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Centre for Public Mental Health









PROFILE OF MENTAL HEALTH NEED,

SERVICE PROVISION AND ACTIVITY

IN







Newcastle PCT





Prepared by





Centre for Public Mental Health

University of Durham



May 2002

Map 1. Electoral wards in Newcastle PCT









Castle









Woolsington





Grange

Fawdon







Blakelaw

Westerhope

South Gosforth

Dene

Kenton







Newburn Denton Jesmond

Heaton

Wingrove

Moorside

Fenham Walkergate



Sandyford Monkchester

Lemington





Byker

Blaydon Scotswood Elswick

Walker

Benwell

West City









1

Introduction

This workbook brings together information about mental health problems and services in

the area served by Newcastle PCT. It is intended to provide easy access to as much

background detail as possible about the current state of affairs to assist planners,

managers and clinicians in their work of ensuring that services are focussed as effectively

as possible on the needs of the people they are intended to serve. Information is drawn

from a range of sources; these are explained alongside the data.



The workbook is produced by the Centre for Public Mental Health (CPMH) at Durham

University, a venture funded originally by Health Authorities and NHS Trusts providing

mental health care in the former NHS Northern Region.



The workbook is currently divided into two sections:



 Needs

 Services



The information available can only give a partial view of these issues. At present no

satisfactory data is available on service outcomes. However the workbook is not intended

to be static. The CPMH is working actively both with the mental health care NHS Trusts,

and in other areas to expand the scope and usability of the information.



The workbook and a number of resources described in it can be found on the CPMH

website at



http://www.durham.ac.uk/mental.health



If you have any comments, questions or suggestions about its design or scope, please let

us know at

Gyles.Glover@durham.ac.uk









Professor Gyles Glover

Director, Centre for Public Mental Health.









2

1. Mental Health Care Needs.

Many people who suffer with mental health problems can benefit from a range of types of

care. Some seek help from their General Practitioners (GPs), some of these may be

referred to specialist services, some approach social services departments, some make

use of voluntary sector projects and some do not seek help at all, possibly unaware of its

existence. In planning care, it would be a helpful start to know how many mentally ill

people there are in the population as a whole. This section presents what is known about

this.



There are broadly two approaches to estimating the numbers of people with mental health

problems in the general population. One is relevant to the types of common problems,

such as depression and anxiety states, for which people commonly consult their GPs. The

other relates to the more severe types of problem, such as schizophrenia or manic-

depressive illness for which people commonly use specialist services.



Common mental health problems.

The first National Psychiatric Morbidity Survey [Meltzer, 1995 #4041] was a major national

study, involving interviews with nearly 10,000 people of working age (16-64) in 1993. This

showed that overall, 16% of people in the general population and living in private

households suffered with some type of neurotic disorder. In addition to this, 4 people per

thousand had suffered from some type of psychotic disorder, 47 people per thousand

suffered from alcohol dependence and 22 per thousand from drug dependence.



However these rates varied considerably between different groups within the population.

Unemployed people and those not seeking work were at higher risk of mental illness. The

commoner types of mental disorder tend to be found more frequently in people in their 30s

and 40s, while drug dependency was found more often in younger people. People living

alone, in single parent families or in rented accommodation were also at higher risk. Thus

the scale of mental health problems varies between areas in relation to the frequency of

these characteristics.



The methodology section of the Office of National Statistics undertook a detailed study of

these relationships to establish ways of predicting the actual rate of mental health

problems in any area [Heady, 1996 #1447]. Using census information about the frequency

of these and other characteristics in the 200 Postal Sectors on which the survey was

based, a mathematical model was developed to permit calculation of the probable rates of

any neurotic disorder and of depression in any area.



This section presents the results of this work for the electoral wards making up the

Newcastle PCT area. For easy reference, a map naming the wards in the PCT is

presented inside the cover (Map 1).



Map 2 and map 4 show the proportion of working age population estimated to experience

any neurotic disorders and depression respectively for the whole of the area or „sub-

region‟ covered by the CPMH. Maps 3 and 5 show the same data, but just for the

Newcastle PCT district. The shading on the local maps is the same as on the maps for the

sub-region in order to convey an impression not only of where problems are likely to be

more or less common within the PCT area, but also the frequency of problems within the

PCT relative to the area as a whole.





3

Map 2. Neurotic disorder in the Northern Region



Estimated % with neurotic disorder

<9

9-11

11-13

13-15

15-17

17-19

19+









4

Map 5. Neurotic disorder in

Newcastle PCT

Estimated % with neurotic disorder

13-15

15-17

17-19

19+









5

Map 4. Depression in the Northern Region



Estimated % with depression

<6

6-7.5

7.5-9

9-10.5

10.5-12

12-13.5

13.5+









6

Map 5. Depression in

Newcastle PCT

Estimated % with depression

9-10.5

10.5-12

12-13.5

13.5+









7

A specific commentary on the individual PCT here]









Tables 1 presents the same data in numerical form. This data has two obvious uses:

1. It may suggest appropriate deployment of primary care level mental health

resources within the PCT area.

2. It may be used as a „ready-reckoner‟ for calculating the likely numbers of people

with mental health problems in GP patient lists. For this purpose it is necessary to

know the numbers of patients of working age in each GP list, grouped by the

electoral ward in which they live. A spreadsheet set up with the ready-reckoner

calculations is available on the CPMH website.



