Local transformation plans

The transformation of children and young people’s mental health is led by local areas. This means professionals from across the NHS, public health, children’s care, education and youth justice working together with children, young people and their families to design and provide the best possible services.

To support this local leadership and accountability, NHS England asked Clinical Commissioning Groups (CCGs) to work with commissioners and providers across health, social care, education and youth justice and the voluntary sectors, to develop Local Transformation Plans for children and young people’s mental health.

They set out how local services will invest resources to improve children and young people’s mental health across the “whole system”.

In line with NHS England requirements, we have published the Birmingham children and young peoples mental health and wellbeing local transformation plan 2019/20.

Following feedback from NHS England, the 2018 refresh of Solihull’s Local Transformation Plan has been updated.

We will also be publishing an accessible version in due course.


Birmingham’s children and young people, and Birmingham’s young adults mental health service model for 0-25 years, was co-created in partnership with service users, carers and providers.

It has been developed using an outcome-based approach with a major emphasis on prevention and early intervention - a ground-breaking and innovative programme of change impacting the service design and delivery of health services in the city.

The delivery model has a ‘no wrong door’ approach thereby removing the barriers of tiered access of which one of the outcomes is successfully establishing a self-referral process.

In November 2015, Birmingham’s then Clinical Commissioning Groups (Birmingham South Central - Lead CCG, Birmingham CrossCity – Associate CCG and Sandwell West Birmingham – Associate CCG) awarded a new contract to a partnership led by Birmingham Women's and Children’s Hospital NHS Foundation Trust called Forward Thinking Birmingham.

Forward Thinking Birmingham is a collaborative partnership which is comprised of Birmingham Women's and Children’s Hospital NHS Foundation Trust, Worcestershire Health and Care NHS Trust, Simply Health, The Children’s Society and the Priory Group.

Forward Thinking Birmingham is commissioned to deliver community and inpatient mental health services for 0 to 25-year-olds. With Forward Thinking Birmingham nearing the end of its third year of operation, we are now starting to see and feel transformational change on the ground for children and young adults in Birmingham.

The shifting landscape in the design and delivery of all age mental health services in Birmingham is a challenge. Both lead providers of mental health services for those aged both under 25 and over 25 embrace our shared strategic vision to prevent, protect, manage and recover in delivery of care which is person-centred and evidence based.


Birmingham and Solihull Mental Health NHS Foundation Trust, Barnardo’s and Autism West Midlands work together to provide Solar, the emotional wellbeing and mental health service for 0-19-year-olds in Solihull.

Solar will:

  • Provide care with compassion, dignity, respect, without stigma or judgement, to start a road to recovery and prevent problems recurring
  • Help children and young people who may feel depressed and anxious to the extent that they cannot do the things they might usually do
  • Give access to information and services for families and healthcare professionals about the emotional wellbeing and mental health of children and young people
  • Assist parents and carers in understanding children’s needs and behaviours so they can provide support at home
  • Counsel children and young people following domestic, sexual or physical abuse, or those whose family life is identified as having multiple complex issues
  • Offer a range of interventions across a wide spectrum of mental health needs and diagnoses.

Find out more by visiting the Solar website, or viewing the documents below: