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Birmingham and Solihull Mental health NHS Foundation Trust
Better Together
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Reach Out partnership – innovation in secure care

Reach Out is a partnership between the three providers of secure inpatient care in the West Midlands: Birmingham and Solihull Mental Health NHS Foundation Trust, Midlands Partnership Foundation Trust and St Andrew’s Healthcare.  Alongside NHS England, we share the aim of improving the delivery of forensic mental health care across a vast geography. Reach Out was part of wave 1 of the ‘new care models’ selected by NHS England to improve the experience of service users by providing care closer to home, in the least restrictive setting possible. 

In April 2017, there were over 550 adult men and women receiving care in medium and low secure mental health hospitals in the West Midlands, of whom a third were being cared for outside of the region. 

Working collaboratively across the partnership, through streamlining processes and care pathways and focusing on providing appropriate care in the community, Reach Out has reduced the number of patients in hospital and significantly reduced the proportion of people receiving inpatient care out of the West Midlands.

Alongside this we have enhanced our community forensic service, called FIRST, to help service users to stay in the community and to facilitate earlier discharge from inpatient care. We have invested to enhance services locally, including providing services in local courts, and have worked collaboratively with key stakeholders such as housing providers to ensure local community needs are better met. 

Reach Out has been working to redesign services in the West Midlands with a strong focus on co-production and service user engagement. This has enabled us to reduce the length of time that service users stay in hospital and improve service user experience according to their needs.