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Redesign of Adult and Older Peoples Specialist Mental Health Services

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 approximately 350 people per year require an inpatient stay at the Millbrook Unit in Macclesfield meaning that 95 per cent of care is already provided in the community. 


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


Through the proposed redesign we want 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 have 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 have developed a set of proposals that puts 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.


Supporting Documentation to the Consultation

Alongside the main consultation document there are a number of supporting documents that people can read for further information about the case for change and proposals for the redesign for adult and older people's specialist mental health services.


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


Please click on the links below or click on the downloads to the right

Please email or call 0808 169 1189 if you require this information in another language or an alternative format such as large print, braille or audio