Testing New Care Models in tertiary mental health services

Bringing patients closer to home helps people to maintain a better connection with their families and friends, and improve how they interact with local services. This programme aims to reduce length of stay and the number of out-of-area placements in a number of specialised mental health services. It also aims to reduce expenditure, by delegating responsibility of the budget for inpatient services to local providers. Pilots in this programme:

  • Use a multi-disciplinary team approach, with providers taking ownership of their patient population
  • Develop a wide range of therapeutic interventions across a whole pathway
  • Focus on recovery through accommodation, community activities, social networks and employment advice
  • Work proactively with the criminal justice system, local authorities and secondary care providers
  • Expand both liaison support and community follow-up provision
  • Develop local capacity and capability to manage all types of patients

Programme progress – September 2017

The total budget of the programme across two waves is approximately £650m. All selected sites focus on admission avoidance, shorter lengths of stay and repatriating hundreds of patients from out of area placements. The first wave of the programme went live April 2017. The wave two sites are launching gradually from October 2017.

Wave 1 sites – Live on 1 April 2017

Service NCM Site Lead Provider Partners
Adult Secure South London Partnership (London region) Oxleas FT South London and Maudsley FT; SW London and St George’s NHS Trust
South West (South region) Devon Partnership NHS Trust Avon and Wiltshire FT; Cornwall FT; 2gether FT; Cygnet; Elysium; Livewell; Somerset Partnership FT
Thames Valley and Wessex (South region) Oxford Health FT 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) Birmingham and Solihull FT South Staffordshire & Shropshire Healthcare FT; St Andrews

 

CAMHs Tier 4 North East and North Yorkshire (North region) Tees, Esk and Wear Valley FT
West London (London region) West London NHS Trust Central & North West London FT

Wave 2 sites

Scheduled live dates – from October 2017

Service NCM Site Lead Provider Partners
CAMHS Tier 4 Kent, Surrey and Sussex (South Region) Surrey & Borders Partnerships FT Sussex Partnership FT; Cygnet Health Care; Elysium Healthcare; The Huntercombe Group; Priory Healthcare and Partnerships in Care
North East and Cumbria (North region) Northumberland, Tyne & Wear FT
West Yorkshire (North region) Leeds Community Healthcare NHS Trust Bradford District Care FT; Leeds and York Partnership FT and South West Yorkshire Partnership FT
Hertfordshire Partnership (Midlands and East region) Hertfordshire Partnership University Foundation Trust
South London Partnership (London region) South London & Maudsley FT Oxleas FT and South West London & St Georges Mental Health NHS Trust
Adult Secure The Prospect Partnership (North region) Mersey Care FT Cheshire and Wirral Partnership FT; NW Boroughs FT; Elysium Health Care and Cygnet Health Care
North East and Cumbria (North region) Tees, Esk and Wear Valleys FT Northumberland, Tyne and Wear FT
Adult ED West Yorkshire (North region) Leeds and York Partnership FT Bradford District Care FT and South West Yorkshire Partnership FT

Scheduled live date – April 2018

Adult Secure North London Partnership (London region) Barnet, Enfield and Haringey NHS Trust Central and North West London; NELFT; East London and West London Mental Health
Kent, Surrey and Sussex (South region) Sussex Partnership FT Kent & Medway Partnership Trust and Surrey & Borders Partnership FT
Adult ED Thames Valley and Wessex (South region) Oxford Health FT Avon & Wiltshire FT; Berkshire Healthcare FT; Surrey & Borders Partnership FT; Southern Health FT and 2gether FT; Priory/Partnerships in Care

An independent evaluation is being commissioned and is planned to start in late 2017.