Q. How can my professional area find out more about what the Wellbeing service offers in Norfolk & Waveney and Suffolk?

If you are a GP or work in a primary care setting you will have a ‘named clinician’, otherwise known as a Wellbeing Advisor, attached to your practice who will see people in your practice if you have space available, or who will make be available to you to discuss referrals or queries.

We are also happy to come to meetings to share information about our service to staff working in any professional area. If staff work out of a range of settings, we can set up an online workshop or webinar session to tell you more about the service and answer any questions.

If you want to arrange a meeting email contact your local team:

Norfolk & Waveney
email: admin@wellbeingnandw.co.uk
telephone: 01603 421504

email: WellbeingSuffolk@nsft.nhs.uk
telephone: 0300 123 1781

Q. Will the service work with people who are currently drinking too much alcohol or taking non-prescribed drugs?

We recognise that often drinking too much alcohol or using non-prescription drugs can be a way of coping when life feels overwhelming or as a way of coping with stress, anxiety and depression. As long as people do not come to our service under the influence of alcohol or drugs, and can focus well enough to benefit from our help, we are very happy to work to help people develop alternative ways to cope. This includes helping people who may also be accessing support for their use of alcohol or non-prescription drugs.

If necessary, of course, we can support a referral to your local recovery services:
Norfolk Recovery Partnership
Suffolk Recovery Network

Q. What if I make a referral and they are already getting help from mental health services and I didn’t know?

We have access to information at referral about whether someone is currently open to our Wellbeing service or has had previous contact with us. We also will check whether they are open to another mental health team or if they have previously been open to another team. This can help us ensure that we offer the most suitable service and avoid confusion.

Q. I heard that this service is to help people who have a Cluster 1-4 need. What does this mean? What are care clusters 1-4?

A care cluster is a grouping of patients with similar clinical needs. The Wellbeing service works with people within Clusters 1-4 – a wider range than previously supported by pre-existing services.

  • Clusters 1-4 cover non-psychotic diagnoses of common mental health concerns and include a range of diagnostic categories, such as depression, anxiety, phobic anxieties, obsessive-compulsive disorder, and some neurotic disorders (excluding those with significant fixed overvalued ideas)
  • Within that, Clusters 1-3 are typically short-term disorders that are unlikely to cause significant disruption to a patient’s ability to live their life
  • Patients in Cluster 4 are unlikely to improve without treatment and may experience significant disruption in every day functioning, and may deteriorate over a longer period

In more detail:

Cluster 1 – This group has definite but minor problems of depressed mood, anxiety or other disorder, with no distressing psychotic symptoms.

Cluster 2 – As Cluster 1, but may have already received associated care and now require more specific interventions. Alternatively they have been successfully treated at a higher level but are re-presenting with low-level symptoms.

Cluster 3 – Moderate problems involving depressed mood, anxiety or other disorder (not including psychosis).

Cluster 4 – This group is characterised by severe depression, anxiety or other increasing complexity of needs. They may experience disruption to function in everyday life and there is an increasing likelihood of significant risks.