- SERVICE PROVIDER
Humber Teaching NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
Assessment report published 4 November 2026
Contents
Ratings - Community-based mental health services for adults of working age
Our view of the service
We inspected the trust’s community-based mental health services for adults of working age on 17, 18, and 19 March 2026. To explore our findings further we revisited Hull Community Mental Health Team on 31 March 2026. The community-based mental health services for adults of working age form part of the trust’s mental health services in the community. This inspection was completed as part of CQC's Adult Community Mental Health Programme. We also inspected mental health crisis services and health-based places of safety as part of the programme. The programme of inspections contributes to CQC's commitment to inspect the standard of care in community mental health services across the country. We undertook a short notice announced, comprehensive inspection of this service, looking at all 5 key questions to assess if services are safe, effective, caring, responsive and well-led.
Humber Teaching NHS Foundation Trust is part of the Humber and North Yorkshire Integrated Care System (ICS). The population of the Humber and North Yorkshire ICS area is over 1.8 million, with a population that has a higher proportion of white people when compared to the national average. There are 6 local authorities within the ICS area, with the trust covering 2 local authorities, East Riding of Yorkshire and Hull City Council. Hull City Council is one of the most deprived local authorities, ranked 6 out of 153 nationally; deprivation is linked with poorer health outcomes. It has higher emergency admissions for intentional self-harm in males and females than the national average.
The trust’s community-based mental health services for adults of working age are spread across 8 teams:
- Beverley Community Mental Health Team (CMHT)
- Bridlington and Driffield CMHT
- Goole CMHT
- Haltemprice CMHT
- Holderness CMHT
- Hull CMHT
- Psychosis Service for People in Hull and East Riding (PSYPHER), early intervention in psychosis team
- Mental Health Triage and Assessment Team (MHTAT)
The PSYPHER team provide support to individuals aged 14 to 35 who are either experiencing their first episode of psychosis or are considered at risk of developing psychosis. The MHTAT team provide routine mental health triage and assessment to people living in Hull and East Riding of Yorkshire who are registered with a GP in the area. The service is for 18 to 64 year olds and runs 7 days a week.
At our last inspection, in February 2018, we rated the service as good overall. We rated effective, caring, responsive and well-led as good and safe as requires improvement. There was 1 breach of regulation in relation to mandatory training compliance. At this inspection the rating changed to requires improvement. We rated safe, effective, responsive and well-led as requires improvement. We rated caring as good. The service was no longer in breach of regulations in relation to mandatory training compliance. However, we found 6 breaches of regulation relating to:
- responding to and mitigating risks to people waiting for care and treatment
- assessing risks to people using services, including completion of risk assessments and mental health assessments.
- deployment of sufficient staff
- medicines management
- providing timely care and treatment
- effective governance including systems and processes to maintain oversight of people waiting for treatment or intervention and of people’s physical health
We have asked the provider for an action plan in response to the concerns found at this inspection.
In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
People's experience of this service
During our inspection we spoke to 24 people who used services and 3 carers. Feedback from people and carers was universally positive about staff attitude and behaviours. They consistently described staff as kind, respectful, supportive and attentive. They told us they felt listened to and understood and were treated with dignity. Carers told us they were included and actively involved in their loved ones care and treatment, where appropriate.
People told us staff adapted their care and treatment based on their individual preferences and circumstances. They gave examples of staff offering flexible appointments in different formats such as virtual or face to face. People and carers told us they felt confident to raise concerns.
People said that staff helped them to feel safe and supported them to manage risks. They described staff seeing them regularly and working with them to put safety plans in place.
However, people also raised some concerns that reflected the elements of care we found during our inspection that did not meet the expected standards. One person told us they had not received physical health monitoring despite being on a lot of medicines, and another told us they had not yet had blood tests though they were on depot medicine. Two people told us they had not had regular medicines reviews with a doctor, with 1 telling us they had stopped their medicines as they had experienced issues but had not been able to get a medicines review or access appropriate support. Another person reported they had been waiting for 2 years for treatment following transition from child and adolescent mental health services to the adult community mental health team. Some people told us they had difficulties accessing support out of hours.
Feedback given to the CQC Community Mental Health Survey 2025 showed in comparison to other trusts, Humber Teaching NHS Foundation Trust scored about the same for 30 questions, ‘somewhat worse than expected’ for 2 questions, and ‘worse than expected’ for 1 question. The score for being offered support whilst waiting between assessment and first appointment or treatment was worse than expected. The scores for being given enough time to discuss treatment and being given help or advice with finding support to join a group were somewhat worse than expected.