Better Care

Joint statement - proposed TCT integration

Joint press release from Birmingham Community Healthcare NHS Foundation Trust, Black Country Partnership NHS Foundation Trust and Dudley and Walsall Mental Health Partnership NHS Trust.

The Boards of the three trusts within the Transforming Care Together (TCT) partnership* have agreed, after careful consideration, that the integration of the three trusts into one organisation will now not happen. 

BCHC arch graphic

The three Boards have been spending time reviewing the proposals in light of a number of issues arising, which needed to be addressed in order for the integration of the three trusts to proceed as planned. Over the past few days the Boards of the three trusts have agreed the decision not to proceed.

The key factors taken into account in reaching this decision were:

  • strategic fit – recent NHS planning guidance for 2018/19 has highlighted the strengthening role of Sustainability and Transformation Partnerships (STPs) in developing models of care appropriate to their geographical footprints, and the TCT proposal would have operated across two (namely Birmingham & Solihull and the Black Country);
  • clinical concerns – discussions around how best to integrate the three Trusts’ clinical areas have raised a number of challenges for all three organisations;
  • financial – the financial plan for the integrated organisation would not meet the requirements that are set for the transaction.

The Boards are very much aware and extremely appreciative of the considerable work that staff have put into TCT and are determined to learn as much as possible from the process and continue to share good practice.

In reviewing the benefits identified through considerable hard work in developing the TCT proposal, the Boards feel it is clear that the clinical case identified from working collaboratively on the benefits of a Black Country-wide approach to mental health and learning disability services should continue to be developed further, by the two Black Country Trusts working closely with commissioners and the STP.