Our Partnership is made up of organisations working closely together to plan services and address the challenges facing health and care services across the area.
In this section you will find links to useful information and publications about our partnership.
We are committed to meaningful conversations with people, on the right issues at the right time. We believe this is an important part of the way we work.
In this section you will find all Freedom of Information (FOI) requests made to our Partnership. You can also ask a question of your own.
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For example, we will support people with long-term physical health conditions to cope with anxiety or depression.
We are developing services across the area to reduce the difference in the quality of mental health care that people receive in order to improve their wellbeing and make services better.
It is important to us to develop services to improve the experience of care for people in mental health crisis, and we want to reduce the number of people taking their own lives, so we are creating a region-wide multi-agency suicide prevention strategy.
Mental health services are under pressure with rising acuity and limited resources. The solution is to change the way we support people with mental health issues, increasing the offer for support and recovery in communities. We know that community-based solutions are best to help people to manage their health conditions as effectively as possible. Bradford District Care NHS Foundation Trust has radically re-designed its mental health services to give people who are experiencing a mental health crisis a single point of access – one phone number – so that people get the help they need, close to home. Hannah Nutting, a former teacher, has lived experience of mental health crisis and her story highlights how the First Response Service helps people in Bradford...
“I always thought that my mental health problems had come from teaching, as I think it’s well known that working in schools is a stressful job. So I put it down to stress. I was backwards and forwards to my doctor for a number of years and was on various medications. Then a couple of years ago I really started to notice the decline. My anxiety was really getting the better of me and that’s when the depression really started to hit as well.
“I left my job. At the same time as that I went through a divorce. So I left a career, left a marriage, left a whole life behind. Everything seemed to fall apart really quickly, and I didn’t have the mental reserves to be able to cope with it. I was at my lowest point and I couldn’t even get out of bed. I didn’t want to be here; I wanted it all to end. I really didn’t know what to do or where to turn. It was that cliché that I didn’t think this would ever happen to me.
“I rang my doctor who wanted me to go down, but I couldn’t leave the house, so I rang my mum and it just all poured out. Mum drove me to see the doctor who referred me to First Response. We had a telephone interview and they decided to send someone out that afternoon to assess me and see what kind of support I needed. The First Responder put a plan in place to keep me safe straightaway and signposted me to different services.
“One of the services they directed me towards is Haven at the Cellar Trust. I must say that I owe my life to Haven - and the people around me would agree. As soon as I got to Haven and spoke to Emily, the peer support worker, it made such a difference. To suddenly have this amazing person sat in front of me that understood was just the best feeling. It was the first time I actually felt some hope. When you say to someone ‘I didn’t want to wake up this morning,’ and they aren’t shocked, and they say, ‘yeah, I get that, I’ve been there, I understand that’, it was immediate empathy. Everything came out in that session, years of everything that I’d built up, it was like a lifeline. I felt safe, I felt heard, I felt understood.
“Support didn’t end there and despite initial reservations about joining a Haven peer support group I reluctantly went along. I remember walking into the room and thinking I won’t have anything in common with the people here; it was such a diverse group of people from all walks of life, and by about half an hour into the session I was sharing my innermost thoughts and feelings and saying ‘well I felt like this’ and to have a perfect stranger sat next to me saying ‘I felt like that too’ was just magic. I went every week for eight weeks. As a group we helped each other through it and it was facilitated by a peer support worker. It was such a powerful and life changing experience.
“A year on from being in crisis and making the call to the First Response service, I’m now in the process of completing a master’s degree in psychology. I’ve been inspired to help others through my own experience of mental health issues and want to give something back, I’ve also trained to become a peer support worker at Haven. I’m in such a different place now, I’m working as a peer support worker, studying for my master’s and hopefully going on to do a PhD, I’ve found my passion and it’s mental health. It’s made me see the importance of sharing my experience because I know how powerful it was for me. I remember sitting and talking to Emily, the peer support worker, and now I want to be someone’s Emily.”
Organisations from across West Yorkshire and Harrogate are joining forces to adopt a ‘zero’ suicide approach, where every death by suicide is viewed as preventable.
