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 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 was piloted between 2017 and 2019 and 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.
To begin with, NHS-Led Provider Collaboratives will deliver:
· Children and Young People Mental Health inpatient services
· Adult Low and Medium Secure Services
· Adult Eating Disorder Services
In West Yorkshire, we have three Provider Collaboratives (PCs); Adult Eating Disorders, Children and Young People Mental Health Inpatient Services, and Adult Secure.
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.
We have created a stakeholder briefing document that you can read and download.