Redesigning the service


Commissioners have undertaken a process of self-assessment to identify how much change is required and what actions need to be taken to move services, systems and cultures closer to our aspirational position. We have worked with key partners to develop plans to deliver improvements. We will begin to trial some new approaches to improve support for children and young people’s emotional wellbeing and mental health in the near future. These new approaches will be evaluated so that we can understand whether they are making a difference for children and young people and their families.


How are we redesigning services?

Commissioners are investigating the use of a model called THRIVE to support the way in which services are redesigned. This model was developed by the Tavistock & Portman NHS Foundation Trust and the Anna Freud Centre for Children and Families, in consultation with children, families and service providers.

The model balances the needs to provide good quality early intervention and resilience-building to tackle issues early, with the need for some children and young people to access more specialist or medicalised care. The THRIVE model is recommended in the NHS Long Term Plan which has just been published.


The key features of the model are that it:

  • outlines groups of children and young people and the sort of support they may need, making a clear distinction between support and treatment (services)
  • focuses on a wish to build on individual and community strengths wherever possible, and to make sure children and families are active decision makers in the process of choosing the right care
  • has been successfully used in other parts of England to shape a positive culture and support and services for children and young people’s emotional wellbeing and mental health
  • has a structure that is closely aligned with what we are trying to achieve in Surrey.


Our THRIVE Framework

The figure below shows how to apply THRIVE segments to meet the needs of children and young people in Surrey.


Figure: THRIVE Model for service redesign

Getting Advice

Depending on the age of the child or young person, this will mean providing access to early intervention and prevention through schools, colleges and children's centres, health visitors, school nurses, GPs, helplines and websites for support.

We will provide early support to referrers in schools and general practice.

Getting Help

The support and services to children and young people will be provided through community counselling, hospices and bereavement services, counselling or mentoring in schools, education psychologists, education support centres, targeted youth support teams, family support and support to referrers.

Getting Risk Support

The support and services will include specialised crisis support and day and inpatient units, where children and young people with more severe mental health problems can be assessed and treated.

Getting More Help

The support and services will be provided to children and young people including multi-disciplinary working in a community setting to meet the needs of more severe, complex and enduring mental health needs. They will also include an eating disorder service.


Page updated:30 May 2019
Next review due:26 November 2019
Model Publication Scheme:Class 6: How we make decisions
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