Secondary Care Services

This service is responsible for all in-patient hospital facilities that deal with those over the age of 65 and provides a range of specialist services for Elderly Mental Illness (EMI) and Functional Mental Illness (FMI) within the Trust.

 

Secondary Care Services can be broken down into 5 broad categories:


 

 

Specialist Hospital Care for Older People

Within specialist hospital care for older people, there are over 126 beds located within the Trust’s northern and southern geographical areas, concentrated around 3 hospital sites, namely Altnagelvin Hospital in Londonderry, Tyrone & Fermanagh Hospital in Omagh and the South West Acute Hospital in Enniskillen. In addition, there are a number of independently contracted beds with the North-West Independent Hospital at Ballykelly.

        

Within specialist hospital care for older people, there are over 126 beds located within the Trust’s northern and southern geographical areas, concentrated around 3 hospital sites, namely Altnagelvin Hospital in Londonderry, Tyrone & Fermanagh Hospital in Omagh and the South West Acute Hospital in Enniskillen. In addition, there are a number of independently contracted beds with the North-West Independent Hospital at Ballykelly.

     

The Trust has embarked on a significant reform and modernisation of specialist hospital care for older people and sees this as a major area for re-design over the next 12 months.

     

    

Rehabilitation Hospital Care

Rehabilitation hospital care services will play a key role in the delivery of older people’s services in the future. These services are currently delivered in 4 hospital sites, namely Altnagelvin and Waterside Hospitals in Londonderry, Tyrone & Fermanagh Hospital in Omagh and the Erne Hospital in Enniskillen. There are over 118 beds used to provide these services.

 

    

Older People's Mental Health Inpatient Services

In the northern sector of the Trust there are three inpatient facilities.

Ward 1 Waterside Hospital.

Ward 1 is an assessment and rehab ward for people with dementia. There are currently 9 beds.

Ward 3 Waterside Hospital.

Ward 3 is a ward for older people with functional mental health issues. It is a 9 bedded unit p catering for clients over 65 suffering from an acute mental illness.

Slievemore Nursing Unit, Shantallow, L’Derry.

Slievemore Nursing Unit is a specialised unit for dementia patients with challenging behaviour. The unit is composed of an 18 bed facility.

In the southern sector of the Trust there are three inpatient facilities all based in the Tyrone &Fermanagh Hospital, Omagh.

Oak A.

Oak A is a ward for older people with functional mental health. It is a 10 bedded unit catering forclients over 65 suffering from an acute mental illness.

Oak B.

Oak B is a 10 bedded unit for assessment and rehab for people with dementia.

Ash.

Ash ward is a 20 bedded ward catering for dementia clients with challenging behaviour.

 

 

Community Mental Health Teams for Older People                                                                                            

The Community Mental Health Teams (CMHTs) for older people are a secondary specialist service that provide assessment, treatment, therapeutic interventions, care management and ongoing support to people over 65 who have a diagnosis of a functional mental health illness or complex dementia with associated challenging behaviour. The teams also provide specialist assessment and support to persons under 65 years presenting with cognitive impairment/dementia. 

The WHSCT have 4 geographically focused and fully integrated CMHTs for older people,
West Tyrone, Fermanagh, Strabane/Cityside and Limavady/Waterside.

The CMHTs include psychiatry, psychology, nursing, occupational therapy and social work.

    

Hospital Discharge

The hospital discharge service is co-ordinated through multi-disciplinary teams located in the northern and southern localities of the Trust. Membership includes staff from both Acute and Primary & Community Care services. Following the appointment of a Trust-wide service manager, this service will be re-visited to ensure that it interfaces fully with the on-going development and provision of intermediate and primary care services.