Changes to services during Coronavirus Response

Last updated: 1 June 2020

To ensure we can continue to provide our most critical services during the Coronavirus pandemic, we are making changes to the way we provide some of our community and specialist services. A summary of all these changes can be found on this web page. We will continue to update it as changes are made.

For any feedback about this bulletin or the service change page please contact the LYPFT Communications Team at communications.lypft@nhs.net.

Acute inpatients, Crisis, Rehab and Recovery

Service	Status
Acute Wards & Psychiatric intensive care unit (PICU)	Wards operating as usual Restrictions on leave & visiting in place. A statement on visiting can be found here. Cohorting now operational on ward 1. PICU has reopened to male admissions.
Crisis assessment unit (CAU)	Operating as usual. Area now open for service users who are COVID positive or symptomatic / awaiting results and who experience challenges with isolating.
Crisis Resolution Intensive Support Service (CRISS)	Operating as usual with a mixture of face to face and telephone contacts.
Rehabilitation and Recovery Wards at Asket Croft and Asket House.	Wards operating as usual. There are changes to referral criteria to support acute capacity.
Community rehab and recovery (including Leeds Recovery College).	Operating a reduced service with a mixture of face to face and telephone contact. Some reduction in provision delivered by third sector partners. Updating and developing additional online recovery and well-being focussed information through recovery college. The Leeds Recovery College is developing and providing additional online recovery and well-being information.
Assertive Outreach	Operating as usual currently with a mixture of face to face and telephone contacts.

Child and Adolescent Mental Health Services in York

Service

Status

Inpatient unit at Mill Lodge in York

Ward operating as usual with restrictions on leave and visiting in place. A statement on visiting can be found here.

Change to access assessments process agreed with NHS England.

Deaf CAMHS

All contact is now virtual and patients have been contacted to be made aware of new arrangements.

Primary and Community Mental Health, physical health and healthy living teams

Service	Status
Community Mental Health Teams (CMHTs) for working age adults	Service is open for referrals. Where possible telephone/video-conferencing with service users including outpatient contact is in place .
Primary Care Liaison Service (part of Leeds Mental Wellbeing Service)	Service is open for referrals but all contact will be done through telephone/video conferencing.
Physical health team	Prioritising Clozaril monitoring contacts and maintenance of physical health monitoring, including some home visiting.
Healthy Living Service	Still open to referrals with contact through telephone/video conferencing. There is limited access to speech and language therapy through the Learning Disability service.

Eating disorders, gender ID and complex rehab

Service	Status
Eating disorders inpatient ward (Ward 6 Newsam Centre)	Referrals and ward operating as normal. Some changes to care delivery to be able to respond to demand and ensure maintenance of safe clinical care (identified infection related risks). Improved links in place with Leeds Teaching Hospitals to manage complex physical needs.
CONNECT: community eating disorders teams for West Yorkshire and Harrogate	Community teams operating mostly via telephone / virtual contact. New patient assessments being undertaken face to face unless patient is symptomatic or opts for remote assessment.
Complex Rehab (Ward 5 Newsam Centre)	Ward operating as usual with cohorting of service users now in place. Restrictions on leave & visiting in place. A statement on visiting can be found here.
Gender ID service	Significantly reduced service. Some telephone support maintained and liaison with primary care / shared care. Hormone prescribing and advice continues.

Forensics – inpatient and community services in Leeds and York

Service	Status
Forensic Wards (Newsam Centre, Leeds)	Wards operating as normal. Covid area on Ward 3. Gatekeeping assessments now by medical staff only Restrictions on leave & visiting in place. A statement on visiting can be found here.
Community Forensics in Leeds	Service users with most severe symptoms are being seen in the community. Other service users being supported via telephone appointments.
Forensic inpatients at Clifton House, York	Wards operating as normal Gatekeeping assessments now by medical staff only Restrictions on leave & visiting in place. A statement on visiting can be found here.
Community Forensics in York	Service users with most severe symptoms are being seen in the community. Other service users being supported via telephone appointments. Service users still attending for Clozapine.

Learning Disability Services in Leeds

Service	Status
Assessment and Treatment Unit at Parkside Lodge	Service relocated to 3 Woodlands Square.
2 Woodlands Square (CMI respite)	Service temporarily closed.
3 Woodlands Square (Assessment and Treatment Unit & CB respite)	Respite service operating as usual.
Community Learning Disability Teams (CLDT)	Open to referral as normal. Priority and urgent cases will still be seen face to face. Other contacts by telephone or virtual contact.
Intensive Support Team	As CLDT – urgent assessments will still be undertaken face to face
Specialised Supported Living Service	Operating as usual with reduced access to social activities and services.
Service User Involvement team	Service temporarily closed.

