Services are currently based on the four Health Board localities. Adult and older persons mental health services are provided through CMHTs in each locality. Other specialities are provided across combined localities: Taff Ely and Rhondda Valleys, and Cynon Valley and Merthyr Tydfil.

A Crisis Resolution Home Treatment Team is based at each general hospital to manage inpatient admissions and to offer alternatives to admission wherever possible. The CRHTs operate 24 hours a day throughout the year and provide acute crisis assessment services and short term home based nursing and medical support. The Home Treatment Teams also work with adult impatient wards to support early discharge and have been successful in reducing admissions and lengths of stay. The Acute Assessment Ward works very closely with both CRHTs.

The ECT Suite and inpatient beds(both acute and PICU) are based at the Mental Health Unit, Royal Glamorgan Hospital. In addition there are dementia assessment beds and functionally ill elderly beds at both hospitals.

There are Community Mental Health Teams in Merthyr Tydfil, Cynon Valley, Rhondda and Taff Ely.

New medical staff coming to us will join a healthy establishment, with a mix of Consultants and junior grades. There is a truly supportive feel in the Directorate, so that colleagues can gain further experience and knowledge within a secure atmosphere of collaboration.

Multi-disciplinary working is of course vitally important in Mental Health and we work closely with all appropriate colleagues, nurses, community colleagues, psychologists and of course social work and other professionals from the Local Authorities and the third sector.

There are opportunities for development in education, quality improvement and R&D is well supported via the governance system within the Directorate. The Directorate has a monthly Clinical Governance Forum, and all Consultants are supported in attending via time in their job plans.

The Directorate happily embraces change and views it as a real positive. We are at present making strides in our Valley Life project, which is developing a new model for people with dementia. We also ensure that we stay engaged and active within any new developments made by the Health Board that involve us, our staff and patients and our premises.