Mental health providers, ambulance, police and fire services, local councils, prison services and voluntary community organisations are coming together to make a real difference through what is an ambitious but practical strategy to tacking suicide. You can read the plan here. An info graphic is also available here. The plan sets out how they will reduce suicide by 10% across the West Yorkshire and Harrogate area, and by 75% in targeted areas.
Our NHS mental health providers in West Yorkshire have developed new arrangements to further build on the work already underway across the area.
Known as the West Yorkshire Mental Health Services Collaborative, the organisations have been working together for the past 12 months to improve mental health services for local communities as part of our wider partnership approach.
The mental health collaborative includes:
· Bradford District Care NHS Foundation Trust
· Leeds and York Partnership NHS Foundation Trust (LYPFT)
· Leeds Community Healthcare NHS Trust
· South West Yorkshire Partnership NHS Foundation Trust (SWYPFT)
Each organisation’s Board has approved the establishment of a ‘Committees in Common’, with each maintaining its statutory responsibilities to its own Board and responsibility for delivering its own services.
The new committee will help ensure that decisions are made together and in a streamlined way around a shared programme of work. It will also see that collective ambitions are achieved, for e.g. eliminating out of area placements for young people, and delivering the region’s five-year suicide prevention strategy, launched in November 2017.
The first quarterly meeting took place on 30 April. The chair of the committee will rotate every twelve months and beginning with Prof Sue Proctor, chair of LYPFT.
The four organisations’ chairs and chief executives sit on the new committee with an overarching set of principles, which will see the organisations:
For further information on recent work, read Dr Sara Munro’s blog here
It started off just as any other day, the big black cloud
looming over me, but this morning something exciting happened, my daughter gave
birth to my 3rd grandchild. It should have been a magical moment and I was
really happy for them, but depression does not let you have the pleasure of
enjoying life. To me it is like cancer of the brain, it eats away at your
happiness, joy and zest for life. It took me all my strength to go and meet him
and behind the tears of joy at meeting him were tears of frustration and upset
that I was living another day with this awful cloud as my constant companion.
I went home and cried, I cried so much that day. There is
not one thing that you can say that makes things better or worse, it just is
what it is. We don’t know why we sometimes wake up with a headache but we
sometimes do, depression is much the same. We do not always know the answers,
or even why things happen, but we accept that they do. Certainly not the joyous
way it should be when a new grandchild is born.
That evening my depression was awful. I had the TV on and
heard the Whitney Houston song, ‘I will always love you’ The words just rang so
much in my head. My girls deserve to be free from looking after me, they
deserve better than anything I can give them. I loved them enough to see them
be free from the burden of looking after me. They need to have a nice mum that
can care for them rather than them care for me. It was then that I decided I
had to do something about it.
I took the packet of tablets and popped some into my hand, I
took a drink and they were gone, nothing happened so I started to take some
more, then more……… I woke up several hours later in hospital. I do not know how
or why I was there, I shouldn’t have been there, but I was. My partner was sat
at the side of my bed, he said ‘don’t you do that to me again’ I was so angry
with myself that I had failed, I could not get anything right, and here I was
upsetting my partner. That was the last thing I wanted to do. I think that’s
the important thing to remember that it was the most selfless thing I thought I
could do, the last thing that entered my head was that I was hurting my family,
partner and friends.
It is weird looking back how I was thinking and feeling that
day. How I thought I was thinking straight, how everything made perfect sense
to me, how this was a solution to the problems that had blighted my life. I was
almost euphoric that my illness was ending. I would finally be at peace with
myself and the world. My girls deserved this. To those not affected by thoughts
of suicide you will find this strange, but there are many people who can and do
relate to the thoughts and feelings I was having that evening.
I was discharged and referred to yet more services, YAY!
