Psychosis and early intervention team – Redcar and Cleveland

Contact information

You can contact the psychosis and early intervention team in Redcar and Cleveland using the details below:

Address Foxrush House

Green Square

Kirkleatham Business Park

Redcar

TS10 5RS

Telephone 01642 838333 (Reception)
Service opening hours Monday – Friday, 9am – 5pm
Out of hours support Crisis team 01642 680706

 

Emergency duty team 08702 402994

 

NHS (non-emergency) 111

 

Contact your own GP

 

In an emergency 999

 

Crisis and recovery suite

Roseberry Park, Middlesbrough Tel. 01642 837340

 

Tees, Esk and Wear Valleys NHS Foundation Trust provides a range of mental health, learning disability and substance misuse services for the 1.3 million people living in County Durham, the Tees Valley and the Scarborough, Whitby and Ryedale areas of North Yorkshire.

Our service users and their carers are at the heart of everything we do and we are continuously developing our services to better meet their individual needs.

We want to make sure that people are able to access the specialist care and treatment they need quickly and as near to their home as possible.

The staff involved in the care of people with mental health needs from health and social care have joined together to form community mental health teams. This includes social workers, community mental health nurses, doctors, occupational therapists, and support workers.

The community mental health team work with people with mental health needs to identify:

This means that anyone who needs the support of health or social care will find they have:

Mission statement

Our aim is to work with service users to work towards recovery from an episode of mental ill health.

 

What happens when you are referred for assessment?

Your first appointment will be with the psychiatrist and the care coordinator to:

You will develop a care plan and risk and relapse management plan with your care coordinator.

During the following 12 weeks you will meet with your care coordinator and support workers to complete a number of specialist assessments. There will be a meeting at the end of the assessments with all those involved in your care to confirm diagnosis, treatment options and what other support you may need.

 

Care co-ordination standards you can expect

You can expect:

 

Who is in the team?

 

Early intervention staff

Early intervention staff are professionals within the team who work with people when they first develop symptoms of psychosis. They will offer intensive support during the first three years of developing symptoms.

 

What to do in a crisis?

Contact the team between 9am and 5pm Monday to Friday and asked for your named worker or the duty worker.

At any other time contact one of the out of hours services listed at the start of this document for support.

 

Our website

For information about our trust services, or general information on conditions and treatments and organisations offering support, please see our website:

http://www.tewv.nhs.uk/patientscarers

 

What if you are not happy with the assessment or the services you receive?

You have a right to complain at any time if:

 

 

 

Leaflet reference: L1017
Version: V1
Date last updated: 13/12/2018
Archive date: 12/12/2021

 

 

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A series of self-help guides are available to view and download, covering the following topics: 

Please visit our online bookshelf to access the self-help guides, which are available as downloadable leaflets.

 

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In the immediate aftermath of a major incident our body’s automatic survival reactions will take over and may react in unexpected ways, e.g. we may freeze, run away, push past others, urinate, have an out of body experience.

Sometimes being nearby, knowing someone there, seeing news images, hearing stories about it or being part of the emergency response is enough to trigger a response in us.

In the first few weeks it may be common to:

 

What can help

 

How to know if you need a GP referral for more specialist help, support or therapy

You may want to approach your GP and seek specialist help and support if you experience any of the below:

 

 

How to support someone you know

Connect: The person may need time to be alone but keep trying to connect with them on everyday activities.

Listen: to their feelings but don’t ask for details of what happened and don’t offer advice.

Ask: Don’t assume what they need, it might be different from what we think.

Practical: Make them a meal, offer them a lift. They may also need some flexibility at work.

 

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Quitting smoking is the single most important way to improve your health and wellbeing. Using smoking cessation medication such as nicotine replacement therapy (NRT) and behavioural support is the best way to quit smoking.

Smoking

Smoking is harmful to our health. It causes cancer, lung disease and heart disease. People with severe mental health problems can die 15 to 25 years earlier than others in the UK. One of the main reasons for this is smoking.1

What are e-cigarettes?

E-cigarettes are battery powered devices that deliver nicotine through inhaled vapour. Most e-cigarettes contain a heating element, a cartridge containing nicotine, glycerine and water. Information regarding the use of individual e-cigarettes is made available by the manufacturers in package inserts.

