• West Yorkshire and Harrogate ICS has set up two new adult eating disorder community teams as part of two year pilot which went live in April
  • The region has taken on responsibility for its £4m annual specialised commissioning budget for adult eating disorders from NHS England
  • The pilot aims to reduce out of area placements and save around £1.3m which will be reinvested in community services

An integrated care system has set up two new community eating disorder teams as part of regional two year devolved commissioning pilot.

West Yorkshire and Harrogate sustainability and transformation partnership has launched the two new community teams after being given control of its annual adult eating disorder budget of about £4m.

The pilot is led by Leeds and York Partnership Foundation Trust working with Bradford District Care FT, South West Yorkshire Partnership FT.

It covers the whole STP footprint, which was given ICS status by NHS England last month, and covers the new teams and the existing 19 bed adult eating disorder inpatient unit run by LYPFT. 

The region is one of 17 areas to be granted new commissioning powers for specialist services from NHS England with about £640m of specialised commissioning mental health funding transferred directly into the hands of providers – nearly 40 per cent of the total budget.

Dr Rhys Jones, LYPFT consultant and clinical lead for the new care model, told HSJ the region invested £100,000 upfront in launching the new model, but is expecting to make savings of around £1.3m by reducing out-of-area placements.

He added: “That’s the cost of hospital bed days for the year and then reinvesting that in community services.”

Dr Jones said a team of care navigators had been set up to work with patients sent out of area to shorten their time away from home.

He said that while patients will still be admitted when clinically appropriate the plan is to drive down their time in inpatient units.

He added: ”The key thing is about repatriation, bring them back, shortening admissions if that is clinically appropriate.

“The first stage of implementing the service is developing the bigger community services to allow it to work.

“That’s the bit which will have the most impact in reducing bed days and also earlier discharge. We might have more admissions but fewer bed days.”

The two teams are split into east and west, one based in Leeds covering the city, Harrogate and Wakefield, and the other based in Halifax covering Bradford, Calderdale, Kirklees and Airedale, Wharfedale and Craven.

The teams are made up of psychiatric nurse, a consultant and specialist psychiatrist, a dietician, healthcare support workers, occupational therapist, psychologist and peer support workers.

The teams are also supported by social workers and a dual-diagnosis team across the whole footprint.