Welcome to the Reach Out site. Reach Out is the West Midlands Provider Collaborative (PC) for adult secure mental health services and learning disability and autism services. You will find news of the Collaborative’s work and how it is improving the outcomes for its service users on these pages. Our vision and values can be found below.
Exceptional work by staff across the five West Midlands adult secure providers has been recognised by NHS England with the great news that together we are to take on commissioning responsibility for an annual c£140million budget for some of the West Midland’s most vulnerable patients from 1st October 2021.
This transfer of commissioning responsibly is in line with national policy and underpins delivery of the ambitions set out in the Long-Term Plan for the NHS. The move to regional Provider Collaboratives sees the planning, quality assurance and delivery of Adult Secure Services, including Mental Health, Learning Disability and Autism, devolved to partnerships of local providers. Reach Out is a partnership between the five providers of secure inpatient care in the West Midlands with the aim of improving the delivery of low and medium secure mental health care for adults across a vast geography.
People with learning disabilities and autism (LDA), were previously governed under the Transforming Care Programme (TCP) and are now included in the Collaborative’s commissioning responsibilities. Coventry and Warwickshire Partnership NHS Trust is the Lead Partner for this cohort and aims to ensure all hospitals are working together as well as working closely with the local Integrated Care Systems (ICS) to ensure the community is fit for purpose.
Unnecessary admissions, especially out of area, will be minimised and enhanced liaison with CAMHS will be implemented.
Who’s who of the collaborative can be found below.
What is a Provider Collaborative?
There is a national requirement that specialised services for people with a serious mental health condition should be integrated into Provider Collaboratives (PCs).
PC’s improve services and outcomes for patients based on these core principles:
- Collaboration between Providers and across local systems
- Experts by Experience and clinicians leading improvements in care pathways
- Managing resources across the collaborative to invest in community alternatives and reduce in- appropriate admissions/care away from home
- Working with local stakeholders
- Improvements in quality, patient experience and outcomes driving change
- Advancing equality for the local population
REACH OUT is the PC for our region and was selected by NHS England in 2017 to be a pilot site for the adult secure new care models to improve the experience of service users by providing care closer to home, in the least restrictive setting possible.
The partnership brings together clinical expertise, experience, and innovation, aiming to improve quality, use resources most effectively, and deliver best practice consistently to patients.
The partners are separate mental health providers but work together in areas of specialised mental health care as Reach Out, to commission and introduce new clinically led services which are delivered either locally or at West Midlands-wide level.
As a provider collaborative, Reach Out will be able to continue to deliver services that deliver improved outcomes. Reach Out is also strengthening partnerships across healthcare, local government and the third sector at borough level, to develop and deliver highly localised services.
Reach Out aims to:
- Minimise unnecessary variation
- Improve quality and outcomes
- Address inequalities and improving patient experience and outcomes
- Reduced time to assessment & waiting times for admission
- Increased person-centred care and peer support
- Improved recovery and life opportunities
- More responsive and inclusive services
- Improved pathway cohesion and reduced transitions
- Create flow through:
- Clinically appropriate admissions, provide alternative to admissions
- Reduction in length of stay
- Reduce out of area placements
- Improve efficiency to innovate and further improve
Who is involved?
The partners involved in our Provider Collaborative for adult secure services are:
- Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHFT)
- Midlands Partnership NHS Foundation Trust (MPFT)
- Andrews Healthcare
The LDA Alliance partners include BSMHFT and MPFT as well as:
as inpatient providers and as community partners
Vision and Values
The Collaborative vision is co-produced with staff, patients and their families and is to ‘reach every secure care service user from the West Midlands and creating hope, opportunities, understanding and trust’.
The Collaborative collectively agreed that our purpose is to secure outstanding and innovative community oriented forensic services, ensuring excellence and value in delivering person centred and safe care in the least restrictive environment and at shortest time possible, enabling patients to achieve and maintain recovery and integrate fully into their community.
- Patient centred: Patients are at the heart of everything we do. We are inclusive, care about, respect and listen to our patients and are a user led collaborative delivering patient centred care.
- Outcomes driven: We are dedicated to achieving high quality, recovery focused care and we strive to improve outcomes for our patients and continuously improve our services.
- Collaborative: We are accountable and take responsibility for seeing things through and achieving common goals through open and honest communication. We show concern for one another and are supportive of each other’s efforts.
- Caring: Our employees come to work each day focused on improving people’s lives. They are essential to the success of the Collaborative. We strive to build and retain a strong team by recognising and rewarding excellence, and by creating development opportunities, and we have an unrelenting focus on staff welfare.
- Consistent: We are consistent in our quality of care, so our patients feel safe and re-assured
- Results Oriented: Consistently delivering required business results and outcomes, complying with quality, finance, and performance standards, and identifying where we can make improvements and deliver value.