Table 1: Estimated proportion of working age adults likely to experience

neurotic disorder and depression in Newcastle PCT





Any neurotic Population aged 19-

Local authority Ward disorder Depression 59

Newcastle-upon-Tyne Benwell 20.5% 14.1% 4500

Newcastle-upon-Tyne Blakelaw 16.9% 11.7% 7400

Newcastle-upon-Tyne Byker 20.5% 13.6% 5400

Newcastle-upon-Tyne Castle 14.1% 10.0% 7100

Newcastle-upon-Tyne Dene 14.6% 10.0% 9000

Newcastle-upon-Tyne Denton 16.2% 11.3% 5500

Newcastle-upon-Tyne Elswick 21.5% 14.4% 5500

Newcastle-upon-Tyne Fawdon 18.8% 12.7% 5800

Newcastle-upon-Tyne Fenham 17.0% 11.7% 6100

Newcastle-upon-Tyne Grange 15.5% 10.4% 7300

Newcastle-upon-Tyne Heaton 18.0% 11.3% 8200

Newcastle-upon-Tyne Jesmond 18.4% 11.1% 9600

Newcastle-upon-Tyne Kenton 17.7% 12.2% 5600

Newcastle-upon-Tyne Lemington 15.8% 11.0% 6300

Newcastle-upon-Tyne Monkchester 21.6% 14.9% 4900

Newcastle-upon-Tyne Moorside 22.4% 14.0% 8600

Newcastle-upon-Tyne Newburn 16.9% 11.8% 5100

Newcastle-upon-Tyne Sandyford 20.7% 12.6% 8600

Newcastle-upon-Tyne Scotswood 21.6% 15.0% 4400

Newcastle-upon-Tyne South Gosforth 15.1% 9.9% 6800

Newcastle-upon-Tyne Walker 22.4% 15.4% 4900

Newcastle-upon-Tyne Walkergate 16.0% 11.4% 6000

Newcastle-upon-Tyne West City 25.9% 17.2% 5400

Newcastle-upon-Tyne Westerhope 13.5% 9.7% 7500

Newcastle-upon-Tyne Wingrove 18.9% 12.3% 6800

Newcastle-upon-Tyne Woolsington 19.2% 13.2% 4300









8

More severe mental health problems.

The types of mental health problem commonly associated with use of specialist care show

a greater degree of concentration in areas of social deprivation [Smith, 1996

#3685][Jarman, 1992 #522][Thornicroft, 1991 #1409][Glover, 1999 #1026]. Population

based surveys, such as the National Psychiatric Morbidity Survey, do not identify

sufficiently large numbers of cases for the development of models such as those described

above. Modelling work for these problems is thus dependent on identifying patterns of use

of specialist services. At present the only type of service for which use is documented in

sufficient detail is in-patient admission. Models predicting admission rates for small areas

are thus used as the basis for allocating mental health care resources within the NHS

[Glover, 1999 #1151].



The model currently used by the Department of Health to allocate resources to English

Health Authorities was developed at the Centre for Health Economics at York University

[Carr-Hill, 1994 #1444] (the York Index). Unfortunately the use of the York Index at small

area level is impeded by the fact that its calculation requires data on standardised mortality

ratios; these are not published for areas smaller than local or health authorities. To

address this problem, Glover developed first a similar index, the Mental Illness Needs

Index (MINI) [Glover, 1998 #1168] and more recently a newer index (MINI2000) [Glover,

#4042], based on contemporary deprivation data published by the Department of

Transport, Local Government and the Regions

(http://www.urban.dtlr.gov.uk/research.htm).



Map 6 shows MINI2000 data for the whole area covered by the CPMH. This index shows

the ratio between the likely psychiatric admission rate for the area and the national

admission rate for working age adults. Map 7 shows the corresponding data for the area

served by the Newcastle PCT.



This data can be used to examine the appropriate distribution of resources within a PCT

area. To facilitate this, figures for each electoral ward in the PCT area are displayed in

table 2. This shows the ward population (working age adults) and the likely number of

admissions in a year arising from the population. It is suggested that this could be taken

as a working estimate of the proportion of the areas secondary care caseload likely to

come from the ward. These numbers may be grouped according to the organisation of

clinical sector team arrangements to provide a measure of likely relative workload. A

spreadsheet ready-reckoner is provided on the CPMH website to facilitate these

calculation.









