Service changes and visiting during the COVID-19 pandemic

During this COVID-19 pandemic there may be changes in the way some of our services work. Contact the service directly to check how services are being delivered and follow their advice.

Some of our services now offer video consultations. You should speak to your clinician if this is something you would like them to consider. You can find out more about video consultation here.



Contact the ward you wish to visit in advance for guidance and instructions for a safe visit.

You can read some general  NHS guidance on visiting healthcare inpatient settings.pdf [pdf] 89KB

If you need help in a mental health crisis during the COVID-19 pandemic outside office hours please contact our crisis team: Help in a crisis

For other medical advice and support contact your GP or visit NHS 111

Only visit your local Emergency Department for serious life-threatening conditions that need immediate medical attention including persistent severe chest pain, loss of consciousness, acute confused state, severe breathlessness, severe blood loss, serious burns or suspected stroke.

Step 4 Psychology Service

This service offers psychological assessment and treatment (individual and groups) to adults with complex psychological/mental health difficulties.

Our service is for those aged 16 years and over and registered with a GP. The team provide psychological therapy for people who have mental health/psychological difficulties of a chronicity and complexity that are unsuitable for intervention with a lower step of care.

The service is provided in the City and County (contact details for each service below).


Accessing our services

We accept referrals that are made through healthcare professionals.

Service opening hours

9.00am – 5.00pm Monday to Friday (County Service).

8.30am – 5.00pm (City Service)

Contact and find us

County Service

74 Portland Street
Kirkby in Ashfield
NG17 7AG

Tel: 0115 956 0877


City Service

St Ann's House
114 Thorneywood Mount

Tel: 0115 844 0526
Fax: 0115 844 0530

Information for health professionals

For referrals please contact the team directly.


Lead Clinician

County: Alison Smith, Consultant Clinical Psychologist / Lead Psychologist for Adult Mental Health

Helen Booth, Principal Clinical Psychologist



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