Local transformation plans

The transformation of children and young people’s mental health is led locally. This means local 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 for their locality.

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).

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 local areas are asked to refresh, and CCGs to republish them, on CCG 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. The LTP should be referenced in and align to the relevant Sustainability and Transformation plan (STP) in which local NHS organisations and councils have come together and drawn up proposals to improve health and care in the areas they serve.

Plans should:

  • ensure 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.
  • demonstrate 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, including, where appropriate, implementation of Mental Health Support Teams and waiting time pilots. 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.
  • monitor improvement – development of an action plan and key performance indicators to track improvement. Refreshed plans provide the opportunity for CCGs to engage with other local commissioners, including schools and colleges, providers and children and young people to report on progress on the previous year(s) andto re-affirm their commitment and local engagement to deliver existing plans and prepare for future years.