Some people have found that e-cigarettes help them to cut down and quit smoking but NRT is currently the preferred option, as products such as nicotine patches are a licensed medicine and therefore are safer to use.

Are e-cigarettes safe?

The smoke produced from burning tobacco in cigarettes contains about 4,000 ingredients, 70 of these are known to cause cancer. Since e-cigarettes do not contain tobacco and are not burnt they are thought to be much safer. 2

Can e-cigarettes be prescribed?

No, e-cigarettes are available to buy.

Which types of e-cigarettes can be used and where?

Whilst in hospital we recommend the use of either disposable or rechargeable e-cigarettes and these are available for purchase from our Lloyds Pharmacies within main hospital sites.

Alternatively you can bring in your own e-cigarettes for use but these must be risk assessed by a member of staff prior to use. Please ask a member of ward staff for more details.

Tank models are not allowed for use within the Trust.

You will be able to charge your own e-cigarette so long as you have the appropriate charger. This is because there have previously been some fires caused by e-cigarettes, where an incorrect charger was used, so please ensure you use the charger supplied with your e-cigarette.

Your ward team will best advise you on identified areas where you can use your e-cigarette but the preferred option will be to use an e-cigarette outside in the grounds rather than in the buildings across the Trust.

How do I dispose of used e-cigarettes?

Do not throw your re-chargeable e-cigarettes into a general waste bin. Please give to a member of the ward staff who will safely dispose of it for you as special waste. You can dispose of your disposable e-cigarettes and used cartridges in the general waste bins provided.

Why do Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) have a smokefree policy?

TEWV staff have been trained to deliver the best treatments for managing nicotine dependence. TEWV patients can benefit from improved general health and wellbeing and may be able to reduce some of their medications.3

Smoking is the biggest preventable cause of early death. It is our duty to promote health and wellbeing. TEWV must comply with the Health Act (2006) and the National Institute for Health and Care Excellence (NICE) guidance on smoking cessation in secondary care (2013).

For more information, please speak to a member of staff on your ward or alternatively contact the national smoke free site on:

Telephone: 0300 123 1044

www.nhs.uk/smokefree

(Schizophrenia Commission, 2012, Tiihonen et al., 2009).

E-cigarettes, An Evidence Update. A Report Commissioned by Public Health England. McNeill A et al. August 2015

(www.choiceandmedication.org). 2015

Leaflet reference: L994
Version: V2
Date last updated: 14 / 03 / 2016
Archive date: 14 / 03 / 2019

 

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This information covers many areas, but is split into categories so that you can find the topics that are important to you.  Of course, this is not meant as a replacement for staff who are always ready to deal with your questions and concerns.

If you have any questions after reading this, please do not hesitate to ask.

Welcome to Tees, Esk and Wear Valleys NHS Foundation Trust

Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) aims to always deliver safe and effective care that meets individual needs and supports people towards well-being and recovery.

We recognise that being admitted to hospital can be a very distressing and frightening experience. We hope to work with you to understand what is important to you, and how we can best meet your needs and offer the right support.

We aim to provide a safe, warm and therapeutic environment and support you to return home as quickly as possible. The ward staff are here to support you and your relatives/friends (carers) and are available if you have any worries or concerns.

Recovery

We understand that being in hospital can be a difficult but we are here to support you and help you to recover.

In mental health services the term ‘recovery’ is used to describe the experiences and journeys of people as they work towards living a meaningful and satisfying life.

Recovery principles focus on the whole person for example, what makes that person thrive.

Five key factors, known as CHIME, have been identified as being central to recovery and wellbeing.

CHIME factors

Supporting carers (Triangle of Care)

We are implementing best practice national guidelines from the Triangle of Care.  This was developed by the Carers Trust to introduce key standards and recognise relative/friends of patients (referred to as carers) as partners in care delivery.  It encourages patients, carers and professionals to work together to promote your safety, recovery and well-being by providing carers with information, advice and support.  If you would like more information about the Triangle of Care, please ask staff for a copy of the Carers Trust leaflet.

You will be asked for the name of a relative or friend who you would like to be updated and involved in your care and treatment.  If you do not want anyone to be involved, we use a common sense approach to supporting carers.

