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Community mental health transformation workstreams

As part of our initial work for community mental health transformation, we looked at what works well, what does not and whether there are any gaps or things we can improve or do differently.

This helped to inform our five workstream areas. The table below shows our five workstreams and what work will take place for each workstream.

Core model

Clinical model and operating procedure including referrals

Specialist alignment to Bradford District and Craven Talking Therapies, children and young people, Early Intervention in Psychosis, Individual Placement and Support, perinatal mental health

Assurance and quality

Housing and related support

Commissioning, partnerships and voluntary and community sector (VCS) + digital optimisation

Care provision

Severe mental illness (SMI) + physical health

Therapeutic models

Substance misuse

The Care Programme Approach (CPA) and personalised care


New roles and competencies

Recruitment and retention

Staff wellbeing

Trauma informed services

Work based co-location (estates and integration)

Data and outcomes

Shared records and interoperability

Patient Reported Outcome Measures (PROMS) and outcomes

Performance reporting

Focussed support

Eating disorders


Trauma pathways and complex emotional needs

Evaluation / equalities / co-production and communication / engagement / culture approach throughout using Healthy Minds

Aims about the five workstreams can be found in the box’s below, and we have added in ‘Cross cutting themes’ box

Core model

Aim: to deliver a transformed community model for CMHT based on the locality and community partnership footprint, with new roles and integrated approach for secondary and primary care – a universal offer via Healthy Minds/Guide-Line/First Response.

Care provision

Aim: an accessible by all patient centric support plan. This should include a process that enables support from the integrated framework  (across the partnerships) with patient safety at the heart. All partners including VCS are involved with trusted input and equality of voice across our different services that nurture coproduction. Ensuring we reduce inequalities in access to support.


Aim: developing the workforce for the future.

Digital, data and outcomes

Aim: building the infrastructure to be insight and needs led and communicate effectively across our partnership to improve the health outcomes of people accessing our services.

Focussed support

Aim: delivering recovery focussed support at scale with West Yorkshire partners.

Cross cutting themes

Aim: foundations of the transformation programme are in place.