Start Well

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We commission a range of services which fall under our Start Well priority:

Children’s Community Health Services

We commission Children’s Community Health Services provided by Cambridge Community Services and Central and North West London NHS Foundation Trust.  This includes therapeutic and paediatric services that provides assessment, diagnosis and medical support for children. These include:

  • Speech and Language Service
  • Occupational Health Service
  • Neuro diverse conditions for example Autistic Spectrum Disorders
  • Audiology Service
  • Eye Service
  • Dietetic and nutrition Service
  • Health assessments

These services also work closely with our Hospitals children’s physiotherapists and with our Public Health health visiting and school nursing services.

Children and Young People’s Mental Health

We commission Children and Adolescent Mental Health Service (CAMHS) provided by East London NHS Foundation Trust and Central and North West London NHS Foundation Trust.

The Child and Adolescent Mental Health Services provides outpatient assessments, support and treatment for children and young people up to the age of 18 experiencing moderate to severe mental health problems. The service works to provide them with a greater knowledge of their condition and improve coping techniques.  

Children, adolescents and their families referred to the service may be experiencing different kinds of problems.  These may include:

  • Eating difficulties 
  • Emotional feelings
  • Fears and anxieties
  • Parents having  problems managing their children or feeling that their own difficulties are affecting their children
  • Relationship problems
  • Traumatic experiences

The service consists of a multi-disciplinary team which offers a range of expertise.

Download Local Transformation Plan

Children and Young People with Special Educational Needs (SEND)

Our vision for children and young people with SEND is the same as for all children and young people in Bedfordshire; that they live happy, healthy lives and are supported to fulfil their potential as a child, young person and through transition into adulthood. Read more information


Since the publication of Better Births in 2016 and of the Report of the Morecambe Bay Investigation in 2015, the NHS and its partners have come together through the national Maternity Transformation Programme to implement its vision for safer and more personalised care across England and deliver the national ambition to halve the rates of stillbirths, neonatal mortality, maternal mortality and brain injury by 2025.

Within Bedfordshire Luton and Milton Keynes, the Local Maternity and Neonatal System (LMNS) is accountable to the Integrated Care Board for overseeing the delivery of improvements, as outlined in the national Maternity Transformation Programme, in maternity and neonatal services to meet the needs of our local communities.

These improvements include:

  • Midwifery Continuity of Carer as a default model for all women
  • Personalised Care and Support Plans for all women
  • Equity and equality for women, babies and staff in maternity and neonatal services
  • Implementing the immediate and essential actions from the interim and final Ockenden Reports
  • Digital Maternity Care Record
  • Perinatal and Maternal Mental Health Services
  • Smoke-free pregnancy – supporting women to stop smoking during pregnancy
  • Saving Babies Lives Care Bundle
  • Community Hubs – bringing a range of antenatal and postnatal care services together in one setting closer to home.

In Bedfordshire Luton and Milton Keynes, maternity services (midwife and obstetric led care) are provided by our two Hospital Trusts – Bedfordshire Hospitals NHS Foundation Trust (Bedford Hospital and Luton & Dunstable Hospital) and Milton Keynes University Hospital NHS Foundation Trust. They are both part of the LMNS.

Also, part of the LMNS are:

  • Neonatal services at both Hospital Trusts
  • Perinatal and Maternal Mental Health Services provided by Central and North-West London NHS Foundation Trust (CNWL) and East London NHS Foundation Trust (ELFT)
  • Bedford Maternity Voices Partnership
  • Luton Maternity Voices Partnership
  • Milton Keynes Maternity Voices Partnership
  • East of England Neonatal Operational Development Network (ODN)
  • East of England Maternity Clinical Network
  • Public Health Teams in the local authorities in Bedford Borough, Central Bedfordshire Luton, and Milton Keynes
  • 0-19 Services provided by Cambridgeshire Community Services (CCS) and CNWL
  • Healthwatch – Milton Keynes, Bedford, and Luton
  • Public Health England – Screening Services
  • Women’s Specialist Health Physiotherapy at both Hospital Trusts