We will not disclose information about you but we will listen to carers and offer general information about our services treatments and details of carer support organisations.   We have patient and carer information available about common sense confidentiality which explains our approach to sharing information. If you would like to see this please ask a member of staff.

Coming into hospital – what can I expect?

Everybody’s experience when coming into hospital will be different. For some people it can be a very stressful experience, especially if it is the first time or if it was not your choice to come.  When coming into hospital you can expect:

Who’s who on the ward?

The ward can feel like a very busy place. There are many different professionals that have different roles and make up the multi-disciplinary team (MDT). Staff wear name badges and will introduce themselves to you. The people involved in your care may include:

Some wards have a photograph board to show who everyone is.

Named nurse

You will be allocated a named nurse on admission who will support you throughout your stay and plan your recovery with you.

Your named nurse, with your permission, will answer any questions that your carers ask relating to your treatment and progress.

When your named nurse is off duty you will be allocated a contact nurse.  This is the nurse you can go to if you have any problems or concerns.  Discussing your problems and treatment with your named nurse, or the nurse allocated to you in their absence, ensures continuity of care.

If at any time you feel you are unable to build up a satisfactory relationship with your named nurse, for whatever reason, please discuss the issues with the ward manager or deputy.  You can go to any member of the nursing staff with your questions or concerns.

If at any point throughout your admission you wish to meet with your consultant or any other member of the ward team, please inform staff and they will try to arrange this for you.

Consultant psychiatrist/approved clinician

While you are a patient on the ward a consultant psychiatrist or Approved Clinician will be responsible for your care. They are present on the ward most days and work closely with all other members of the ward team.

If at any point you wish to have a second opinion by another doctor please discuss this with ward staff.

Staff wear name badges and will introduce themselves when they are involved in caring for you. If you are not sure who a person is, please ask.

What support and treatment can I expect on the ward?

On your first day of admission you will meet with staff and discuss why you have been admitted into hospital.  You will be offered a physical examination to identify any physical health needs you may have so that we can provide appropriate care.

Within three working days there will be a formulation meeting. This is your opportunity to meet with staff to identify what your needs are and plan your care and treatment. A family member or loved one will be invited to this meeting with your permission.

As part of the formulation meeting, leave from the ward should be discussed. This will be decided on an individual basis and will depend upon risk. Your care team should discuss this with you. You may have the opportunity to have supported leave, home visits and overnight leave during your stay. This may increase over time.

The care team meet to discuss your care and how it is going on a daily basis.

You may be offered different treatment options whilst on the ward including medication, psychological assessment and interventions or support, occupational therapy and various activities.

Staff will be happy to discuss treatment options with you and written information about different treatments and the side-effects are available. If you have concerns about medication or side effects, pharmacy staff are also available to discuss this with you.

Staff are available to listen and offer support at any time during your stay on the ward.

At the appropriate time, a meeting with you and your family will be held to plan your discharge and after care. We hope to support a smooth transition home and make sure you have appropriate support following discharge.

To help us monitor your recovery you will be asked to complete a short survey called a patient reported outcome measure.  This assesses your mental well-being at a given point. It can help you and your care team monitor your progress and can show how helpful services have been in promoting your recovery.

Following discharge you will be offered a follow up visit. A discharge summary will also be sent to your GP informing them about your admission.

What you may need while you are on the ward

We recommend you bring a few changes of clothes, some nightwear and toiletries

You may want to bring your mobile phone, tablet or small computer and a small amount of cash on to the ward. You will be provided with a safe for valuables. However please bear in mind that the Trust does not accept responsibility for any loss or damage to these items whilst on the ward.

Wards can provide

 Practical help

If you have practical things that need to be managed whilst you are in hospital, such as looking after pets, paying bills, benefits, please speak to ward staff who can support you to get these sorted.

What you will not be able to keep on the ward:

Tees, Esk and Wear Valleys NHS Foundation Trust operates a ‘zero tolerance’ approach to the possession, use and dealing of substances on Trust premises.

Any suspicious activities will be reported to the police.  If you see anyone acting suspiciously or discover any items you think may be drug related on the premises – please tell a member of staff.