Just what I needed when I already felt a burden using the services I was
already involved in. But I complied and agreed all the while still feeling like
I wanted to end my suffering and there was only one way to do it. Nothing had
changed from the previous day, my cloud was still there, my suffering was still
there, and my life was still a burden to my girls, only now I had the guilt of
knowing I had upset my friends, partner and family. I had to live with their
feelings of guilt as well as the dark cloud still hovering. That made the
situation so much worse. Everyone was running around trying to help and be
there for me, it just made the guilt that I had failed so much worse. I didn’t
want to go back to ‘normal’ because normal was awful, but I didn’t want to feel
worse than I did before, but yet here I was feeling so much worse.
I think that’s the difficult thing for suicide survivors,
they have to face the aftermath as well as the illness that is still there.
Just because you were ‘saved’ does not mean it makes the illness easier or
better to cope with. I remember overhearing a consultant say (about someone
that had survived an overdose attempt) “makes you laugh how he was so pleased
he didn’t have any long term effects from the tablets when he was trying to
kill himself” he didn’t get that the man was trying to escape from his awful
life and that by having any further issues would just make that awful life even
worse to live with. I don’t think people realise how debilitating the illness
is, that’s why I use the term cancer of the brain, because I want people to
realise how serious the illness is and how bad the thoughts and feelings really
Sadly suicide effects many people, much more than those they
think it will, but I thought I was helping others, I thought that my life (as
awful as it was) was a real burden to everyone involved. I know now that others
do not see it that way and no one thought I was a burden, but its how people
feel that matters. You can tell people things but if they do not feel it then
it becomes just words. I’m a firm believer in actions speak louder than words,
and I recovered through those actions.
No one has a perfect life (not even celebrities) but your
illness does not need to define you. Although I had lived with the illness for
almost 40 years I have finally managed to find a way to deal with it. I still
suffer with it (and yes I used the word suffer because that is what I feel it
is) but I have found ways and means to deal with my illness. I speak openly
about my mental health and the fact I am a suicide survivor, I want others to
feel they can talk openly too about their journey. Everyone in life will be
affected by depression whether that is in a personal, professional or social
capacity, I want the world to know that it is ok not to be ok, and the more we
talk about it, the easier life gets, not only for ourselves but for others too.
I often reflect back on when my father in law was dying of
pancreatic cancer. He was in the hospice and got to the point where it was too
unbearable to live. He wanted to be sedated so he didn’t feel the pain and
suffering any more. I sat and listened to his final words to his wife, who he
loved dearly, and often use this as reflection of what I thought was my
final day. He did not want his wife to feel the pain of losing him, but the
pain of living got too great that he felt he had no choice. That is what it
feels like to think suicide is the answer. You feel you have no choice, the
pain of living is too unbearable to continue. I told my partner it isn’t about
you, its about me and my feelings and how I am suffering. That’s the thing with
depression, whether diagnosed or not, it is utter suffering. It’s a hidden pain
no one can see, no one else can feel and no one else really understands.
Mental health is still an extremely uncomfortable subject to talk about and life would be so much easier for myself and fellow sufferers, if this wasn’t the case.
They say that one in four of us will have a mental health illness at some stage of our lives. The reality is it’s almost certainly much higher than this but sadly most people don’t seek help. Recently I was made aware of an alarming statistic that over 70% of people who commit suicide, haven’t attempted to get any medical support. Often the families are left totally shocked and bewildered by the tragic event, saying that they didn’t see it coming.
A smile can hide our true emotions. It fills me with sadness when I think of those people trapped in their own heads having to deal with unimaginable mental anguish and eventually losing their battle. Feeling alone in every sense of the word, right up until the end.
At the moment mental health topics are on the television every day, be it in expert phone ins or actors portraying depression on dramas and soaps. People are being made aware of all the helpful organisations that exist and are being encouraged to seek help from their GP’s for the first port of call. So why when the subject is at its most prevalent, do the majority of people, even in their darkest moments, still refuse to get help? I find the whole thing perplexing to say the least and an area that desperately needs challenging.