9

Map 6. MINI2000 in the Northern Region







MINI 2000 scores

<0.5

0.5 - 0.75

0.75 - 0.9

0.9 - 1.1

1.1 - 1.25

1.25 - 1.5

1.5+









10

Map 7. MINI2000 in

Newcastle PCT

MINI 2000 scores

0.5 - 0.75

0.75 - 0.9

0.9 - 1.1

1.1 - 1.25

1.25 - 1.5

1.5+









11

Table 2: MINI2000 figures for Newcastle PCT





Predicted

Population Predicted admission

Local authority Ward aged 19 - 59 admissions rate MINI 2000

Newcastle upon Tyne Benwell 4500 34.55 767.80 2.25

Newcastle upon Tyne Blakelaw 7400 36.86 498.07 1.46

Newcastle upon Tyne Byker 5400 43.52 805.93 2.36

Newcastle upon Tyne Castle 7100 16.65 234.52 0.69

Newcastle upon Tyne Dene 9000 24.11 267.85 0.78

Newcastle upon Tyne Denton 5500 25.77 468.47 1.37

Newcastle upon Tyne Elswick 5500 43.84 797.09 2.34

Newcastle upon Tyne Fawdon 5800 32.27 556.32 1.63

Newcastle upon Tyne Fenham 6100 27.56 451.73 1.32

Newcastle upon Tyne Grange 7300 29.02 397.58 1.16

Newcastle upon Tyne Heaton 8200 27.41 334.32 0.98

Newcastle upon Tyne Jesmond 9600 20.14 209.80 0.61

Newcastle upon Tyne Kenton 5600 28.00 500.00 1.47

Newcastle upon Tyne Lemington 6300 25.39 403.09 1.18

Newcastle upon Tyne Monkchester 4900 39.44 804.86 2.36

Newcastle upon Tyne Moorside 8600 42.46 493.73 1.45

Newcastle upon Tyne Newburn 5100 25.30 496.13 1.45

Newcastle upon Tyne Sandyford 8600 36.64 426.01 1.25

Newcastle upon Tyne Scotswood 4400 30.84 700.91 2.05

Newcastle upon Tyne South Gosforth 6800 14.88 218.86 0.64

Newcastle upon Tyne Walker 4900 42.12 859.50 2.52

Newcastle upon Tyne Walkergate 6000 26.55 442.46 1.30

Newcastle upon Tyne West City 5400 46.73 865.38 2.54

Newcastle upon Tyne Westerhope 7500 24.76 330.14 0.97

Newcastle upon Tyne Wingrove 6800 30.45 447.73 1.31

Newcastle upon Tyne Woolsington 4300 25.81 600.34 1.76









12

2. Service provision

Mental health service mapping



To support the implementation of the mental health national service framework and enable

progress in the reconfiguration of mental health services to be monitored, the Department

of Health commissioned the Centre for Public Mental Health at Durham University to carry

out a comprehensive service mapping exercise in 2000. This built on work developed by

Di Barnes at the University in the field of social care mapping, by extending it to include all

mental health services in the statutory, voluntary and private sectors. Each National

Service Framework (NSF) Local Implementation Team (LIT) was asked to report all the

services available to the population they served.



In 2001 the exercise was developed further, both technically and geographically.

Technically, the process of data collection was transferred to the internet. The data

collection pages can be found at:



http://www.dur.ac.uk/service.mapping/



Geographically the structure of the data was enhanced by asking LITs to report the activity

of major service elements separately for „patches‟ served by only one PCT and only one

social services authority. This enables the data to be viewed from all three perspectives.

It is this development that enables the production of this report for services to PCTs.



The service mapping covers all mental health services in England. Updating forms part of

the NSF implementation assessment process, carried out each autumn. Completion is the

responsibility of the LIT Lead and is intended to reflect the situation at the end of

September. Data presented here reflects September 2001.



The key information provided by the mapping includes:

 The types of services available

 Location and population served

 Fidelity to NSF Policy Implementation Guide (2001) service models

 Who provides the service

 Client groups targeted

 Capacity

 Staffing level and profile



Services are listed by service type and are grouped into 13 categories: access services;

community mental health teams; clinical services; continuing care services; secure

services; psychological services; services for mentally ill offenders; other treatment

services; day services; home care services; carers‟ services; support services and

accommodation. Definitions of each service type have been specified and can be found

on the mapping website.



The accuracy of Service mapping data is not yet as good as could be wished. The

development of the service mapping database has been a huge undertaking, involving

hundreds of people all over England. Already within 2 years, it has gathered information

on over 16,000 services but the mechanics of the process are still in a developmental





13

phase. There are difficulties both in obtaining complete data (as the mapping requests

information that was not previously gathered) and in being sure that the data all relates to

services for working age adults (as scope and definitions of the exercise specify). Hence

analysis of the 2001 data (presented here) should be treated with caution. However, it

provides a useful starting point for consideration of service provision, gaps analysis and

benchmarking. It is anticipated that as the data becomes better known and more widely

used, and as data feedback and checking becomes more automated, accuracy will

increase.



The results of the 2001 mapping will be reported in the form of an Atlas of LIT areas but

additional tables can be run live on the CPMH website at:



http://www.dur.ac.uk/mental.health



A PCT Atlas is planned for 2002 data.



PCT service provision

Newcastle PCT is located in the Newcastle LIT and a full list of LIT services can be found

on the mapping website. For the purposes of this profile, all services which are recorded

as supporting service users from the PCT area have been listed in the following pages.

Where a clear link has been made with the PCT, a selection of service details have been

given. In some cases, LITs have not provided sufficiently detailed data about some

services in their area for it to be clear which PCT(s) they relate to. In these cases the

existence of additional unassigned services within the LIT area is noted.



Staffing levels

Staff details are currently only requested in relation to major types of statutory service

provision. In some cases, where a service element, such as an intensive care unit or an

assertive outreach team provides care over an area wide enough to encompass more than

one PCT, there is a difficulty in identifying how many staff should be regarded as providing

a service to any individual PCT. Estimates have been made by apportioning the total staff

for these services to the several PCTs they serve on the basis of the relevant caseload

measure. Where this has been done, an * indicates that the level of staffing given is not

the full number of staff working within the service.