Possessions, valuables and money

We will ask to look through your belongings when you are admitted to the ward and may ask to do this again on other occasions should staff have reason to believe that you have items in your possession that could be a danger to yourself or others. This is for your safety and the safety of other people on the ward.

If you have any medication please give this to the nurse who will store it for you or dispose of it.

If there is no one else to look after your valuables, please give them to a member of staff who will arrange safe keeping.  The Trust cannot accept responsibility for loss or damage to your personal property unless it is handed in and a receipt is obtained for it.

We would strongly advise that you do not exchange property, items and/or belongings and loan any money to others. Please talk to staff if you have any concerns.

Shared code of conduct

To make sure the ward is a safe environment for everybody we ask that:

If someone is behaving in a way that is making you feel unsafe please confide in a member of staff or an advocate.

Ward environment

Same sex accommodation

The vast majority of patients who are admitted to any of our hospitals will be cared for in a ward where they will have their own bedroom, many with en-suite washing and toilet facilities.

In the small number of wards where there is more than one bed in a bedroom, patients will only share the room where they sleep with members of the same sex.  Same sex toilets and bathrooms will be close to their bed area and clearly signed. This means that any mixed sex accommodation is virtually eliminated.

Male and female patients may share day areas such as lounges, activity rooms and kitchens. Where there is a need for patients to pass through an area designated for the opposite sex, staff will accompany them, where possible, to make sure everyone feels comfortable.

In some exceptional circumstances you may find that upon your return from period/s of leave you may have been moved to a different bedroom than the one you left.

Meals

Meals are served in the dining room and if you have any special dietary needs because of medications, health, religious or cultural beliefs, please inform any member of staff. There could be a risk to you if food brought into hospital is not stored or handled responsibly.

Please discuss arrangements for bringing food onto the ward with ward staff.

Activity

Keeping occupied on the ward – What some people do?

Many people bring in their favourite past times such as music, books, games, puzzles, musical instruments or hobby materials.

What hospitals can offer?

Wards often have spaces for crafts or other activities and TV lounges where DVDs can be played as well as allowing you to keep up with your favourite TV shows.

Many hospitals are equipped with gyms, libraries, cooking facilities, gardens and public café facilities.  Staff will try to support you in accessing these or other activities you would like to try.

 Staying in touch

We understand the importance of relationships and how they can support you on your way to recovery. During your stay in hospital we would like to support you to stay in touch with your relatives/friends.

Mobile phones are allowed on the ward. However please be aware that signal strength can be patchy. If you do not have a mobile phone or can’t get signal, there is a ward phone you can use. Some of our wards have an internet abled PC and staff and maybe able to arrange internet access for you. Please be aware that the phone and PC are shared between all patients on the ward.

 Visiting

Your named nurse will advise you of the ward visiting times.

We recognise that visiting times may not always be suitable for your carers.  Please discuss this with staff who will try to find alternatives and negotiate other times. If you wish to have your visit in private please talk to staff and they can help arrange this.

To reduce the risk of infection we ask that carers refrain from visiting if they have suffered from, or have been exposed to, sickness (vomiting) and/or diarrhoea in the last 48 hours;

Visitors are not permitted to smoke on the ward or in any Trust buildings or grounds.

We would ask that your visitors do not bring any sharp items or objects, including razors, glass articles or equivalent onto the ward whilst visiting.

Alcohol and illicit substances are not permitted.

Please talk to staff if you have any concerns and/or if you are asked to bring any items onto the ward.

Child visiting

This Trust supports helpful and positive contact between children/young people and their parents/carers.

The Trust operates a child visiting policy which applies to all children up to the age of 18 years.

All visits by children must be pre-arranged with ward staff to ensure the visit can occur.  A responsible adult must accompany the child when visiting.  Child visiting will take place in an allocated room to allow privacy for all parties.

Fire alarms

There will be a weekly fire alarm test.  If the fire alarms are activated at any other time, staff will direct you to a safe area within the hospital.

Listeningto and learning from patients and carers

We continually strive to improve our services and would be pleased to receive your comments.

If you would like any further information about the services we provide, please ask a member of staff.

Useful information

Patient advice and liaison service (PALS)

Tees, Esk and Wear Valleys NHS Foundation Trust has a Patient Advice and Liaison Service (PALS) available for mental health and learning disability services.

