Local transformation plans

The transformation of children and young people’s mental health is led by local areas. This means professionals from across the NHS, public health, children’s care, education and youth justice working together with children, young people and their families to design and provide the best possible services.

To support this local leadership and accountability, NHS England asked Clinical Commissioning Groups (CCGs) to work with commissioners and providers across health, social care, education and youth justice and the voluntary sectors, to develop Local Transformation Plans for Children and Young People’s Mental Health (LTPs).

The LTPs were first published in 2015, with 123 plans covering the whole of England. They set out how local services will invest resources to improve children and young people’s mental health across the “whole system”. These plans are ‘living documents’ and CCGs are required to refresh and republish them on their websites every year.

Key elements to LTPs

Local areas decide the exact content and priority of each plan in collaboration with children, young people and their families as well as providers and commissioners. Key elements these should include are:

  1. Transparency: A declaration of current and planned investment based on the needs of  the local population and a requirement for providers to declare what services they already provide, including staff numbers, skills and roles, waiting times and access to information.
  2. Service transformation: A clear description of the existing services the local area offers and  the range and choice of improved support they aim to provide as part of the transformation. Plans to ensure collaborative practice with children, young people and families and involving schools; the use of evidence-based interventions; and regular feedback of outcome monitoring to children, young people and families in session and supervision.
  3. Monitoring improvement: Development of an action plan and key performance indicators to track improvement. Refreshed plans should report on progress on the previous year(s).

Understanding the plans

NHS England commissioned an analysis of the information provided in the first LTPs from 2015. This report includes a quantitative analysis at regional and national levels including referrals and expenditure, for the 2014-15 period and provides a baseline to measure progress against.

The analysis also included a thematic review. This summarises the information provided using six themes; participation, vulnerable groups, whole systems, outcomes, eating disorders, and prevention.

It provides a review of initiatives underway and an overview of different modes of practice under each theme.