The HOPE(S) model is an ambitious human rights based approach to working with individuals in segregation developed from research and clinical practice.
The clinical model was developed by Mersey Care and reduces the use of long term segregation sometimes experienced by autistic adults, adults with a learning disability and children and young people. It is funded by NHS England and Improvement.
The programme's outcomes will be evaluated by an independent research body and the work is subject to a National Oversight Group which meets quarterly to provide governance. The independent evaluation is an important part of understanding the impact of the model on people in services and teams providing a robust evidence base and making sure the HOPE(S) is delivering goals supporting the evidence base and sustaining HOPE(S). Timelines will be published shortly and we expect to see significant progress in the initial three year period.
Long term organisational and system impact
A human rights based, proactive and safe culture which has compassionate care at its core embedded across the system
Widespread sustainable specialist skills and capability in the system to end long term segregation
Development of a key assurance framework to prevent long term segregation and restrictive practice.
Workforce capability and development
HOPE(S) practitioners working across the system sharing learning to keep people out of long term segregation – a real culture change
Accredited training for organisations of a minimum (n=700) staff
NHS England and NHS Improvement case managers/key workers and community providers trained in the model to ensure sustainable progression pathways
Improved workforce resilience, health and wellbeing
Regional support learning sets will be established by practitioners to mobilise good practice and learning at scale.
Culture and practice change
A Resource guide for providers based on progress enhancing strategies to end long term segregation and cultural guidance to reduce restrictive practice
Best practice guidance and resources will be developed that clinicians and services can apply, to improve safety and quality outcomes through collaboration with other NHS England and NHS Improvement work streams.
Individual and family quality of life
Individuals progressed out of long term segregation and supported to build a positive future and achieve their goals for a home as part of the community
Improved service user psychological and physical wellbeing
Independent trauma support for families and carers.