I grew up in a world where I was lead to believe that only weak-minded people could get a mental health illness and only a negative pessimistic person would end up getting depressed. Depression not even being recognised as a proper illness but something that people should just be able to snap out of! I wonder how many still share that view today. I now realise this is complete rubbish. Mental health is not a weakness and as for depression, I for one have always been a positive upbeat person who sees the bright side of life, but I still got it! I could give you several examples of strong level-headed people who end up completely pole axed and unable to function properly, all because of this illness. Telling people that I suffer from depression is a great way to kill a conversation! Either that or they say they understand as they get a bit down sometimes too. Clearly these people don’t get it and it infuriates me beyond belief. Having depression is not the same as feeling a bit down, just as having a mental health illness does not make you cuckoo or a fruitcake, or any other derogatory terms I’ve heard used. It does not mean that you’re stupid in anyway either. Look at Stephen Fry, one of the most intelligent people on the planet, but his illness has been well documented over the years.
The truth is it doesn’t matter who you are, rich or poor, successful or unsuccessful. Sure- a traumatic event might act as a trigger but often this isn’t the case and you might just be one of the unfortunate ones who happens to get it. Like any other debilitating illness, it affects people at random. No different to cancer or heart disease, mental health does not hand pick you. It has no favourites. But the facts are there, clear for everyone to see; suicide is the leading cause of death in young people aged 20-34. Just how many of these deaths could have been prevented?
I accept that society is becoming more open to talking about mental health, but there’s still a terrible stigma surrounding it, which prevents individuals from seeking help when they need it the most. I was nearly one of those people. Terrified by the prospect of asking for help, I didn’t think I was worthy of it and worst of all I couldn’t accept that I was in any way mentally ill!
The majority of people I have spoken to are of the opinion that suicide is a selfish act. This has been the same for as long as I can remember and growing up I shared the same view. It doesn’t help if you’ve been directly affected by it or know of a family who has. You’ve been witness to the horror and devastation left behind. It’s perfectly normal at this point to mainly sympathise with the family and not give a second thought to the victim and the horrible place they must have found themselves in. What you witness is a whole world of pain and suffering and you can’t help but feel an element of resentment towards the person who caused it. It’s a delicate subject, I know, but in my opinion to consider suicide as a selfish act is a huge misconception. Suicide is not a selfish act, suicide is an act of shear desperation by someone whose experiencing unimaginable amounts of inward torment. Someone who has lost all sense of hope and literally feel they have no other option.
In my case I was convinced that my family and friends would be much better off without me. I’d become a burden to them all, I’d become a burden on society. I longed for it all to be over, for the pain to finally stop. People’s lives would be so much easier without me dragging them down.
I knew there would likely be sadness right after my death, but this didn’t compare to the sadness and disruption I was going to cause by staying alive. I didn’t see myself ever recovering, you see, I was only going to get worse and cause further distress to my family.
I guessed that my closest friends would try to take on some of the responsibility and I hated the idea of them feeling in any way to blame. I therefore wrote letters to each of them in a vain attempt to explain my actions and try to reassure them that they had been amazing friends, explaining that this was my decision alone and nothing they could have said or done would have changed the outcome. I couldn’t possibly predict their emotions but I’d much rather they felt anger towards me, as opposed to guilt. These letters were extremely difficult to write. Would a selfish person have gone to all this trouble?
My next big concern was financial. I didn’t want to leave my family with any debts. In an ideal world I would have sold my house and paid off the excess mortgage. Previously it had tenants in but at this stage the house was vacant and had been up for sale for some time. Unfortunately, I’d had no luck, the economic climate being in a poor state. However, after doing extensive research I realised that the debt of the house would die with me and my mother would not be accountable for any of it. This came as a huge relief.
I made sure I had enough money in the bank to pay for the funeral and put all my account details in a file in my top drawer. Also, in this file I put any other important information my family would need, such as my birth certificate, national insurance number, mortgage details and all the numbers they’d need to contact after my death. I was trying my best to cover all angles and make the process as simple as possible for them. Does this sound like the actions of a selfish man?
I didn’t intend to tell anyone my plan to end my life but as the pressure valve increased I desperately needed some kind of release.
I chose to open up to my counsellor and in doing so I immediately felt a huge sense of relief. I didn’t hold back or spare any detail, I literally told her everything.
