Testing New Care Models in tertiary mental health services

In recent years, there has been an increase in the number of young people and adults being sent for mental health care in inpatient services many miles from their homes. This practice can make visiting very difficult for local clinicians and for friends and family, can affect a person’s recovery and lead to increased lengths of stay. This has also increased expenditure, which means there is less funding available to invest in wider mental health services.

NHS England is leading a new programme which aims to put local clinicians and managers in charge of both managing tertiary budgets and providing high-quality secondary care services. This will provide the incentive and responsibility to put in place new approaches which will strengthen care pathways to:

  • improve access to community support,
  • prevent avoidable admissions,
  • reduce the length of in-patient stays,
  • and eliminate inappropriate out of area placements.

A call for applications was sent on 31 May to the chief executive of each NHS-funded provider of secondary mental health services. The below providers have been selected to proceed with this trial approach from Summer 2016/17.

Adult Medium and Low Secure Services:

  • West Midlands: Birmingham and Solihull FT (with South Staffs and Shropshire FT and St Andrew’s)
  • Oxford and Thames Valley: Oxford Health FT (with Berkshire FT, Dorset FT, CNWL, Solent NHS Trust, Southern Health NHS Trust)
  • South London Partnership (South London and Maudsley FT, Oxleas FT, South West London and St Georges NHS Trust)
  • South West: Devon Partnership NHS Trust (with Avon and Wiltshire FT, Cornwall FT, Dorset FT, 2gether FT, Somerset Partnership FT, Cygnet, Partnerships in Care, Livewell)

Children and Adolescent Mental Health Services (Tier 4):

  • West London West London NHS Trust (with Central and North West London FT, Priory and Like Minded)
  • North East and North Yorkshire: Tees, Esk and Wear Valley FT