About Provider Collaboratives
In West Yorkshire our specialist Mental Health, Learning Disability and Autism NHS Trusts (Bradford District Care NHS Foundation Trust; Leeds & York Partnership NHS Foundation Trust; Leeds Community Healthcare NHS Trust and South West Yorkshire Partnership NHS Foundation Trust) have agreed to work together and with other trusts from beyond West Yorkshire, where it makes sense to do so for the benefit of patients, to deliver the best possible care, experience and outcomes for people within the available resources. The aim is for these Trusts to organise themselves around the needs of the population rather than planning at an individual organisational level so as to deliver more integrated, high-quality cost-effective care.
Together this partnership is known as the West Yorkshire Mental Health, Learning Disabilities and Autism Collaborative (WY MHLD&A C). The Collaborative members have formed a Committees in Common (WY MHLD&A C C-In-C) which oversees the system-wide programme to deliver this collaborative model of care.
Within our overall West Yorkshire MHLDA Collaborative are component parts known as NHS-Led Provider Collaboratives (also described as Lead Provider Collaboratives or LPCs) which are a new way of planning and providing the mental health, learning disability and autism services that have previously been commissioned by the Specialised Commissioning team at NHS England and NHS Improvement. The model has been successful in reducing the number of people being cared for away from their home, reducing the number of people admitted to hospital and reducing the amount of money spent on inpatient care and investing this into community care instead.
Each NHS-Led Provider Collaborative is formed of a group of providers of specialised mental health, learning disability and autism services (sometimes including the independent sector) who have agreed to work together on specific services to improve the care pathway for their local population by taking responsibility for the budget and pathway. The Collaborative is led by an NHS Provider (the Lead Provider) who remains accountable to NHS England and NHS Improvement for the commissioning of high-quality, specialised services.
NHS-Led Provider Collaboratives are key delivery partners for Integrated Care Systems (ICSs), being able to deliver many of the priorities required for provider collaboration within local systems as set out in “Integrating care: Next steps to building strong and effective integrated care systems across England”.
- The aims of NHS-Led Provider Collaboratives are:
o to take responsibility for pathways and the budget for their specialised mental health and learning disability and autism services and be locally and clinically led
o to ensure people accessing specialised mental health and learning disability and autism services receive high quality care in the least restrictive environment
o to reinvest savings in local specialist community-based services so people only go in to hospital because it is clinically appropriate, not because there is no other help or support available
o to transform pathways of care based on local population health needs such as bringing people’s care closer to their home or preventing avoidable admissions
o to improve patient outcomes and experience, with a particular focus on tackling inequality for local populations.
In West Yorkshire, we have a number of Provider Collaboratives (PCs); Adult Eating Disorders, Children and Young People Mental Health Inpatient Services, Adult Secure and Perinatal Mental Health.
Adult Eating Disorder Provider Collaborative - CONNECT
The West Yorkshire Adult Eating Disorder PC, named CONNECT by service users, is led by Leeds and York Partnership NHS Foundation Trust and went live as a Provider Collaborative on 1st October 2020.
Adult Secure Provider Collaborative
The West Yorkshire Adult Secure Provider Collaborative went live on 1st October 2021 and is led by South West Yorkshire Partnership NHS Foundation Trust in partnership with Bradford District Care NHS Foundation Trust, Leeds and York Partnership NHS Foundation Trust, Cygnet Health Care,and In Mind Healthcare Group for the provision of low and medium adult secure services. It covers the areas of Leeds, Calderdale, Kirklees, Wakefield and Bradford.
Key ambitions of the collaborative are:
- Service Users should be cared for in the least restrictive environment possible with individuals being supported as close to home and carers as possible
- the needs of the West Yorkshire population should be met within West Yorkshire
- development of enhanced community provision to allow individuals to move from low and medium secure estate into the community.