It wasn’t until a much later date when I was in a better headspace and had no intention of going through with the plan. Only then did I confide in my family and closest friends. My friends all responded in a similar manner, in complete shock. They said things like “How could you have done that to us? How could you have possibly done that to your family?” I couldn’t blame them for asking these questions and don’t get me wrong they have been amazing support to me ever since. But again, their initial reaction indicated that they believe suicide to be a selfish act.
It’s hardly surprising that people are so reluctant to talk about their mental health or admit to having suicidal thoughts. Yes, there’s many organisations out there offering great support, but we can’t expect the alarming statistics to go down any, unless people’s attitudes drastically change.
In my opinion people need educating from a young age. Physical health is well covered at school so why not put as much emphasis on mental health. Everyone is likely to be affected by it at some stage of their lives, either themselves or someone they’re close to. So why not get them talking about the subject as early as possible.
It needs to be accepted as a serious illness and I still have my doubts that people do. For those of you who claim that you do accept it in this way, ask yourself this – have you ever sent a ‘Get well’ or ‘Thinking about you’ card to someone with a long-term illness? The majority of us would say that we have. But when was the last time you sent one to someone with a mental health illness?
You can read more blogs by Shaun on his website:
TURNINGCORNERS – A mental health blog which focuses on living with anxiety anddepression
Mental health providers, ambulance, police and fire services, local councils, prison services and voluntary community organisations have come together to make a real difference through what is an ambitious but practical strategy to tacking suicide. The plan sets out how we will work together to reduce suicide by 10% across the West Yorkshire and Harrogate area, and by 75% in targeted areas.
The most important part of this collaboration is the view that suicide can be prevented. It should no longer be seen as an inevitable outcome for people, but as something we can work together to successfully avoid. It is not a foregone conclusion for anybody and there is always the hope that things will improve.
This new way of working is all about creating a culture where everyone can talk about their mental health without fear, embarrassment or judgement; and where everyone comes together to support people so that suicide is prevented.It is important that everyone understands that suicide is not a terminal prognosis or inevitable and can always be prevented.
In England nearly 100 people a week die by suicide. In 2015 the Yorkshire and Humber region had the highest suicide rate in England. It is the biggest killer of people under the age of 35 and the biggest killer of men under the age of 50, tearing families apart and leaving a devastating, lasting impact on many people’s lives.
The plan sets out how those at risk will be identified sooner rather than later - and before it’s too late.It includes plans to develop a real time system to identify apparent suicides, as well as a high risk decision making tool to help GPs, social workers, commissioners, and those working in communities work better together. It also sets out how technology can help through the development of an innovative suicide prevention phone app, will improve suicide bereavement services, and provide better care for children, young people and adults at risk of self-harm and suicide.
This new approach of bringing agencies together to work collaboratively has already achieved dramatic results internationally and will encourage a culture change across West Yorkshire and Harrogate in the way we view and treat suicide. It will provide coordinated support to local people and aim to reduce the number of suicides significantly.
You can find the strategy here. We have also produced this infographic summarising the strategy.
This report is prepared after the launch of the West Yorkshire and Harrogate Health and Care Partnership (WY&H HCP) Suicide Prevention Strategy in November 2017.
If you are currently in contact with someone who provides a healthcare service to you then make contact with them as soon as you can. If you do not receive any services, and are concerned about your physical or mental health or that of someone you care for, your GP should be the first person you contact.
If you are unsure what to do, you can call 111, a 24-hour helpline run by trained professionals.
The following organisations are also able to help:
Dedicated NHS veterans’ mental health services for those who have served in the British Armed Forces
The Veterans’ Mental Health Transition, Intervention and Liaison Service and the Veterans’ Mental Health Complex Treatment Service are dedicated out-patient services available across England. You can self-refer or ask for a GP or military charity referral. For more information, visit the veterans mental health page on the NHS.UK website.
‘Staying safe’ online support for people with suicidal thoughts
The Staying Safe website offers support for people who are considering ending their life, including a film and advice on how to write safety plans.
