Integrated physical and mental healthcare in Cambridge, England

This paper discusses the collaborative efforts between the Cambridge University Hospitals NHS Foundation Trust, the University of Cambridge, and the Cambridge and Peterborough NHS Foundation Trust to advance the co-design of integrated physical and mental healthcare services for children, young people, and their families.

Approach - Advances in medical care and treatments have extended life expectancy, resulting in a growing number of individuals being diagnosed with two or more co-morbidity. As healthcare evolves, individuals can no longer be placed solely in mental or physical health silos, as there is strong evidence of the interconnection between the two, highlighting the need for integrated care. It is essential to consider the whole person and the impact that a physical condition can have on mental health. When left untreated, mental health issues can exacerbate both physical and psychological conditions, ultimately increasing the cost and complexity of care.

Historically, physical and mental healthcare have been treated as separate entities, but the rising prevalence of comorbidity is increasing the need for integrated services for all patients. While there has been progress in integrating care within specific pathways, many services still operate in isolation. Mental health problems are highly prevalent in acute physical health settings and can significantly influence the outcomes of care for physical illnesses. Research has shown that targeted approaches for children and young people can reduce the lifelong cost impact associated with managing long-term conditions.

To improve the health and well-being of children and young people in the South East of England, the Cambridge Children’s Hospital project has been initiated. This initiative was developed with extensive engagement from all healthcare sectors within the region. Moreover, the care pathways and the hospital's design have been co-developed in collaboration with children, young people, and their families, ensuring that their needs are at the centre of the healthcare model.

Results - The collaboration to develop Cambridge Children’s Hospital is currently underway and will culminate in the construction of a state-of-the-art facility designed to support the ongoing integration of healthcare services. Cambridge Children’s Hospital will embody a holistic approach to care by bringing together physical and mental health services under one roof. The hospital aims to revolutionize care for children and young people by utilizing genomic medicine, not only to treat diseases but to prevent them altogether. This innovative approach will foster a comprehensive model of care, addressing the whole person and advancing both treatment and prevention strategies.

Implications - While planning for Cambridge Children’s Hospital continues, the integration of services is already in progress, with several case studies showcasing the significant positive impacts of integrated care on children, young people, and their families. These case studies provide compelling evidence of how combining physical and mental healthcare can improve outcomes, enhance the patient and family experience, and demonstrate the potential benefits of this approach even before the hospital is built.