Determining the responsible NHS-led provider collaborative

Determining the responsible NHS-led provider collaborative
NHS England 7 April 2021

• The purpose of this table is to identify the responsible NHS-Led Provider Collaborative and lead provider appointed on behalf of NHS England to manage and deliver directly commissioned Specialised Mental Health, Learning Disability and Autism (SMH LD/A) services.

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

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

• Ten collaboratives went live 1 October 2020.
• “These will drive improvements in patient outcomes and experience by taking responsibility for the budget and pathway for their population, with an initial focus on:
• children and young people mental health inpatient services
• adult low and medium secure services
• adult eating disorder services.”

Transcranial magnetic stimulation for obsessive-compulsive disorder

Transcranial magnetic stimulation for obsessive-compulsive disorder
NICE Interventional procedures guidance [IPG676] 05 August 2020

• Evidence on the safety of transcranial magnetic stimulation for obsessive-compulsive disorder raises no major safety concerns. However, evidence on its efficacy is inadequate in quantity and quality. Therefore, this procedure should only be used in the context of research.

Legal guidance for mental health, learning disability and autism, and specialised commissioning services supporting people of all ages during the coronavirus pandemic

Legal guidance for mental health, learning disability and autism, and specialised commissioning services supporting people of all ages during the coronavirus pandemic,
NHS England updated 3 June 2020

• This guidance concerns the impact of the coronavirus (COVID-19) pandemic on the use of the Mental Health Act (MHA) and supporting systems to safeguard the legal rights of people receiving mental health, learning disability and autism services, including specialised commissioned services. It will be regularly updated to reflect the rapidly changing context and questions/concerns as well as feedback from the sector.

Taskforce Charter: National Quality Improvement Taskforce for children and young people’s mental health inpatient services

Taskforce Charter: National Quality Improvement Taskforce for children and young people’s mental health inpatient services
NHS England 24 January 2020

• Details of the vision for mental health, learning disability, and autism inpatient services for children and young people.

Alternative community-based models of care for young people with anorexia nervosa: the CostED national surveillance study.

Alternative community-based models of care for young people with anorexia nervosa: the CostED national surveillance study.
Health Serv Deliv Res 2019;7(37) October 2019

• Analysis of the cost of providing services to 298 young people with anorexia nervosa who are being treated in two different types of community services: specialist eating disorders services and general child and adolescent mental health services (CAMHS).  
• Young people in specialist services were found to be more severely ill than those in CAMHS when they were first diagnosed. Despite this, care for young people in specialist services cost about the same as care for those who were diagnosed in general CAMHS, and their outcomes after 1 year were also similar. 
• The authors conclude that specialist services may be better value for money than general CAMHS, but it did not show that providing more specialist services would save money for the NHS. 

PACAC inquiry into eating disorders: government response

PACAC inquiry into eating disorders: government response
DHSC 13 August 2019

• This document sets out the government’s response to the conclusions and recommendations made in the Public Administration and Constitutional Affairs Committee (PACAC) report: Ignoring the Alarms follow-up: Too many avoidable deaths from eating disorders.
• Discussion relates to training, quality and availability of adult services, and the transition from child to adult services and coordination of services.

Adult eating disorders - updated guidance and resources

Adult eating disorders - updated guidance and resources

Adult Eating Disorders: Community, Inpatient and Intensive Day Patient Care – Guidance for commissioners and providers
NHS England 8 August 2019

• Guidance and helpful resources

Addendum – Inpatient and Intensive Day Care Extension to the Community Eating Disorder Guidance

NHS England 8 August 2019

• Includes: Quality benchmarks for inpatient and intensive day care for eating disorders

Appendices and Helpful Resources for Inpatient and Intensive Day Care – Addendum to the Community Eating Disorder Guidance

NHS England 8 August 2019

• Includes useful websites, commissioning resources, competence frameworks.

Segregation in mental health wards for children and young people and in wards for people with a learning disability or autism

Segregation in mental health wards for children and young people and in wards for people with a learning disability or autism
CQC 21 May 2019

• Interim report of the CQC review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability or autism.
• This interim report focuses on 39 people who are cared for in segregation on a learning disability ward or a mental health ward for children and young people. It recommends that an independent review is undertaken of every person placed in segregation, and a strengthening of the safeguards that protect the safety, welfare and human rights of these people. 
• However the CQC are advocating a better system which makes sure that people, and particularly children and young people, with behaviour that others find challenging receive effective help and so prevent admission to hospital.

