IMPACT highlights care delivery closer to home in annual report
The IMPACT Annual Report for 2024/25 has highlighted how providers have successfully reduced the number of East Midlands people receiving secure care outside of the region, thus bringing people closer to home, their families and minimising their time in hospital. At the end of March 2025, this number is at an all-time low of 3%, less than half of what it was two years ago.
In 2024/25, the IMPACT Provider Collaborative used 3,750 fewer beds than the previous year, and this was achieved by optimising efficiency with the average occupancy rates across all 43 wards over 90%.
IMPACT (IMproved Pathways And Community Teams) is an East Midlands Alliance provider collaborative working to transform adult secure care services across the region. It aims to improve the way care is provided to patients within adult low and medium secure services in the East Midlands. Nottinghamshire Healthcare Foundation Trust acts as the lead provider for the collaborative and works collaboratively with six NHS providers and three independent sector providers of secure care services.
The focus for 2025/26 will be on delayed discharges, which cost £5million last year. Providers are committed to improving the quality of housing needs assessments so that there is a pipeline of housing need that can be articulated and monitored with each system and local authority.
Katina Anagnostakis, IMPACT Clinical Director, said:
"The work of the IMPACT Provider Collaborative has always been deliberately bold in its ambition for transformation and reflects our values through a focus on human rights, reducing inequalities and ensuring that our commissioning plans are co-produced with the communities we serve in the East Midlands.
"As the Provider Collaborative matures, this year's annual report highlights what we have achieved by working together that could never have been achieved without genuine collaboration. We are grateful to all the service users and carers, providers, clinicians as well as our local Integrated Care Systems (ICS') in Leicestershire, Nottinghamshire, Northamptonshire, Derbyshire and Lincolnshire who have worked together with us to achieve the outcomes outlined in this end of year report.
"We look forward to continuing to build on our strong relationships, so that we collectively achieve further genuine and sustainable transformation in services and outcomes for people. Collaboration cannot be defined by titles or hierarchy but by the ability to empower, inspire, and unite diverse individuals and ideas towards a common purpose.
"At a time of great challenge for the NHS, IMPACT is well placed within our region to lead and support the systemic change that will result from Mental Health Act reform, the ongoing shift toward community services, the necessary focus on prevention and the shift from analogue to digital."