Children and Young People Mental Health Inpatient Services Provider Collaborative
The West Yorkshire Children and Young People Mental Health inpatient services PC also went live on 1st October 2021. Led by Leeds and York Partnership NHS Foundation Trust, the PC is a partnership with Bradford District Care NHS Foundation Trust, South West Yorkshire Partnership NHS Foundation Trust and Leeds Community Healthcare NHS Trust and covers the areas of Leeds, Calderdale, Kirklees, Wakefield and Bradford. The collaborative builds on work we have achieved as a New Care Model site for Tier 4 CAMHS.
The NHS-Led Provider Collaborative (PC) webpage lists the Provider Collaboratives that launched on 1 October 2021 and includes a link to their “get involved” pages and a list of live PCs here.
We have created a stakeholder briefing document that you can read and download.
You can read more about LPCs here.
You can watch an animation about LPCs here.
Perinatal Mental Health Provider Collaborative
The Yorkshire and Humber Perinatal Mental Health Provider Collaborative is working with providers in Yorkshire and the Humber to improve perinatal mental health care.
Perinatal mental illness affects up to 20% of new and expectant mums. Conditions range from mild to severe, including depression, OCD, eating disorders, post-traumatic stress disorder, schizophrenia, bipolar and postpartum psychosis. If left untreated, perinatal mental health issues can have significant and long-lasting effects. The Yorkshire and Humber Mother and Baby Unit provides inpatient care to the women of Yorkshire and Humber with moderate to severe perinatal mental health difficulties.
This united approach presents a significant opportunity to transform perinatal mental health services for women and their families. Our ambition is to provide care and treatment at the right time, in the safest place for them and their baby and be closely connected to their local services and support networks - all vital ingredients for effective care.
Women who have experienced perinatal mental health difficulties and their families will now play a greater role in decision making to improve patient care. They will work closely with clinicians to address known challenges and support and influence decision making by bringing their unique perspective to help shape the future of perinatal mental health care across the region.
This 'coproduction' approach will be a golden thread running through the collaborative and will help reduce variations in care across communities. Improved links with community services will ensure we're making best use of inpatient beds and reducing the need to place patients outside of the region.
The Yorkshire and Humber Mother and Baby Unit, which is based in Leeds, is expanding its bed base from 8 to 14 beds over the coming months. This expansion will significantly improve access to the Mother and Baby Unit and will mean that women will be able to receive care closer to home rather than travel to a unit that is away from the Yorkshire and Humber area.
Gopinath Narayan, Clinical Director, Yorkshire and Humber Perinatal Mental Health Provider Collaborative, sets out the vision for the collaborative:
"Our goal is to work together to improve mental health care for new mums and their families. We want every woman to get the right care, at the right time, in the best place for both her and her baby. By partnering with families and other services, we’re committed to making sure everyone across Yorkshire and Humber has equal access to the support they need."
Bronwen Ashton, Peer Support Worker at LYPFT, attended the Collaborative's first co-production group meeting. She said:
"I feel we collectively provided some really powerful examples of lived experience and the importance of co-production. I learnt a lot from the session and look forward to being an active member of the Perinatal Mental Health Provider Collaborative Co-Production Group.”
The providers in the Yorkshire and Humber Perinatal Mental Health Provider Collaborative are:
- Leeds and York Partnership NHS Foundation Trust (Lead provider)
- Humber Teaching NHS Foundation Trust
- Sheffield Health and Social Care NHS Foundation Trust
- Bradford District Care NHS Foundation Trust
- Tees, Esk and Wear Valleys NHS Foundation Trust
- Rotherham, Doncaster and South Humber NHS Foundation Trust
- South West Yorkshire Partnership NHS Foundation Trust
- Navigo Health and Social Care CIC
Help shape our services
Your experience matters. We're looking for expressions of interest from women with lived experience of perinatal mental health diffiiculties to join our co-production group. Your insights are invaluable in shaping care that truly meets the needs of women and families.
To express an interest, please contact Roger Mumby, Yorkshire and Humber Perinatal Mental Health Provider Collaborative Lead, at r.