PALS is available for patients and their carers to discuss any comments, concerns or suggestions about the care you are receiving.

PALS officers can also provide advice and information about services provided by the Trust.

If you have a specific concern or query about the care you are receiving you should first try to raise it with the nursing or medical staff who will try to resolve it or answer your questions.

If they are unable to help, or you would prefer not to speak to a member of ward staff about your concern, please contact the Patient Advice and Liaison Service whoa re available Monday – Friday bewtween 9am and 4pm:

Freephone: 0800 052 0219

Mobile: 07775 518086

If a PALS officer is not available immediately, your details will be taken and they will return your call or visit the ward on request to discuss your concern or query.  They will aim to resolve the issue quickly.

The PALS officers have experience in resolving queries and concerns, but if they are unable to help to your satisfaction, they can advise and help you make a formal complaint.

If you would prefer to make a formal complaint and not access PALS, you can write to:

The complaints manager

Patient experience department

Flatts Lane Centre

Flatts Lane

Normanby

Middlesbrough

TS6 0SZ

 

Click here for further information about the Trust’s PALS service and formal complaints procedure.

 

Access to an interpreter

Every patient whose first language is not English, or who has communication needs, has the right to access a professional interpreter.

Professional interpreters should also explain relevant information about treatment and care to carers and family members whose preferred language is not English.

Ward staff will make arrangements for translation and sign language interpreters if necessary.

Chaplaincy service

The Trust chaplains provide for the religious, spiritual and pastoral needs of patients, carers and staff throughout the whole Trust.  Chaplains will not impose their own beliefs on anyone but rather help people through their own questions to come to their own conclusions.  Chaplains are happy to see anyone who wishes to talk to them, whatever they wish to talk about.

Religiously the Chaplaincy department is multi-faith and aims to provide for religious needs whatever a person’s faith.  We can pray with people, bring communion and hear confessions.  We also have prayer mats, Korans and can point you in the direction of Makkah and have materials of all the major world faiths.  We also have links with faith leaders from all communities and can put you in touch with leaders of churches, mosques, temples.

Useful telephone numbers

NHS 111 111
Mental Health Matters Helpline

(6 pm- 6 am)

0800 052 7350
Care Quality Commission 03000 616161
FRANK

(friendly confident drugs advice)

0300 123 6600

 

Samaritans 08457 909090
Family Lives 0808 800 2222
Citizens Advice Bureau 08444 111 444

Citizens Advice Bureau

The Citizens Advice Bureau is a generalist advice agency and so is able to advise on a wide range of subjects such as:  education; employment; benefit entitlement; money matters; disability support and consumer issues.

They can provide:

Equality and diversity

Leaflet reference: L670
Version: V5
Date last updated: 15 / 05 / 2018
Archive date: 15 / 05 / 2021

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Address

59 Huntington Road

York

YO31 8RL

Tel. 01904 465100

About the service

The personality disorder clinical network offers specialist support for people with complex needs, relating to difficulties regulating their emotions. Within our service umbrella we currently offer two distinct interventions.

We are developing a dialectical behavioural therapy programme which will begin in the near future and are currently aiming to develop an occupational therapy group programme as well.

For further information please see contact us directly and speak to our duty worker between 1.30pm and 5pm, Monday to Friday on 01904 724470 and we will gladly forward information on our services to you.

Alternatively, if you are currently receiving support from mental health services in York, you can ask your current care coordinator for information about our service.

The work placement officer for Scarborough, Whitby and Ryedale is based at Cross Lane Hospital, Scarborough.

Cross Lane Hospital

Cross Lane

Scarborough

North Yorkshire, YO12 6DN

Tel number: 01723 384653

How can the work placement officer help?

The work placement officer provides advice, guidance and assessment to adults (aged 18 to 65 years) receiving secondary mental health services who are seeking employment or help them in retaining employment.

How to access the service

Referrals are accepted from the community mental health teams.

Service users will be able to access the service if their care co-ordinator or lead professional requests involvement from the work placement officer.

Service name Equality and diversity team
Telephone 0191 333 6267
tewveandd@nhs.net

We ask all of our service users, and possibly their carers, questions about age, disability, gender reassignment, marriage or civil partnership status, race and ethnicity including dialect, religion or belief and sexual orientation.