New measures to improve care for people with autism and learning disabilities  [News]
DHSC 21 May 2019

• It has been announced that the DHSC will accept all of the CQC report’s recommendations and has announced a wider package of measures to improve care for autistic people and those with learning disabilities, including:
• funding for specialist advocates to review the care of every patient in long-term seclusion or segregation
• a new working group for learning disabilities and autism, bringing together experts, clinicians, parents and carers to develop a new model of care
• a new awareness campaign, to encourage staff, families and friends to come forward if they have concerns about care.

Mental health Spec Comm budget to be devolved to "provider collaboratives"

Providers offered control of NHSE budgets worth billions
HSJ 3 May 2019

• "HSJ can reveal." NHS England has invited providers to take on specialised commissioning powers across the country, in a major expansion of its mental health new care models programme. The organisation has set a new target for setting up “provider collaboratives” - which are expected to take on the responsibilities and budgets - across the whole of England by 2022, and in 75 per cent of areas by 2020.
• Services included are: children and adolescent mental health inpatient services, adult secure mental health services, and adult eating disorder services.

Population screening: access for people with severe mental illness

Population screening: access for people with severe mental illness
PHE 15 March 2019

• Information for commissioners and screening providers, to help improve access to screening for people with severe mental illness.
• Appendix 1 is a list of mental health service providers across England.

Inpatient hospital care compared to outpatient or day care for people with eating disorders

Inpatient versus outpatient care, partial hospitalisation and waiting list for people with eating disorders
Cochrane Systematic Review 21 January 2019

• There was not enough evidence from trials (n=4, 511 people) to support any one setting for people with anorexia nervosa, bulimia nervosa, or other eating disorders. There was no clear difference in weight gain for people with anorexia nervosa who were treated in different settings, but they seemed more likely to complete treatment when some or all of it was offered in settings outside the hospital. 
• The evidence was low or very low‐quality, so we are uncertain about these results.

Mental health specialised commissioning will be devolved to provider collaboratives

Mental health specialised commissioning will be devolved to providers
HSJ 3 January 2019

• Mental health specialised commissioning will be fully devolved to provider collaboratives within the next three years, according to Birmingham and Solihull Mental Health Foundation Trust chief executive John Short.
• An NHS England spokesperson said: “Following the success of the new care model programme the intention is for specialised mental health services to eventually be planned and delivered by partnerships of providers and NHS England, as well as local commissioners, in all parts of the country.
• This is in line with a wider drive to join up care – and the timing of implementation will vary according to the maturity of services and local health systems.”

See Preparing for 2019/20 Operational Planning and Contracting Annex E: Integration of specialised services with local health and care systems

NHS England 21 December 2018

Mental health crisis services in London - Tier 4 CAMHS

Tier 4 CAMHS
In: Children and Young People’s Mental Health Crisis Peer Review - Summary Findings Report 
Healthy London Partnership November 2018

• This report summarises the findings from peer reviews of London’s nine mental health crisis pathways for children and young people (CYP) conducted between November 2017 and May 2018. The peer review follows publication of HLP CYP mental health crisis guidance and the subsequent CCG self-assessment against the recommendations. 

Findings for Tier 4 CAMHS

Carer support and involvement in secure mental health services

Carer support and involvement in secure mental health services
NHS England 18 May 2018

• This toolkit aims to provide clear information for carers, service users, service providers and commissioners about how carers of people who use secure mental health services should be engaged with, supported, involved and empowered.

North London Forensic consortium

North London Forensic consortium

• Part of the New Care models programme for specialised mental health services, the North London Forensic consortium went live in April. It comprises of five trusts - Barnet, Enfield and Haringey Mental Health Trust (lead commissioner), Central and North West London FT, North East London FT, East London FT and West London Mental Health Trust. 
• According to Mark Landy talking to HSJ (3 May 2018) the consortium aims to bring back half of the 110 forensic patients currently out of area over the next two years and stop patients being sent out of area when a provider does not have a bed available.

Maintaining momentum:driving improvements inmental health care

Maintaining momentum:driving improvements in mental health care
Parliamentary and Health Service Ombudsman 19 March 2018

• This report aims to highlight failings that have occurred, and continue to occur, in specialist mental health services in England. 
• The case summaries are listed under the five thematic headings identified which relate to diagnosis and failure to treat, risk assessment and safety, dignity and human rights, communication, and inappropriate discharge and aftercare.