IMPACT, The East Midlands Provider Collaborative (IMPACT) has been responsible for the commissioning of adult secure care mental health services across Derbyshire, Nottinghamshire, Lincolnshire, Leicestershire and Northamptonshire since October 2020.
The collaborative embarked on agreeing a set of shared values, co-produced with service users, as well as focusing on redesigning and implementing a shared clinical model, developed by clinicians from across the partner organisations.
Action taken
Clinicians representing all nine partner trusts meet weekly to consider the bed state across all providers for each service line and there is now a shared understanding and awareness of the needs of patients across the region. The partners signed a risk and incentive agreement outlining that efficiency savings created by reducing the amount of bed occupancy days across organisations will be reinvested into transformation schemes which will have benefits to all, incentivising collaborative working.
Alongside clinical leadership, IMPACT considers the experiences of service users in all the work that they do and includes co-production as an integral part of their overriding vision and strategy.
Outcomes and impact
Since the formalisation of the collaborative, out of area placements have reduced from 21% to 6% in a period of three years, incidents of seclusion have also reduced from five to two per 100 patients, and restrictive practices have been cut by a fifth, whilst bed occupancy has increased from 85% to 90% in the same period.
With commissioners now embedded within each provider, there is an improved understanding of the needs of the population. They are better able to understand what is happening within providers and the new relationships of trust between them have meant that good practice is better shared, projects are developed mutually and with benefits for all and, most importantly, service user experience and outcomes are enhanced.
IMPACT, The East Midlands Provider Collaborative's partner organisations are Derbyshire Healthcare NHS Foundation Trust, Leicestershire Partnership NHS Trust, Lincolnshire Partnership NHS Foundation Trust, Northamptonshire Healthcare NHS Foundation Trust, Nottinghamshire Healthcare NHS Foundation Trust, Priory Healthcare, Cygnet Health Care, St Andrew's Healthcare and Elysium Healthcare. You can read the full case study here.