14

Mental Health Service provision in Newcastle PCT

NOTE - Data on this site is all provisional



Report date - 20 / May / 2002





Category 1 - Accessing Mental Health Services



1 - A&E Mental Health Liaison

None reported



2 - Assertive Outreach Team

% of

Current Referrals

Name Provider work for Nurses OTs SWs

Caseload per annum

this PCT

Assertive Newcastle, North

Outreach Team, Tyneside and

52.0 54.0 80.00 9.6* 0.8* 2.0*

1 Benton View, Northumberland Mental

Benton Health Trust

Total (numbers) 52 54 - 9.6 0.8 2

Total (per 100k pop) 31.2 32.4 - 5.8 0.5 1.2





3 - ASW Service

1 service listed: Newcastle ASW Duty Service provided by Newcastle Social

Services



4 - Crisis Accommodation

Referrals per

Name Provider Bedspaces

annum

Stepping Stones Stepping Stones 500.0 5.0

Newbridge Street Hostel, Newcastle Upon Newcastle Local

25.0 3.0

Tyne Authority

Total (numbers) 525 8

Total (per 100k pop) 315.1 4.8

1 relevant service in Newcastle & North Tyneside LIT has no capacity field

entry









15

5 - Crisis Resolution Team

% of

Referrals work

Current

Name Provider per for Nurses Doctors OTs SWs

Caseload

annum this

PCT

Crisis,

Newcastle, North

Assessment, and

Tyneside and

Treatment Team, 30.0 748.0 73.17 14.6* 2.0* 1.5* 2.2*

Northumberland

Ravenswood

Mental Health Trust

Clinic, Heaton,

Total (numbers) 30 748 - 14.6 2 1.5 2.2

Total (per 100k pop) 18 449 - 8.8 1.2 0.9 1.3





6 - Early Intervention in Psychosis Service

None reported



7 - Emergency Clinics / Walk-in Clinic

None reported



8 - Emergency Duty Team

1 service listed: Newcastle Emergency Duty Team, Civic Centre provided by

Newcastle Social Services



9 - Homeless Mental Health Service

3 services listed:

- Hill Court, Pitt Street, Newcastle provided by Newcastle LA Housing , Social

Services and NHS

- Homeless and Mental Health, North Tyneside Local Authority, Great Lime

Road provided by Newcastle, North Tyneside and Northumberland Mental

Health Trust

- Joseph Cowan Health Centre, Byker provided by Byker Bridge Housing

Association



10 - Mental Health Crisis Intervention Service

None reported









16

Category 2 - Community Mental Health Teams



1 - Community Mental Health Team

% of

Current Referrals work Psy Ther

Name Provider Case per for Nurse Doctor OT Chol SW

apist

load annum this ogists

PCT

Newcastle, North

Clifton Mount, Tyneside and

Newcastle Northumberland 164.0 186.0 100.00 7.8 3.0 0.4 0.3 3.0 0.2

Upon Tyne Mental Health

Trust

Kolvin Unit

(Cruddas Park

Newcastle, North

and

Tyneside and

Westerhope)

Northumberland 287.0 374.0 100.00 22.0 5.0 0.8 0.6 0.0 0.4

CMHT,

Mental Health

Newcastle

Trust

General

Hospital

Newcastle, North

Tyneside and

Jesmond,

Northumberland 126.0 186.0 100.00 9.1 2.0 1.0 0.0 0.0 0.0

CMHT

Mental Health

Trust

Newcastle, North

Tyneside and

Walkergate Northumberland 243.0 186.0 100.00 7.6 2.0 1.0 0.0 0.0 0.0

Mental Health

Trust

Area 3,

Newcastle, North

Collingwood

Tyneside and

Court, St.