Liaison Psychiatry, Perinatal, Chronic Fatigue, NICPM, Psychosexual medicine

Service	Status
Mother & Baby Unit	Accepting referrals and admissions. Service has temporarily moved to Parkside Lodge in Armley. Restrictions on leave and visiting in place. A statement on visiting can be found here.
Perinatal Community service in Leeds	Face to face appointments based on assessed clinical need and urgency. Regular assessments and follow up mainly via telephone or video call. All groups cancelled. Joint clinics with maternity being done remotely as well.
National Inpatient Centre for Psychological Medicine (NICPM)	Not taking any new planned admissions.
Acute Liaison Psychiatry Service (ALPS)	Service currently operating both in Emergency Department and in an assessment area of the Becklin Centre for service users who do not require ED attendance for physical health needs.
Liaison Inreach	Face to face contact is reduced but service continues across Leeds Teaching Hospitals including face to face assessment (based on identified urgency & risk).
Chronic Fatigue Service	CFS/ME Service temporarily suspended all routine outpatient appointments. During this time there will be a duty system in place for service users currently under our care and who can contact the service for support and advice Monday to Friday from 9am to 4pm. Not closed to referrals but unable to process them in the same way and allocate to our clinicians which means significant delays in accessing treatment and therapy. Referrers please inform service users there will be a delay in hearing from us and in receiving treatment & therapy. Any queries regarding referrals please contact the duty worker on 0113 855 6361 Monday to Friday 9am- 4pm.
Liaison Outpatients	Liaison Psychiatry Outpatient Service temporarily suspended all routine outpatient appointments. During this time there will be a duty system in place for service users currently under our care and who can contact the service for support and advice Monday to Friday from 9am to 4pm. Not closed to referrals but unable to process them in the same way and allocate to our clinicians which means significant delays in accessing treatment and therapy. Referrers please inform service users there will be a delay in hearing from us and in receiving treatment & therapy. Any queries regarding referrals please contact the duty worker on 0113 85 567 30/31 Monday to Friday 9am -4pm.
Psychosexual Medicine	Service reduced – patient contact via telephone and/or Skype. Maintaining assessment support based on urgency.

Older Peoples Services in Leeds

Service	Status
Inpatient Wards at The Mount	Wards operating as usual. Restrictions on leave & visiting in place. A statement on visiting can be found here. A new assessment and enhanced care ward has opened for people with covid- related physical health needs.
Intensive Home Treatment Team (IHTT)	Operating as normal.
Older People’s Mental Health Community Mental Health Teams	Open to referrals. Reduced face to face contact, replaced with phone contact where possible based on need and risk. Memory assessments stopped unless deemed clinically risky/urgent.
Younger People with dementia team	Still accepting referrals. Reduced face to face contact, replaced with phone contact where possible.
Dementia Liaison Mental Health Practitioners (DLMHPs)	Service still available. Moved into Community Mental Health Team function – reduced face to face contact replaced with phone contact where possible.
Care Homes service	Reduced face to face contact, replaced with phone contact / support where possible.

Specialist services: gambling, veterans, autism, ADHD, addictions, personality disorders etc.

Service	Status
Northern Gambling Service	Service continues to accept referrals. All consultations being provided remotely via videoconferencing.
Neurodevelopmental Leeds Autism Diagnostic Service (LADS) and Adult Attention Deficit Hyperactivity Disorder (ADHD)	We continue to accept some referrals for LADS and as of Monday 20 July 2020 the ADHD service is now in a position to accept new referrals again. Waiting list now in place, and telephone advice / support being provided.
Veterans	Continue to accept new referrals with telephone triage and follow up. All consultations are being provided remotely via videoconferencing. Face to face consultations being carried out based on clinical need.
Forward Leeds Addictions Services	All consultations being provided remotely via videoconferencing or telephone, unless service users attend at the Hubs in distress or prescribing is required (identified as high risk).
Personality Disorder Network	Face to face assessments and consultations being carried out based on clinical need and risk. Supported by videoconferencing.
Offender Personality Disorders service	Service reduced. All consultations being provided remotely via videoconferencing. Face to Face consultations only being carried out for severe cases.
PD Pathway Development Service	Service temporarily suspended from 3 April 2020.

Northern School of Child and Adolescent Psychotherapy (NSCAP)

Service

Status

Northern School of Child and Adolescent Psychotherapy clinical service

Clinical training sessions have restarted remotely.

All clinical & supervision face-to-face appointments have been suspended until further notice and patients have been offered telephone/ zoom appointments.