We ask you these questions to make sure we can:

What will you do with the information I provide?

The Trust will use the information to ensure our services meet your needs and those of other people similar to yourself. The information you share with us will help our staff to understand some of the anxiety or distress you may have experienced in your life and this will enable them to support you better.

Do I have to answer the questions?

No, you can choose which questions you answer; it’s entirely your choice. We really value this information but we understand that you might have some concerns about sharing personal information with us.

Will my information be safe?

Yes, there are strict rules about keeping your information safe. The Trust will only use the information you give to help us develop and improve our services, we will not share your personal information with anyone else unless we have your consent.

Will anyone be able to identify me from the information I give?

No, when we produce reports based on the information you have given us, it will never be possible to identify you or the person you have given us information about.

Why are you asking me personal questions about my relative or friend?

The Trust is mindful of the diversity and experiences of children, young people and older people. We recognise that some children access mental health services as a result of discrimination or bullying that they have experienced, whilst some older people may have other medical conditions which may affect their ability to answer these questions. A nominated contact person may not necessarily be related to the service user but can answer the questions on their behalf.

What if I have any other questions?

Trust staff will do their best to answer any questions you may have. If they do not know the answer they will find out and let you know as soon as they can.

Contact details

If you would like any further information please contact the equality and diversity team using the contact details at the start of this information.

Thank you for helping us to develop and provide accessible services that meet the needs of our communities.

This information is also available in EasyRead; How we make sure you are treated fairly

Leaflet reference: L539
Version: V3
Date last updated: 09/17
Archive date: 09/20

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Occupational therapy is a treatment and a profession.

Occupational therapists are interested in how people live their lives. They help people to become as able as possible wherever they live, and whatever health issues they may have.

Occupational therapists use ‘doing’ as the therapy. They think with you about all areas of your life; any activities that you do or would like to do that are important to you, school/college/ lifelong learning, leisure, family, friends, and work.

An occupational therapist will discuss with you how your day goes, from first thing in the morning until last thing at night, as well as how you sleep. Then you can come up with a list of things you want to improve, and work out together how this will happen, using activities that you are interested in.

We know that people are ‘doing’ beings and their health is linked to how well they feel they can ‘do’. Occupational therapists really focus on the whole person.

What could an occupational therapist help me with?

How will we decide what to work on?

Your occupational therapist will talk with you and you will decide what to work on together.

They will change the way they do this when they need to. This is to make sure you understand each other.

Who is my occupational therapist?

 

Name …………………………………………………………………….

 

Contact phone number ………………………………………………

 

Working hours ………………………………………………………..

Leaflet reference: L416
Version: V1
Date last updated: 11 / July / 2018
Archive date: 11 / July / 2021

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Hambleton and Richmondshire West Sector Community Mental Health Team
Colburn GP Surgery
Easton Way
Colburn
DL9 4GA
Tel number: 01748 834581

About the service

Community mental health teams provide a wide range of help, support and advice for people aged between 18 and 65 years with serious mental health problems.

The west sector community mental health team work together to provide a range of treatment and support based around their patients’ needs. This may include providing information on treatments and conditions, access to therapies, one-to-one sessions or support at home.

Every service user will have a named care coordinator or lead professional who is the main point of contact and support for a person who is getting care from the team.

The care coordinator will work with the service user to develop a care plan. A care plan explains the support, therapy or treatment provided by any of the professionals involved in the service user’s care and when this treatment should be provided. The care plan will also include what to do in a crisis or to prevent relapse.

The team

The team includes a number of different professionals working together, who have experience of helping people with mental health problems. The team is an integrated service which works closely with its partners in health and social care.

The team includes:

How to access the service

The team accepts referrals from GPs and other mental health professionals.

The first appointment usually takes place at one of the team’s offices which is convenient to the service user. The service user will be asked questions about themself, the difficulties they are having and what sort of help they think they might need. This meeting usually lasts for about an hour and is called an assessment.

The information given will be shared with the team. The team share the information so that service users are offered a choice of available care options.

If the service user has someone who supports them, they will also be offered an opportunity to discuss their needs and have a carers’ assessment. They can be with the service user throughout their assessment.

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