Northumberland 178.0 186.0 100.00 9.0 2.0 0.6 0.3 0.0 0.0

Nicholas

Mental Health

Hospital,

Trust

Gosforth

Total (numbers) 998 1118 - 55.5 14 3.8 1.2 3 0.6

Total (per 100k pop) 599 670.9 - 33.4 8.4 2.3 0.8 1.8 0.3









17

Category 3 - Clinical Services



1 - Acute Inpatient Unit/Ward

% of

Name Provider Bedspaces work for Nurses Doctors OTs Psychologists

this PCT

Newcastle, North

Hadrian Tyneside and

49.0 100.00 58.5 6.1 0.0 1.0

Clinic, NGH Northumberland Mental

Health Trust

Newcastle, North

Ward 31, Tyneside and

21.0 100.00 18.1 2.8 2.0 0.0

RVI Northumberland Mental

Health Trust

Newcastle, North

Collingwood Tyneside and

16.0 100.00 19.1 2.0 0.0 1.0

Court Northumberland Mental

Health Trust

Total (numbers) 86 - 95.7 10.9 2 2

Total (per 100k pop) 51.6 - 57.5 6.6 1.2 1.2

2 relevant services in Newcastle & North Tyneside LIT have no capacity field

entry



2 - Local Psychiatric Intensive Care Unit

% of work

Name Provider Bedspaces for this Nurses Doctors OTs

PCT

Newcastle, North Tyneside and

Special Care -

Northumberland Mental Health 12.0 66.67 14.9* 0.3* 0.9*

Stephenson Court

Trust

Total (numbers) 12 - 14.9 0.3 0.9

Total (per 100k pop) 7.2 - 9 0.2 0.6





3 - Mother and Baby Facility

None reported



4 - NHS Day Care Facility

None reported

1 relevant service in Newcastle & North Tyneside LIT has no capacity field

entry



5 - Peri-natal Mental Illness Service

1 service listed: District Mother and Baby Service provided by Newcastle,

North Tyneside and Northumberland Mental Health Trust



6 - Psychiatric Liaison Service - general medical, surgical and palliative

1 service listed: Deliberate Self Harm Teams - Newcastle and North Tyneside

provided by Newcastle, North Tyneside and Northumberland Mental Health

Trust









18

7 - Psychiatric Outpatient Care

% of

Referrals

Weekly work Psychol

Name Provider per Doctors OTs

Attendances for this ogists

annum

PCT

Newcastle, North

Collingwood Tyneside and

22.0 347.0 100.00 2.0 0.0 1.0

Court, Gosforth Northumberland

Mental Health Trust

Dept Psychiatry, Newcastle, North

RVI, Richardson Tyneside and

50.0 204.0 100.00 5.0 0.0 0.0

Road, Leazes Northumberland

Wing Mental Health Trust

Newcastle, North

Hadrian Clinic, Tyneside and

165.0 287.0 85.49 9.8* 1.7* 0.0*

NGH Northumberland

Mental Health Trust

Total (numbers) 237 838 - 16.8 1.7 1

Total (per 100k pop) 142.2 503 - 10.1 1 0.6





Category 4 - Continuing Care Services



1 - 24 hour nurse staffed care

% of work for this

Name Provider Bedspaces Nurses

PCT

Cragston Court,

Care UK 20.0 100.00 0.0

Blakelaw

Mental Health Concern

Jubilee Mews 12.0 100.00 12.6

(Voluntary

Mental Health Concern

McGowan Court 12.0 100.00 11.0

(Voluntary)

Milldene,South Gosforth Anchor Trust 13.0 100.00 0.0

Total (numbers) 57 - 23.6

Total (per 100k pop) 34.2 - 14.2





2 - 24 Hour Staffed Care - Non NHS Registered Nursing Home

None reported



3 - Rehabilitation or Continuing Care Team

None reported

2 relevant services in Newcastle & North Tyneside LIT have no capacity field

entry



4 - Residential Rehabilitation Unit

None reported









19

Category 5 - Secure Mental Health Services



1 - Local Low Secure Service - High Dependency Unit

None reported



2 - Local Medium Secure Service

% of

work

Name Provider Bedspaces Nurses Doctors OTs Psychologists

for this

PCT

Forensic In-

patient Newcastle, North

Service, Tyneside and

14.0 40.00 24.4* 2.5* 1.1* 1.2*

(Adult) St. Northumberland

Nicholas Mental Health Trust

Hospital

Total (numbers) 14 - 24.4 2.5 1.1 1.2

Total (per 100k pop) 8.4 - 14.6 1.5 0.7 0.7





3 - Personality Disorder Service

None reported



Category 6 - Psychological therapy services



1 - Primary care mental health worker

None reported



2 - Psychology Therapies and Counselling Services

% of

Referrals work

Current

Name Provider per for Nurses Psychologists Therapists

Caseload

annum this

PCT

Primary

Care,

Psychology

Service, Newcastle PCT 135.0 206.0 93.75 0.0* 2.1* 0.2*

Newcastle

General

Hospital

Newcastle, North

Primary Care

Tyneside and

- CPN

Northumberland 616.0 374.0 100.00 4.0 0.0 0.0

service, East

Mental Health

Newcastle

Trust

Total (numbers) 751 580 - 4 2.1 0.2

Total (per 100k pop) 450.7 348.1 - 2.4 1.2 0.1

1 relevant service in Newcastle & North Tyneside LIT has no capacity field

entry









20

3 - Specialist Psychotherapy Service

% of

Current Referrals

Bed work Psychol Ther

Name Provider Case per Nurse Doctor OT

spaces for this ogists apists

load annum

PCT

Newcastle,

North Tyneside

Psychodynamic and

Psychiatry - Northumberland 32.0 0.0 100.00 0.5 2.0 0.0 0.0 0.0

House Concern Mental Health

Trust/

Postgraduate In

Newcastle,

North Tyneside

Affective

and 0.2

Disorders, 5.0 35.0 1.0 20.00 1.5* 0.7* 0.1* 0.0*

Northumberland *

Ward 31a, RVI

Mental Health

Trust

Newcastle,

Cognitive North Tyneside

therapy service and 0.0

99.0 210.0 0.0 60.00 2.2* 0.8* 2.8* 0.0*

- Plummer Northumberland *

Court Mental Health

Trust

General

Newcastle,

Psychotherapy

North Tyneside

and Borderline

and 0.0

personality 375.0 162.0 0.0 70.09 0.4* 3.5* 0.7* 3.2*

Northumberland *

service -

Mental Health

Claremont

Trust

House

Newcastle,

North Tyneside

Eating

and 0.4

Disorders, 22.0 23.0 1.0 39.29 2.9* 0.5* 0.2* 0.0*

Northumberland *

Ward 31a, RVI

Mental Health

Trust

Incompl

Total (numbers) 533 Incomplete - 7.5 7.5 0.6 3.8 3.2

ete

Incompl

Total (per 100k pop) 319.9 Incomplete - 4.5 4.5 0.3 2.3 1.9

ete









21

4 - Voluntary / Private Counselling and/or Psychotherapy Service

% of work for

Name Provider Therapists

this PCT

Adult survivors of Childhood Abuse NE, 59/61

- 33.33 0.3*

Westgate Road

Lindisfarne Centre, Newcastle Lindisfarne 100.00 0.0

RELATE, Mea House, Ellison Place RELATE 33.33 0.3*

Tyneside Rape Crisis

Tyneside Rape Crisis Centre 33.33 0.3*

Centre

Someone Cares, St. Nicholas Hospital,

- 100.00 1.0

Gosforth

REACH - The Rhona Cross Centre, 18

Reach 33.33 0.3*

Jesmond Road West, Newcastle

Tyneside Women's Health Project, Swinburn Tyneside Womens

33.33 0.0*

House Health

Total (numbers) - 2.2

Total (per 100k pop) - 1.4





Category 7 - Services for Mentally Ill Offenders



1 - Community Forensic Services

% of

Current Referrals

Name Provider work for Nurses

Caseload per annum

this PCT

Forensic Community

Newcastle, North Tyneside

Mental Health Team,

and Northumberland Mental 80.0 43.0 40.00 2.0*

(Adult) St. Nicholas

Health Trust

Hospital

Total (numbers) 80 43 - 2

Total (per 100k pop) 48 25.8 - 1.2





2 - Criminal Justice Liaison and Diversion Service

1 service listed: Criminal Justice Liaison Team, (Custody Diversion Team) St.

