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We are IMPACT - the East Midlands Provider Collaborative for Adult Secure Care

Impact regional maoNHS-led Provider Collaboratives are new regional partnerships of organisations that provide specialised mental health services for patients. These partnerships are being established across England as part of a national programme of work.

IMPACT is the East Midlands Provider Collaborative and is made up of the nine NHS and independent sector organisations that jointly provide NHS specialised mental health services in the region.  The lead provider for the Collaborative is Nottinghamshire Healthcare NHS Foundation Trust.

Together, we manage low and medium adult secure care services across five counties with a total population of around five million people.

We are committed to engaging and working with our clinicians, ward staff, service-users and their families and carers to deliver a new clinical model of care

One of several NHS-led Provider Collaboratives being set up nationally, we have been awarded ‘fast track’ status by NHS England and NHS Improvement in recognition of our partnership working and plans for improving services in the region.

You can read the latest news from the East Midlands Provider Collaborative here.

To find out more about NHS-led Provider Collaboratives and their role in delivery of the Long Term Plan for the NHS visit and


From October 2020, the responsibility for the commissioning of Adult Secure Care mental health services in the East Midlands transferred from NHS England Specialised Commissioning to Provider Collaboratives.

As Lead Provider of the East Midlands Provider Collaborative (PC), Nottinghamshire Healthcare NHS Foundation Trust has ultimate responsibility to NHSE for the commissioning and oversight of services provided by the nine partner organisations in the collaborative.

To fulfil this responsibility, Nottinghamshire Healthcare has set up an arms-length commissioning and oversight hub. 

This commissioning and oversight hub - known as the Collaborative Support Hub - will plan (based on patient need) and purchase (within a regional budget) the services required - from the nine partners in the East Midlands Provider Collaborative and other organisations - to meet the needs of our patient population.

IMPACT PC Commissioning Strategy 2024-2026 launched.

IMPACT has strived to maintain its position as one of the most ambitious and innovative provider collaboratives in the country, at the forefront of trialling new ways of commissioning and delivery of services. Our approaches to supporting finding the appropriate care in the right place and discharge support for example demonstrate the commitment to supporting a whole pathway of care surrounding someone’s secure care experience. The PC regularly leads the way nationally in developing new practices. Our bed forecasting model, for example, has been adopted nationally by all provider collaboratives. Clinical leadership, clear lines of accountability and escalation, collaborative decision making and governance, communication and coproduction are what we value most as our key strengths.

IMPACT Commissioning Strategy 2024-26.pdf [pdf] 2MB

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