We know that being supported closer to home, family, friends and staff who know you, with a range of different community services and shorter lengths of stay improves the outcomes and experiences for people using specialised services. We also know that due to the way our current systems are set up, people who use specialised mental health, learning disability and autism services are too often cared for away from their home and community, and experience fragmented care in restrictive settings and may stay in hospital longer than they need to clinically.
Since April 2017 the New Care Models (NCM) pilots have been empowering local systems to work together through Provider Collaboratives, with a view to reducing the number of people who are cared for out of area and creating the services their population need through local re-investment. This has enabled providers to better address health inequalities and tailor services to local needs. Where savings have been generated by reducing admissions and length of stay, providers have invested these in local services and packages of care. This in turn has reduced the need for out of area placements and improved experience and outcomes for people and their families.
Six NCM sites in the first wave of the programme went live in April 2017 and as at July 2019, nine wave two sites were live, giving a total of 15. Outcomes from the NCM pilots include:
- Over 550 repatriations
- Out of area placements reduced by 20% in 17/18 and by a further 20% in 18/19
- Over £30 million savings for investment in new services.
New Care Models sites
CAMHs Tier 4
- North East and North Yorkshire (North region) | Lead Provider: Tees, Esk and Wear Valley FT.
- West London (London region) | Lead Provider: West London NHS Trust | Partner: Central & North West London FT.
- South London Partnership (London region) | Lead provider: Oxleas FT | Partners: South London and Maudsley FT; SW London and St George’s NHS Trust.
- South West (South region) | Lead provider: Devon Partnership NHS Trust | Partners: Avon and Wiltshire FT; Cornwall FT; 2gether FT; Cygnet; Elysium; Livewell; Somerset Partnership FT.
- Thames Valley and Wessex (South region) | Lead provider: Oxford Health FT | Partners: Berkshire FT; Dorset FT; Central and North West London FT; Solent NHS Trust; Southern Health FT; Isle of Wight NHS Trust; Response.
- West Midlands (Midlands and East region) | Lead provider: Birmingham and Solihull FT | Partners: South Staffordshire & Shropshire Healthcare FT; St Andrews.
Wave 2 sites
CAMHS Tier 4
- Northumberland, Tyne and Wear (North region) | Lead provider: Northumberland, Tyne & Wear FT.
- Hertfordshire Partnership (Midlands and East region) | Lead provider: Hertfordshire Partnership University Foundation Trust.
- South London Partnership (London region) | Lead provider: South London & Maudsley FT | Partners: Oxleas FT and South West London & St Georges Mental Health NHS Trust.
- West Yorkshire (North region) Lead provider: Leeds Community Healthcare NHS Trust Partners: Bradford District Care FT; Leeds and York Partnership FT and South West Yorkshire Partnership FT.
- North East and Cumbria (North region) | Lead provider: Tees, Esk and Wear Valleys FT | Partner: Northumberland, Tyne and Wear FT.
- North London (London region). Lead provider: Central and North West London; NELFT; East London and West London Mental Health.
- Kent, Surrey and Sussex (South region) | Lead provider: Sussex Partnership FT | Partners: Kent & Medway Partnership Trust and Surrey & Borders Partnership FT.
- The Prospect Partnership (North region) | Lead provider: Mersey Care FT | Partners: Cheshire and Wirral Partnership FT; NW Boroughs FT; Elysium Health Care and Cygnet Health Care
Adult Eating Disorder
- West Yorkshire. Lead Provider: Leeds and York Partnership FT. Partners: Bradford District Care FT and South West Yorkshire Partnership FT.
Read the following blogs and case study to find out how New Care Models pilot sites are helping to transform specialised mental health services:
- CONNECT: The West Yorkshire and Harrogate Adult Eating Disorders Service. Mental health trusts work in partnership to support people affected by eating disorders
- South West Regional Secure Service: Bringing specialist mental health services closer to home
- South London Partnership, Child and Adolescent Mental Health (CAMHS) programme: Transforming child and adolescent mental health services
- South London Mental Health and Community Partnership: Transforming services for forensic patients
- South West Regional Secure Service: Award-winning partnership transforming specialist mental health services
- Reach Out partnership: Peer Support Workers use lived experience to support mental health service users’ recovery in the community.