Nicholas Hospital provided by Newcastle, North Tyneside and Northumberland

Mental Health Trust



3 - Prison Psychiatric Inreach Service

None reported



Category 8 - Other Treatment Services



1 - Other community and/or hospital professional team/specialist

None reported









22

Category 9 - Day Services



1 - Day Centres/Resource Centre

% of work

Weekly

Name Provider for this Nurses OTs

Attendances

PCT

Byker Bridge Homeless Byker Bridge Housing

Day Centre - Skills Association - some LA , NHS, 117.0 95.90 0.0* 0.0*

Training and Probation funding

Newcastle, North Tyneside

Collingwood Court, St.

and Northumberland Mental 56.0 100.00 2.0 6.4

Nicholas Hospital

Health Trust

Academic Partial Newcastle, North Tyneside

Hospitalisation, Ward 31A, and Northumberland Mental 3.0 50.00 0.0* 0.0*

Leazes Wing, RVI Health NHS Trust

Newcastle, North Tyneside

Hadrian Clinic, NGH and Northumberland Mental 32.0 100.00 2.0 7.2

Health Trust

Welford Day Centre,

Newcastle City Council 250.0 50.00 0.0* 0.0*

Gosforth

Vaughan Centre, 16-18 Mental Health Matters - some

West Morland Road, LA, NHS, and Probation 175.0 100.00 0.0 0.0

Newcastle funding

Total (numbers) 633 - 4 13.6

Total (per 100k pop) 379.9 - 2.4 8.2

3 relevant services in Newcastle & North Tyneside LIT have no capacity field

entry



2 - Drop-in

5 services listed:

- Ivy Club provided by Newcastle, North Tyneside and Northumberland Mental

Health Trust

- Tyneside Women's Health Project provided by Tyneside Womens Aid

- Enterprise 5 Drop-in, 64, Wingrove Road, Fenham, Newcastle Upon Tyne

provided by Enterprise 5 Housing

- Blackfriars Day Centre provided by St Vincent de Paul

- Ron Eager House, Westgate road provided by Tyneside Cyrenians -some LA,

NHS and Probation funding

1 relevant service in Newcastle & North Tyneside LIT has no capacity field

entry



3 - Education and Leisure Opportunity

2 services listed:

- Community Group Network, Albion House, North Shields provided by

Newcastle, North Tyneside and Northumberland Mental Health Trust

- Rowan Project/Avenues Project, St. Nicholas Hospital provided by CSV



4 - Employment Scheme

1 service listed: Key Enterprises provided by Key Enterprises

5 relevant services in Newcastle & North Tyneside LIT have no capacity field

entry





23

Category 10 - Home Care Services



1 - Home/Community Support Service

Current Referrals per

Name Provider

Caseload annum

Mental Health Support Team, based at Scrogg Newcastle Social

40.0 31.0

Road Resource Centre, Walker Services

Total (numbers) 40 31

Total (per 100k pop) 24 18.6

2 relevant services in Newcastle & North Tyneside LIT have no capacity field

entry



Category 11 - Carers Services



1 – Carers’ Support Group

None reported



2 - Carers’ Support Service

5 services listed:

- Hadrian Clinic Carers Group provided by Newcastle, North Tyneside and

Northumberland Mental Health Trust

- Robinson Unit, Carers Group, Bentinck Road provided by Newcastle, North

Tyneside and Northumberland Mental Health Trust

- Carer Support Nurse, Milvain, NGH provided by Newcastle, North Tyneside

and Northumberland Mental Health Trust

- Carers Project, Mea House provided by Carers Project

- Plummer Court, Carers Group provided by Newcastle, North Tyneside and

Northumberland Mental Health Trust



3 - Self-help, Mutual Aid Group for Carers

None reported



4 - Short-term Breaks / Respite Care Service

None reported



Category 12 - Support Services



1 - Advice and Information Service

3 services listed:

- Mental Health Matters Telephone Helpline provided by Mental Health Matters

- MESMAC provided by Newcastle Social Services

- Patient Information Centre, Newcastle General Hospital provided by

Newcastle, North Tyneside and Northumberland Mental Health Trust



2 - Advocacy Service

1 service listed: Newcastle Advocacy Project provided by CVS









24

3 - Befriending and Volunteering Scheme

3 services listed:

- Horizons, Newcastle General Hospital provided by Horizons

- St Anthony de Padua, Day Centre, Welbeck Road, Walker provided by ST

Anthony de Padua

- Volunteer Service, Newcastle General Hospital provided by Newcastle, North

Tyneside and Northumberland Mental Health Trust and volunteers



4 - PALS

None reported



5 - Self-help and Mutual Aid Group

7 services listed:

- Juniper Productions, St. Nicholas Hospital, Gosforth provided by Linden

Training (CSV)

- Ken's Group, Jesmond provided by Lifeboat

- Lifeboat discussion groups, Pat's Place and Jen and Vivienne's group

provided by Lifeboat

- Listening Ear, Brunswick Place provided by (not stated).