- Innovative: Innovation is essential, as we search out new ways and continuously identify opportunities to design and develop solutions that are timely and effective.
- Integrity: Conducting business with the highest standards of professional behaviour and ethics. We are transparent, honest, ethical and fair in all of our interactions; people trust us to adhere to our word.
Supporting the delivery of our vision and values are the following strategic objectives and priorities:
- Improve the quality and efficiency of care to our patients, their carers and families
- Commission high quality, continually improving, sustainable healthcare which meets the needs of the West Midlands population
- Ensure an effective, well led, and well governed Collaborative.
- Develop, empower, and retain workforce
- Adopt whole- system approach to meeting population outcomes.
- Community pathways
- Refreshed assessment standards
- Integrated pathways
- Outcomes focus
- Physical health
- Improving flow
- Service improvements
- Reducing out of area placements
New Care Model
Since starting the New Care Model in 2017, there have been significant achievements to improve the care of people requiring access to Adult Secure Care Services at low and medium secure level from the West Midlands. This has been brought about by:
- improved clinical collaboration across the three core partners;
- a focused Case Management Team, surveying quality and focusing on pathway facilitation on those in and out of area; increased understanding of the needs of patients and monitoring as whether these needs are met; improved data and analytics of that data to understand pressures, trends, opportunities and potential problems and an overall willingness amongst the partners to improve Adult Secure Care for people from the West Midlands.
Collaboration is at the heart of our approach to quality assurance and improvement service development and clinical workforce.
The pandemic has been a challenging time for Adult Secure Care as it has been for the whole NHS. The value of improved clinical collaboration and relationships to support patients and services was demonstrated. There is a desire across Reach Out to build on this spirit of collaboration and inspire towards excellence of Adult Secure Care in the West Midlands. This aspiration extends beyond hospitals into further improvement of the community pathway and services available to those within secure care; support to the wider mental health system to prevent where possible escalation up into Secure care; to work collaboratively with the Clinical Justice System which is the largest referrer to Adult Secure Care and to improve quality at all levels through co-production with a patients, carers, and staff.
Achievements in the last four years have been notable but there is still much to be done and in particular to tackle health inequalities. We are confident that as a collaborative we have the expertise, values, and attitudes to achieve our aspirations
Aims of the Collaborative
The formation of the Reach Out Provider Collaborative will enable providers to work together and use the collective expertise to improve patient care and outcomes across the region.
The aim is to ensure that people with a serious mental illness, learning disabilities or autism requiring secure services experience high quality, specialist care, as close to home as appropriately possible.
This specialist care will also be connected with their local teams and support networks.
A new clinical model has been developed that puts the patients at the centre of everything we do, having them and their families and carers fully engaged and co-producing the Collaborative’s plans and services. We aim to have our patients feel they are understood, accepted, and supported in a safe and inclusive environment – whatever their needs and characteristics.
This clinical model will provide the foundation for how services and pathways are transformed. The details of the clinical model have been described in the Collaborative’s Business Case, which has been approved by NHS England as part of the devolution of the commissioning responsibilities.
Service users attended workshops to co-produce the clinical model to ensure it delivers their requirements.
An outcomes framework has been developed that puts the patients at the centre of everything we do and they and their families and carers are fully engaged and co-produce the collaborative’s plans and services. We aim our patients feel they are understood, accepted, and supported in a safe and inclusive environment whatever their needs and characteristics.
|Reach Out Outcomes|
|Co-production and Engagement||Patient Experience||Patient Safety and Quality of Care||Inequalities||Workforce|
|Patients feel they are respected and supported to be involved as equal partners in their care planning, commissioning, and monitoring.
Families and carers are supported and engaged with as they are recognised as invaluable sources of expertise to contribute to the recovery of their family members.
|Patients are resilient, autonomous, and as self-sufficient as possible.
Patients feel they are supported to live independently and accessing education and employment.
|Patients receive right care, right place, at the right time for their health needs.
Patients feel that staff are compassionate and invested in their safety and recovery.
Only patients who need inpatient care are admitted for the shortest duration, leveraging a proactive approach of care to prevent escalation and/or readmission to secure care
Patients are supported to maintain and develop skills to improve their resilience and increase positive life outcomes.
STOMP stopping over medication of people with a learning disability, autism, or both with psychotropic medicines
|Patients feel that they are understood, accepted, and supported in a safe and inclusive environment whatever their needs and characteristics.
Patients will have improved physical health outcomes
Health inequalities relating to ethnicity and other protected characteristics are reduced.
|Patients feel that they are supported and cared for by a compassionate, value-based workforce.
Workforce is recruited, retained, and trained to provide culturally competent, high quality specialist treatment and support