermission for a preferred site for a newhospital in Harrogate.

Physical health –the Royal College ofPsychiatrists has highlighted the need toaddress inequalities experienced by thosewith mental health problems in theprevention, assessment, diagnosis andtreatment of physical health careproblems. We have invested in a physical

healthcare project which supports allclinical staff and patients to take anactive role in managing their physicalhealth. We will continue to monitor andimprove on the results of this project toensure our staff and patients have goodphysical and mental health.

Waiting times - we know howfrustrating it can be for people who haveto wait to receive the care so theydesperately need. We have significantlyreduce waiting times over the past tenyears and we will continue to drive downwaiting times whilst giving people morechoice about when they are seen.

Our staff are committed to providing thebest possible services and it’s importantthat we support them. None of ourachievements so far, or our aims for thefuture, would be possible without ourdedicated, caring teams. We aredeveloping plans to improve staff healthand wellbeing focusing on preventing illhealth, reducing stress and buildingresilience so staff feel happy, empoweredand able to provide the best care. Theseplans include expanding our employeepsychology and support services,promoting well-being in the workplaceand training more staff in mindfulnesstechniques.

We are certainly facing many challengesin the coming years but through ourcontinued research, innovation,partnership working and thecommitment and dedication of our staffwe will continue to work hard to providethe best mental health care for the nextten years and beyond.

Colin MartinChief Executive

TEWV - The first 10 years

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For more information about the Trust and how you can get involvedvisit our website

www.tewv.nhs.uk

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