- Pat's Place, The Bookshop, 7 Old Eldon Square provided by Lifeboat

- Paul's Group, St Dominic's Catholic Club, Byker provided by Lifeboat

- Lifeboat provided by Users

1 relevant service in Newcastle & North Tyneside LIT has no capacity field

entry



6 - Service User Group

7 services listed:

- Black Mental Health Forum, Newcastle provided by Users

- Charlotte Street Centre, 67, Charlotte Street, Wallsend. provided by Mental

Health Matters

- Manic Depression Fellowship provided by Users

- Mental Health Forum, Brunswick Place provided by Newcastle Council

- Need a Listening Ear provided by Users

- Panama Club, Welford Centre provided by Social Services (Users)

- Launchpad, Half Moon Chambers, Newcastle. provided by (not stated).



7 - Staff-facilitated Support Group

1 service listed: Duksukh, Newcastle provided by



Category 13 - Supported Accommodation



1 - Adult/family Placement Scheme

None reported



2 - Board and Lodging Scheme

None reported









25

3 - Hostel

Name Provider Bedspaces

Abbott House, 1 Quarry Bank Court Tyneside Cyrenians Ltd 5.0

Byker Bridge Housing

Byker Bridge House 18.0

Association

Byker Bridge Housing

Coppergate Hostel, South Tyneside 5.0

Association

Cumberland House, Westgate Road Norcare 12.0

Elliott House, 4 Bentinck Tce Tyneside Cyrenians Ltd 14.0

Francis House, 202 Westgate Rd, Newcastle Tyneside Cyrenians Ltd 4.0

Haven Project, Newcastle Haven Project 37.0

Jesmond House, Clayton Road, Newcastle YWCA 27.0

Matt Talbot Hostel, Blackfriars Care Centre, 186

Society of St Vincent de Paul 7.0

Newbridge Street

Newcastle Outpost Out Post 8.0

Roycroft House, 219 Westgate Rd, Newcastle Tyneside Cyrenians Ltd 2.0

Salvation Army (Men's Palace), 39 City Road Salvation Army 66.0

Virgina House, Georges Rd, Elswick, Newcastle Tyneside Cyrenians Ltd 10.0

Wavelength, 8a Graingerville North, Westgate Road Norcare 9.0

Women's Aid (PO Box 32, Heaton, Newcastle, NE6 1HZ) Women's Aid 6.0

Total (numbers) 230

Total (per 100k pop) 138

1 relevant service in Newcastle & North Tyneside LIT has no capacity field

entry









26

4 - Local Authority and Registered Residential Care Home

Name Provider Bedspaces

Elswick Lodge Praxis Services 8.0

Fairfield House, 40 Grainger Park Road,

Mental Health Matters 5.0

Newcastle

Falmouth House, 24 Edwards Road,Whitley Bay Private 3.0

Hastings House, 124 Park Avenue, Whitley Bay Private 3.0

66, Marine Avenue, Whitley Bay Richmond Fellowship 2.0

68, Percy Road, Whitley Bay Mental Health Matters 2.0

Newcastle Social Services

Scrogg Road, Walker, Newcastle 7.0

Department

Strathmore Enterprise 5 MHS 9.0

Newcastle Social Services

Summerhill, Newcastle 7.0

Department

The Albany House, 17, Esplanade, Whitley Bay Private 3.0

The Lenore, 1 Charles Avenue, Whitley Bay Private 5.0

The Richmond, 166 - 168 Park Avenue, Whitley

Private 3.0

Bay

Windsor Court, the Avenue, Wallsend Private 15.0

48, Alma Place, North Shields Richmond Fellowship 2.0

Total (numbers) 74

Total (per 100k pop) 44.4





5 - Staffed Group Home

Name Provider Bedspaces

20 Jubilee Road Mental Health Concern 3.0

Amble Grove Flats, Sandyford Byker Bridge Housing Association 4.0

Armstrong Road, Newcastle The Haven 4.0

Bolingbroke St, Heaton Byker Bridge Housing Association 4.0

Cartington Terrace, heaton Byker Bridge Housing Association 4.0

Edwins Avenue House Byker Bridge Housing Association 1.0

Heaton Hall Road flats Byker Bridge Housing Association 5.0

Jesmond Vale Byker Bridge Housing Association 4.0

Kingsley Tce Byker Bridge Housing Association 8.0

Northborne St Flats Byker Bridge Housing Association 9.0

Northborne St Shared Flats Byker Bridge Housing Association 3.0

Steenbergs, Ouseburn, Byker Byker Bridge Housing Association 11.0

132, Salters Road, Gosforth Mental Health Concern 2.0

Scarborough Road, Byker Byker Bridge Housing Association 3.0

Scarborough Road Flats, Byker Byker Bridge Housing Association 4.0

Sidney Grove, Fenham Byker Bridge Housing Association 10.0

St George's Tce, Jesmond Byker Bridge Housing Association 9.0

St Lawrence House, Byker Byker Bridge Housing Association 8.0

Tosson Tce Shared Flats, heaton Byker Bridge Housing Association 2.0









27

West View, Elswick Byker Bridge Housing Association 8.0

Arthurs Hill, Newcastle The Haven 5.0

Arthurs Hill Shared Flats Byker Bridge Housing Association 12.0

