Pathway Development Service – Yorkshire and Humberside

The Yorkshire and Humberside Pathway Development Service (PDS) provides a regional personality disorder service with the following key service objectives;
  • provides independent review of a person’s care and treatment needs at the point of contact with the PDS
  • whenever possible supports entry to secure services for individuals with personality disorder being prevented through the development of improved clinical practice and realistic alternatives, which may be hospital or community based
  • ensures that individuals who are admitted to secure services have a clear shared treatment plan, which includes a potential and realistic discharge pathway
  • supports the development of the skills and knowledge and interventions of community mental health teams in working with individuals with personality disorder which is then able to be integrated into individual clinical practice and frameworks of care.
Changes during COVID-19 pandemic

The service is open to referrals. Due to continued reduced capacity within the service, hospital and prison referrals received from NHS England case managers and CAMHS are currently being prioritised for our review and/or housing and resettlement interventions.

Face to face assessments and consultations are being carried out based on clinical need and risk, with others being carried out by videoconferencing or telephone.

What services are provided

The PDS has been commissioned by the Secure and Specialist Mental Health Commissioning Group as a Tier 4 Personality Disorder Service for people diagnosed with severe personality disorder.

Its core function is to work across the Yorkshire and Humber region to increase capacity and responsiveness for working with personality disorder, as well as to improve the pathways for individuals with personality disorder who are both within adult and younger people services. This includes identifying appropriate admission into specialist personality disorder units within low secure hospitals, as well as pathways that provide an alternative to such admissions, and the identification of appropriate pathways leading to timely discharge from such settings.

Specifically this involves providing;

  • reviews of care for individuals either at risk of escalating from acute hospital admission or prison into low secure hospital, or whose pathway from a low secure / specialist personality disorder hospital placement is blocked
  • reviews of women currently inpatient within specialist personality disorder medium secure hospital placements and whose pathway out of such services appears blocked
  • a re-review assessment providing an up to date view with regards to the progress of recommendations made within the initial review
  • consultation and advice to community based care coordinators as indicated by the review process
  • completion of a Housing and Resettlement report alongside either a review or re-review if indicated.
Housing and Resettlement Service

For more information on how the Housing Resettlement Service can provide support, please watch the following video:

More information

For more information you can download an easy read version of our information for service users and carers leaflet.

Get in touch

The PDS Team work across Yorkshire and Humberside with an administrative base at St Mary’s Hospital. The Service can be contacted on 0113 85 57950.

The fax number for this service is 0113 85 57953.

Service user involvement

We believe that people who use personality disorder services are ‘experts by experience’ and that your involvement is vital to improve services. We believe that involvement benefits service users and improves services.

For more information you can download an easy read version of our service user involvement leaflet.

All service users

All service users are invited to be involved in their own review process by meeting with a caseworker during and after the review.

Want to give feedback?

After your review you will have received a short survey – please complete this and send it back to us, or use the survey monkey link in your letter.  If you have not received a survey, please contact us at and we will send you a new survey.

You Said, We Did report 2019.

Leeds Personality Disorder Services involvement events
We try to hold an involvement conference every two years. This is an opportunity to share good practice, celebrate success and reflect on challenges from across the year. It also provides an opportunity to reflect on our strategy and vision for involvement. Conferences are co-produced and co-facilitated with service users.

Service users at Garrow House

The majority of women at Garrow House have first-hand experience of the Pathway Development Service. You might have had a review before coming to Garrow House, or a housing and resettlement assessment as part of your care planning during your admission.

The Pathway Development Service and Garrow House work together to involve service users in improving our services.  There are many ways to get involved:

The Garrow House service user involvement group
This group has agreed to act as a ‘reference group’ of service users for the Pathway Development Service. Our involvement lead will attend meetings to consult with the group about a range of issues, such as reviewing letters and leaflets, discussing proposed service changes, or developing service evaluations.

Service users are invited to be involved in interviewing new members of staff for the Pathway Development Service. Training can be provided for this role.

Clinical Governance
Clinical governance meetings make sure that our service is safe and effective. Service users are invited to attend Pathway Development Service clinical governance meetings, which take place every other month at our offices in Leeds.

The involvement steering group
This group oversees all service user involvement activity within the Pathway Development Service. This includes development and implementing our involvement action plan. We want to work closely with our service users to explore what works well and what areas need improvement.

The group meets every four months for 90 minutes at either Garrow House or the Pathway Development Service office in Leeds. The group is chaired by the involvement lead, and is attended by the clinical team manager, a caseworker, a housing worker service users.

Reimbursement for involvement
Service users will receive travel expenses for any Involvement related activity and a £20 voucher for support with interviews.

Contact information

If you have any questions or concerns, please contact:

Ruth Sutherland, Involvement Lead
Pathway Development Service
Unit 24, Sugar Mill Business Park
Oakhurst Avenue, Leeds LS11 7DF
Tel: 0113 8557950

Carers, Families, Friends and Supporters

Carers support

The Leeds Personality Disorder Managed Clinical Network offers support for those who care for someone with a personality disorder. A leaflet for families, friends, supporters and carers is available to download and information on the support available is also available on this page.

Andromeda Carers Support Group

This is a monthly peer support group that offers carers the opportunity to chat and share experiences with other carers, to get information and advice and to focus on your own wellbeing as a carer.

The group is run in partnership with Carers Leeds. Currently, due to the COVID pandemic, we have been running the group virtually using video call technology. We are hopeful that we will be able to resume face to face meetings later in the year. The group meets every third Wednesday in the month. If you would like to join in, please drop us an email at and we can send you an invite.

Our usual meeting place when we do have face to face meetings is at the Carers Leeds office, The Headrow, Leeds, LS1 6PT.

Visit our events pages to find out the dates of the next monthly carers support group or download a poster with details.

For more information about the monthly carers peer support group please contact Jannine Dowling on 0113 85 57950, Stephen Taylor (Carers Leeds) on 0113 380 4300 or email

Cygnus Carers Support Course (six-week course, plus pre-course introduction session)

This is a six-week learning course that runs weekly and provides advice and support on a variety of topics for carers who support someone with a personality disorder including:

  • what does the diagnosis ‘personality disorder’ mean?
  • what can be helpful for people who have difficulties associated with a personality disorder?
  • ways of offering support to someone who experiences difficulties associated with a personality disorder
  • We recommend you attend all six sessions to get the most out your course. Visit our events pages to find out the dates of the next carers support course or download a poster with details.
  • For more information about the six-week carers support course or to book your place please contact Jannine Dowling on 0113 85 57950 or email

Watch this video for more information on the course:

More information on support available for carers is available on our Carers page.



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