If you are interested in the strategy and our suicide prevention plans please contact:
Paula Rylatt, Suicide Prevention Strategy Project Manager on email@example.com
If you are interested in the strategy and our suicide prevention plans please contact:
The following websites offer resources for professionals regarding patient safety and suicide prevention:
The Zero Suicide Alliance
This website provides resources to professionals and training on suicide prevention.
PAPYRUS – a charity that supports young people around suicide
National Suicide Prevention Alliance
Association of Suicide Prevention Strategies
Suicide Bereavement UK
Support After Suicide
Office for National Statistics (ONS) for data on suicide prevention
National confidential inquiry into suicide and homicide by people with mental health
Bradford District Care NHS Foundation Trust
Leeds and York Partnership NHS Foundation Trust
South west Yorkshire Partnership NHS Foundation Trust
Tees, Esk and Wear Valley NHS Foundation Trust
Our Partnership’s ambition to support more children and young people with mental health problems closer to home is heading in the right direction, according to latest figures. However more needs to be done for children and young people backed with long term investment say mental health professionals.
Thanks to closer working relationships between South West Yorkshire Partnership NHS Trust; Leeds and York Partnership NHS Foundation Trust; Bradford District Care NHS Foundation Trust and Leeds Community Healthcare NHS Trust and the introduction in April 2018 of the New Care Model (national pilot) for children and adolescent mental health services (CAMHS), progress is being made.
Evidence shows that care provided closer to home has better health outcomes than most hospital admissions and is importantly better for families and carers - reducing travel time and unnecessary anxiety.
Latest Partnership information shows that by adopting a shared approach across West Yorkshire and Harrogate the number and length of hospital bed days for children and young people across the area has reduced in the last six months from 708 occupied days in April 2018 to 536 in September 2018. The money saved means we commit funding to organisations across the area for £500k worth of investment in community services - ensuring more children and young people are cared for closer to home. Albeit this is progress, we know much more needs to be done to support children, young people and their families. We will continue to build on this progress for as long as needed.
Through the introduction of the new care navigator role twenty one children and young people were also supported locally in the last six months without hospital admission.
However, children and mental health services remain poor in terms of assessment waiting times and providing timely access and meeting increasing demand. More must be done.
Working in partnership with other organisations, including the police, local authorities and community organisations is critical to further improving care for children and young people in communities. You can see a good example of this in the work of Bradford’s safer spaces for children and young people in mental health crisis. This provides an alternative to hospital bed days whilst reducing unnecessary A&E attendance. It has the potential to be rolled out across other Partnership areas.
Our Partnership’s work is also supported by a £13m capital investment from NHS England to build a new Children and Adolescent Mental Health Unit in Leeds. Led by Leeds Community Health Care NHS Trust on behalf of the Partnership, the new purpose built specialist CAMHS unit is due to be completed in the next 2 years. It will support young people suffering complex mental illness. Importantly this means they will receive care locally if and when they need specialist hospital care. There are currently eight general adolescent beds for patients across West Yorkshire which are provided by Leeds Community NHS Healthcare Trust in Leeds. This new unit will bring a significant increase in capacity and provide 18 specialist places and four psychiatric intensive care unit (PICU) beds. These ‘extra’ beds are in part due to reallocating hospital beds across the country so that young people get specialised inpatient care nearer to where they live. You can find out more here about the new unit.
Working together as part of the Partnership and through the New Care Model pilot has given us the opportunity to share good practice whilst reducing variation in the services available to children and young people mental health. Working in this way means we can invest more in community services ensuring we have effective crisis services as close to children and young people’s home as possible.
We have been working hard to connect children and adolescent mental health service teams across the area, sharing good practice and working together to address the issues that an prevent children and young people being treated in the community – which we know is the best approach and what everyone wants. Addressing this is a priority for us all.
CONNECT: The West Yorkshire and Harrogate adult eating disorders service, launched in April 2018. It has been set up as a two-year pilot project funded by NHS England as part of their ‘new models of care programme’.
CONNECT, which is part of Leeds and York Partnership NHS Foundation Trust, aims to provide equitable access to NHS care for adults with eating disorders across the West Yorkshire and Harrogate area – something that had not been in place until its launch. You can read more here.
We have also produced a case study for you to read here.