4 Jubilee Road Mental Health Concern 2.0

Total (numbers) 125

Total (per 100k pop) 75





6 - Supported Housing

Referrals per

Name Provider Bedspaces

annum

11 Severus Road Enterprise 5 MHS 0.0 1.0

201 Wingrove Ave Enterprise 5 MHS 0.0 1.0

203 Wingrove Ave Enterprise 5 MHS 0.0 1.0

21 Mill Farm Close Enterprise 5 MHS 0.0 1.0

23 Wingrove Road Enterprise 5 MHS 0.0 1.0

23a Wingrove Road Enterprise 5 MHS 0.0 1.0

23b Wingrove Road Enterprise 5 MHS 0.0 1.0

24 Mill Farm Close Enterprise 5 MHS 0.0 1.0

27 Wingrove Ave Enterprise 5 MHS 0.0 1.0

28 Mill Farm Close Enterprise 5 MHS 0.0 1.0

37 Mill Farm Close Enterprise 5 MHS 0.0 2.0

Enterprise 5 - Mental

5 Buddle Close 0.0 1.0

Health Concern

73 Wingrove Gdn Enterprise 5 MHS 0.0 1.0

Gainsborough Grove, Benwell Praxis Services 0.0 4.0

Mental Health Concern

Jubilee Road 23, Gosforth 0.0 1.0

- Enterprise 5

Normanton Tce (two houses) 24 and 26 Praxis Services 0.0 8.0

Baseline, Newcastle Supported Lodging Newcastle Suuported

0.0 2.0

Scheme, 1A Jubillee Road, Melbourne Street Lodging Scheme

Royal Quays, (6 flats)North Shields Richmond Fellowship 0.0 3.0

The Vicarage, Praxis House, 2 Park Close Praxis Services 0.0 5.0

Tyneside Foyer, Westgate Road Tyneside Foyer 0.0 43.0

10, Hutton Street, Gosforth, Newcastle upon Enterprise 5 - Mental

0.0 1.0

Tyne Health Concern

12, Coxlodge Road, Gosforth, Newcastle Upon Enterprise 5 - Mental

0.0 1.0

Tyne Health Concern

197, Wingrove Avenue, Fenham, Newcastle Enterprise 5 - Mental

0.0 1.0

upon Tyne Health Concern

243, Grace Street, Heaton, Newcastle upon Enterprise 5 - Mental

0.0 1.0

Tyne Health Concern

132, Salters Road, Gosforth, Newcastle upon

Mental Health Concern 0.0 2.0

Tyne

21, Craster Square, Gosforth, Newcastle upon Enterprise 5 - Mental

0.0 1.0

Tyne Health Concern

25, Jubilee Road, Gosforth Mental Health Concern 0.0 1.0







28

- Enterprise 5

Bentinck Place, Numbers 1 and 2 (Ncle

Praxis Services 0.0 12.0

Women's Project)

Greenfields, Grainger Park Road,Newcastle Mental Health Matters 0.0 2.0

40a Grainger Park Road, Newcastle Mental Health Matters 0.0 4.0

Leo Edgar Project, Blackfriars Care Centre, St Vincent De Paul

0.0 10.0

Newbridge Street Society

Total (numbers) Incomplete 116

Total (per 100k pop) Incomplete 69.6





7 - Unstaffed Group Home

Name Provider Bedspaces

251 Wingrove Ave Enterprise 5 MHS 3.0

27 Wingrove Rd Enterprise 5 MHS 1.0

37 Heaton Hall Road Enterprise 5 MHS 3.0

37 Wingrove Rd Enterprise 5 MHS 3.0

45 Mill Farm Ave Enterprise 5 MHS 3.0

Total (numbers) 13

Total (per 100k pop) 7.8









29

References



Carr-Hill, R. A., G. Hardman, et al. (1994). A formula for distributing NHS revenues based

on small area use of hospital beds. York, Centre for Health Economics, University of York.



Glover, G. (1999). “How much English health authorities are allocated for mental health

care [editorial].” British Journal of Psychiatry 175: 402-6.



Glover, G., G. Arts, et al. “A needs index for mental health care in Britain based on

updatable data.” Submitted for publication.



Glover, G. R., M. Leese, et al. (1999). “More severe mental illness is more concentrated in

deprived areas.” British Journal of Psychiatry 175: 544-8.



Glover, G. R., E. Robin, et al. (1998). “A needs index for mental health care.” Social

Psychiatry and Psychiatric Epidemiology 33(2): 89-96.



Heady, P. and V. Ruddock (1996). Report on a project to estimate the incidence of

psychiatric morbidity in small areas. London, Methods and Quality Division, Office for

National Statistics.



Jarman, B., S. Hirsch, et al. (1992). “Predicting psychiatric admission rates.” Bmj (Clinical

Research Ed.) 304(6835): 1146-51.



Meltzer, H., B. Gill, et al. (1995). Report 1. The prevalence of psychiatric morbidity among

adults living in private households. OPCS Surveys of Psychiatric Morbidity in Great Britain.

London, HMSO.



Smith, P., T. A. Sheldon, et al. (1996). “An index of need for psychiatric services based on

in-patient utilisation.” British Journal of Psychiatry 169(3): 308-16; discussion 317-21.



Thornicroft, G. (1991). “Social deprivation and rates of treated mental disorder. Developing

statistical models to predict psychiatric service utilisation.” British Journal of

Psychiatry 158: 475-84.









30


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