This service aims to treat depression that has not improved with previous help. We use a combined approach from psychiatrists and psychotherapists. This is the most helpful way to improve someone's mood. We will work with other mental health problems if depression is the main focus. Individuals accessing the service need to be open to specialist mental health services and a local mental health team.
Contact the duty service at your community mental health team or crisis team.
Outside of office hours please contact your GP service, NHS 111, or in an emergency attend your local Accident and Emergency (A&E) department.
Once a person has been accepted for an assessment/ consultation process, they will usually be offered a series of appointments; initially jointly and then individually, with an accredited cognitive behavioural psychotherapist and a psychiatrist. At the conclusion of the assessment there will be a joint meeting to agree formulation and diagnosis; and to confirm whether any treatment will be offered. Owing to limited capacity within the NSDS, it may at times, be necessary to defer any offered treatment but this will be communicated to the referring team.
The referring team will receive communication from the NSDS throughout any assessment and subsequent treatment periods (and progress notes will be available through Rio). As above, it will remain essential throughout all involvement with the NSDS that the person is kept open to the referring team with an agreement to routine care, when necessary, at the end of treatment.
These referrals may be sent directly to the consultant psychiatrist, (Dr Nixon) and may be for direct advice to the referrer, to offer a one-off consultation or a series of consultation’s, following which they will be passed back to the referrer.
These referrals do not need to follow the same criteria as those being referred into treatment. Referrals will therefore be considered from any team within the trust.
If, following the consultation period it is felt by the consultant psychiatrist and referrer that collaborative treatment (including psychiatry and CBT) under NSDS might be beneficial, then this would require further discussion and agreement at the Team referral meeting with reference to the general referral criteria specified above.
The NSDS offers out-of-area assessment and treatment where there is local secondary care support and funding agreement with the local CCG. Any referrals received will be expected to meet the same criteria as those for local referral and acceptance will need to be agreed through the NSDS Team.
If you have any queries regarding the Nottingham Specialist Depression Service or referral pathway, please contact firstname.lastname@example.org.
Clinical Lead, Kathryn Reeveley-King
Consultant Psychiatrist, Dr Neil Nixon
St Ann’s House
114 Thorneywood Mount