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 NHSEI.


The roll out of the model is designed to enable culture and practice change by building capacity and capability in the system. The improvement programme will be delivered through the NHS-led provider collaboratives to support providers to work in a way that reduces the levels of restrictions and prevents harm and escalation in the system.

This will improve the experience of people in these settings and reduce their length of stay in hospital with appropriate planning for discharge and community support.

We will be working to embed the model across inpatient services to deliver change and reduce segregation and overall reliance on restrictive practices on a national scale. It will have deliverable outcomes for individuals, their families and carers, NHS funded organisations and the wider system. Read more about how we are recruiting senior practitioners to this role


We will deliver the HOPE(S) clinical model of care nationally by creating a team of specialist clinical practitioners and building on existing successful quality improvement programmes.


The model will:

The focus is on those individuals currently in Long-Term Segregation who are:


However, the clinical skills, practice leadership and pro-active model will influence mental health and learning disability settings for all ages across the NHS led provider collaboratives.