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Our vision: To improve the health and wellbeing of the people of Leicester, Leicestershire and Rutland by providing high quality, integrated physical and mental health care pathways.
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Welcome to LPT's All Age Mental Health and Learning Disabilities Transformation Programme webpage


We have committed to a 5-year transformation co-design programme to:

• Develop excellent all-age mental health and learning disabilities services that deliver excellent, high-quality integrated care and a better experience for all

• Release clinical time to care to enable service users to have more time with clinicians 

• Make the processes and systems better to ensure the best journey experience for service users throughout

• Address increasing demand and capacity issues 


Where are we now?

During the last 18 months, service users, carers, staff and stakeholders have co-designed key features they want LPT's mental health and learning disabilities services to deliver. This included:

1. What LPT mental health and learning disabilities services should look like;

2. How the services should run;

3. What resources the services need to deliver excellent, high-quality integrated care

We're coming to the end of stage 3 - Detailed Design - and compiling all of the outputs from all of the co-design work. The process to co-design some structure options to best deliver these key features is now underway. More to come on this soon. 

June - July 2019 update 

Thank you to everyone who has contributed many hours into design workshops over the last year. The transformation programme has brought together service users, carers, staff and stakeholders to design improvements to our mental health and learning disabilities services.

The outputs of all of this co-design work has now been summarised in this Key Design Features Document.

The key design features describe what service users, carers and our staff said they wanted LPT’s transformed mental health and learning disabilities services will provide for people.

We are now approaching stage 4 of a total 5 stages of the transformation programme and have been working with our staff to look at how we could organise our teams to best deliver the key design features. This includes extensive data and workforce analysis.

Stage 4 wil involve a period of thorough testing to assess the draft model's ability to meet expected demand, on affordability and viability. Amendments may need to be made depending on the outcomes of these tests. 

It will also involve further staff and service user engagement, followed by a period of public engagement towards the end of summer.

Phased implementation will commence by the end of the year until 2022. More to come on this soon.

For more information email the team via

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Intervention Pathways 

We are absolutely committed to co-designing our services with people who use the services, their carers, individuals who work in the services, organisations that interact with the services and people that want to see the services improved.

A large proportion of the work of Stage 3 has been the on-going co-design development of new mental health and learning disability Intervention Pathways (also known as care or treatment pathways). 

The need for new Intervention Pathways came about from stage 2 in order to:

• Ensure we consistently deliver best practice and evidence-based treatment

• Provide clear expectations for services, staff, service users and carers

• Organise resources fairly and equally

• Encourage flow through services

The Intervention Pathways contain some common features but the content for each one is very different and unique. For more information about what the pathways are and how they have been co-designed, click here.

Below is a list of the most up-to-date draft pathways. Click on each one to view. We recommend you follow our step by step guide how to read a pathway beforehand. 





Eating Disorders


Personality Difficulties 



Complex Physical - under development 

Dementia - under development 

We will publish further pathways as they're developed. 
We value your insight. Please direct any feedback on the pathways to:

The Transformation Journey 

The All Age Transformation Programme is the biggest transformation journey we have ever been on. Our journey has been inspired by the learning of Northumberland Tyne & Wear NHS Foundation Trust as they transformed to become an ‘outstanding’ rated Trust. We adapted their methodology to suit our local area and are working in partnership with staff, service users, carers and stakeholders to create a radical difference in the way we support people who need mental health and learning disability services.

The Five Stages

The Transformation Programme is being delivered in five stages.

Stage One

We began the journey by focusing on what excellent mental health and learning disabilities services would look like around how people access services, how their needs are assessed and understood, how they get the treatment they need and how they leave services. We engaged with over a thousand people from across Leicester, Leicestershire and Rutland and used their comments and suggestions to form a set of principles that set out what we need to deliver through the transformation.

Stage Two

Using the principles from stage one, we engaged with service users, carers, staff and stakeholders to develop a high-level pathway which gave us an outline of the services we need and how they should operate. We facilitated four week-long workshops that were attended by 84 staff, service users, carers and representatives from other agencies. The workshops focused on the four stages of the service user journey; access, assessment, treatment and discharge. We also facilitated 48 face to face and online feed-in sessions for service users, carers, staff, local authority, VCS and the public. We received 207 online responses and over 90k social media engagements

The outcomes of stage two were over 50 different features which have been grouped, themed and prioritised (based on complexity and order) into a number of work streams.

Stage Three 

We are now in stage three of the co-design transformation process where, using the high level pathway designed in stage 2, we are creating the detailed designs. This includes what our services should look like, how they should run and the resources they need.

Stage 4 - We are here

Stage 4 will see the newly co-designed model tested against the likely demand, amount of resource available and different scenarios as well as engagement with staff and the public. The aim is for this to be completed by the end of October 2019.

Stage 5

Phased implementation of the programme will commence at the end of 2019 and continue to March 2022.

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