NHS-led Provider Collaboratives: specialised mental health, learning disability and autism services

The introduction of NHS-led Provider Collaboratives creates a shift in the approach to commissioning specialised mental health, learning disability and autism services. Our collective focus will be on the health of local populations, understood through outcomes, experience and the delivery of transformation in pathways of care. Our ambition through NHS-led Provider Collaboratives is to ensure that people with specialised mental health, learning disability and autism needs experience high quality, specialist care, as close to home as appropriately possible, which is connected with local teams and support networks. Provider Collaboratives are seeking to enable specialist care to be provided in the community to prevent people being in hospital if they don’t need to be and to enable people to leave hospital when they are ready.

NHS-Led Provider Collaboratives mark a new era for specialised mental health, learning disability and autism services. Building on the success of New Care Models for tertiary mental health services, NHS-Led Provider Collaboratives will drive improvements in patient outcomes and experience. NHS-Led Provider Collaboratives will also bring much needed focus on tackling inequalities for their local population and increasing the voice of lived experience in improving the quality of care provided.

Watch this short animation, also available as an easy read version, to find out more about NHS-led Provider Collaboratives.

Fast track Provider Collaboratives now live

As detailed in the NHS Mental Health Implementation Plan, on 1 October 2020 the first Provider Collaboratives went live in the following areas:

Children and Young People Mental Health inpatient services (CYPMHS)

Adult Low and Medium Secure

Adult Eating Disorders

See here for a list of live Provider Collaboratives across the country

Background to Provider Collaboratives

As detailed in the NHS Mental Health Implementation Plan, an NHS-led Provider Collaborative is a group of providers of specialised mental health, learning disability and autism services who have agreed to work together to improve the care pathway for their local population. They will do this by taking responsibility for the budget and pathway for their given population. The Collaborative will be led by a Lead Provider, who will be an NHS Provider. The Lead Provider remains accountable to NHSE/I for the commissioning of high-quality specialised services.

To begin with, Provider Collaboratives will deliver:

  • Children and Young People Mental Health inpatient services (CYPMHS)
  • Adult Low and Medium Secure Services
  • Adult Eating Disorder Services.

NHS-led Provider Collaboratives will include providers from a range of backgrounds, including the voluntary sector, other NHS trusts and independent sector providers. Provider Collaboratives will work closely with established partnerships called Integrated Care Systems, which include NHS organisations, local councils and others, to support improved commissioning of services for people within the same population footprint. They will also work alongside service users, carers and families.

There are key principles which underpin the Provider Collaborative model:

  • Collaboration between Providers and across local systems
  • Experts by Experience and clinicians leading improvements in care pathways
  • Managing resources across the collaborative to invest in community alternatives and reduce inappropriate admissions/care away from home
  • Working with local stakeholders
  • Improvements in quality, patient experience and outcomes driving change
  • Advancing equality for the local population

We want systems to plan for NHS-led Provider Collaboratives to become the vehicle for delivering all appropriate specialised mental health, learning disability and autism services over the next five years. Systems will align with service reviews in adult secure and CYPMHS specialised services, fulfil the NHS Long Term Plan inpatient ambitions for people with learning disabilities and autism, and roll out specialist community forensic teams.

Scope

The following services are part of this selection process:

  1. Adult Secure: Adult Low and Medium Secure Mental Illness, Personality Disorder, Learning Disability (LD) and Autism Services
  2. CYPMHS: General Adolescent and General Adolescent LD Services, Psychiatric Intensive Care Units (PICU), Specialist CYPMHS Eating Disorders Units, CYPMHS Low Secure and CYPMHS Low Secure LD and Autism Services
  3. Adult Eating Disorders: Specialist inpatient services and associated teams (e.g. day services, outreach).

The following services not included in this process are likely to be part of Phase Two, which will be subject to further provider selection processes from 2021:

  1. Adult Secure: Adult Low and Medium Secure Acquired Brain Injury and Deaf Services, Women’s Enhanced Medium Secure Services, High Secure Services
  2. CYPMHS: Children’s (Under 13s), CYPMHS Medium Secure and CYPMHS Medium Secure LD Services, Deaf CYPMHS, Forensic CYPMHS
  3. Specialist Services: Obsessive Compulsive Disorder and Body Dysmorphic Disorder Services, Tier 4 Personality Disorder Services, Non-secure (Acute) Deaf Services
  4. Perinatal: Specialist inpatient services and associated teams (e.g. outreach).

Case Studies

Read the following blogs and case study to find out how Provider Collaboratives are helping to transform specialised mental health services: