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Archive - past consultations

Public consultation on proposals to redesign specialist mental health services for adults and older people


Started: 06 March 2018                   Closed: 29 May 2018

Consultation Findings


The findings of the 12-week public consultation on the proposals to redesign specialist mental health services for adults and older people were published on Monday, 10 September.


The findings of a survey forming part of the consultation were analysed independently by the University of Chester while feedback from the seven public meetings, 26 community events and numerous items of correspondence was analysed independently by NHS Midlands and Lancashire Commissioning Support Unit.


The findings of the consultation survey can be read in the following documentation.


Background to Consultation


There are approximately 7,000 adults and older people from a population of 480,000 across Eastern Cheshire, South Cheshire and Vale Royal, who receive care and support from specialist mental health services.  Of these, around 95 per cent receive their care in the community. 

Local NHS partners proposed a redesign of these services for a number of reasons. User and carer feedback, along with audit recommendations and inspections, told us that some things in these services worked well but that other things needed to change for the better. 


Through the proposed redesign, we wanted to: 


  • provide new services so that there is better access for people to help keep them well and active in the community

  • provide much greater choice of services for those in, or at risk of, crisis

  • support people with dementia and those who care for them to stay in their own surroundings.


Service users and their carers told us they “deserve to thrive, not just survive”, that they want responsive community services available 24/7 and they do not want to be admitted to hospital unless it is absolutely necessary.


For these reasons, we developed a set of proposals that put early intervention and prevention at the heart of adult and older people’s specialist mental health services and, if introduced, will provide:

  • an improved community mental health service that helps people get better more quickly and prevents hospital admissions

  • a 24-hour crisis support service for people who are acutely unwell

  • a dementia outreach service that visits people in their own homes


  • an improved experience for people who need hospital care.

Now the consultation has ended, the following things will happen.

29 June 2018: University of Chester completes independent analysis of consultation findings.

July/August 2018: NHS partners report consultation findings to Cheshire East Council's health, adult social care and communities overview and scrutiny committee

September 2018: NHS partners write decision-making business case for proposed care model

November 2018: NHS partners take full business case to governing bodies for approval

December 2018 - March 2019: Chosen care model is mobilised

April - September 2019: Chosen care model is implemented.

This webpage will keep you updated as the consultation findings are considered.

Supporting Documentation

Consultation document

Easy-read version of the consultation document

Frequently-asked questions

Consultation poster for public display

Communications and Engagement Strategy

Pre-consultation business case (published 22 November 2017)

Travel Analysis

Needs Analysis and Workforce Model

Financial Appraisal

Options Appraisal process

Crisis care: evidence and best practice

Equality Impact Assessment: Option 1

Equality Impact Assessment: Option 2

Equality Impact Assessment: Option 3

Example of evaluation form used by volunteer members of the public to assess the effectiveness of the public meetings

Evaluation of consultation process by Healthwatch Cheshire

End-of-Consultation Review - Lessons Learned Report

Click the links below to read answers to questions asked at our public events:

Comments and Ideas


New Care Model and Crisis Care



Travel distances and facilities

Watch our animation describing the case for change, proposed care model and three consultation options:

Watch this brief video in which Dr Anushta Sivananthan, consultant psychiatrist at Cheshire and Wirral Partnership NHS Foundation Trust, explains why it's important for people to #JoinTheConversation:

Watch our 30-second video in which Dr Paul Bowen, our clinical chair, urges people to #JoinTheConversation:

Additional period of consultation: Proposed relocation of inpatient services for complex rehabilitation patients from Lime Walk House (Macclesfield) to Bowmere Hospital (Chester) rather than the proposed destination of Soss Moss, Nether Alderley


This consultation has now closed. Click here for the findings and outcome.

This consultation follows the three-month consultation on the redesign of adults' and older people’s specialist mental health services in Eastern Cheshire, South Cheshire and Vale Royal. It includes the areas that were not covered as part of the original consultation process, which have arisen as a result of an amended option being put forward that responds to public feedback.

The outcome of that consultation and the decision-making process can be viewed here. Option 2 Plus was selected by the CCG governing bodies as their preferred option to move forwards to implementation. Click here to view a helpful summary of Option 2 Plus compared to existing services.

Option 2 Plus means that the Lime Walk rehabilitation and assessment ward in Macclesfield would relocate to Bowmere Hospital in Chester. As this is a change from the original proposed destination for the rehabilitation and assessment ward, which was to move to Soss Moss (Nether Alderley) a further consultation period took place with people who access Lime Walk House, their families and other interested parties, in order to hear further their views on the change.

All patients and carers currently using the services at Lime Walk House  received direct communication about this service change and were provided with opportunities to meet with local clinicians, together with an advocate if they wished.


The CCGs are now consider feedback and whether subsequent amendments are required prior to the implementation of Option 2 Plus.

An update will be posted to this website.

Closed Consultations                                             

Date Closed      

Minor Ailments Scheme in Eastern Cheshire  10th March 2014
Cheshire & Merseyside Commissioning Policy Review 7th April 2014
End of Life Care Plan in Eastern Cheshire  18th April 2014