Pan-London partnership programmes
TPHC’s Partnerships team convenes and hosts a portfolio of pan-London programmes on behalf of NHS and local authority funders, bringing together the NHS, local government, voluntary sector organisations, clinicians, and communities around health challenges too complex and cross-cutting for any single organisation to lead alone.
In 2025-26, three active programmes made up this portfolio. Thrive LDN reached over 600,000 Londoners through anti-stigma campaigns and equipped more than 5,000 practitioners with trauma-informed skills. Fast-Track Cities London expanded its HIV GP Champions model across all five London Integrated Care Systems, driving a 29% increase in HIV testing in south London and training over 2,000 primary care professionals, with the model now cited in the new National HIV Action Plan. The London Co-occurring Conditions Programme secured £754,000 in recurrent funding for a new Homeless Health Outreach Service and contributed to the 2025 national Co-occurring Mental Health and Substance Use Delivery Framework.
2025 also marked the close of two long-standing programmes: Good Thinking, which reached over 900,000 Londoners across eight years as the first city-wide digital mental wellbeing service in any global city, and the Mental Health Transformation Programme, which drove system-wide improvement across London from 2015 to 2025. Full accounts of both legacies are available in their respective legacy pages.
Thrive LDN: A system leadership response to mental health across London
Common mental health conditions and psychological distress have increased consistently across London and the rest of the country over the past two decades. Thrive LDN was established as a coordinated system leadership response to the complex social, economic, and environmental factors in London, such as the rising cost of living, that shape resident wellbeing. The programme provides a system leadership framework that delivers a once-for-London approach and regional economies of scale across public mental health activity, existing to promote mental wellbeing among all Londoners and their communities, and help prevent mental ill-health.
What we did
The Thrive Partnership, hosted by TPHC, worked with people with lived experience and academic collaborators to advance research and practice in prevention and anti-racist approaches to mental health. Through influential publications and citywide initiatives, we helped shape the agenda for population-level change while embedding trauma-informed approaches across systems.
Alongside research and training, we delivered targeted interventions to reduce stigma, improve wellbeing, and strengthen community resilience, particularly for underserved groups. This included digital campaigns, frontline workforce development, grassroots funding, and the launch of innovative tools and programmes. We also maintained critical system infrastructure, such as real-time suicide surveillance and multi-agency prevention networks, ensuring a coordinated and responsive approach across the capital.
The Thrive LDN partnership delivered
Reach and engagement: 600,000+ people reached through digital campaigns across 10 boroughs, 5,500+ partner organisations engaged through Great Mental Health Day, 67 community activities across 28 London boroughs, 5,000+ practitioners equipped with trauma-informed skills
Confidence and capability gains
90% of participants in our in-depth trauma-informed practice (TIP) workshops reported increased confidence applying these skills in their professional roles. 70% of financial wellbeing project participants reported a measurable increase in their confidence managing personal finances.
Campaign outcomes
A digital advertising campaign promoting Zero Suicide Alliance training drove over 4,300 click-throughs to the platform. Close to 38,000 Londoners completed ZSA suicide awareness training during 2025/26, contributing to nearly 500,000 who have completed it since the #ZeroSuicideLDN campaign launched in 2019.
Better for communities
Thrive LDN delivers targeted activities for underserved populations and publishes research on population-level anti-racist interventions to address health inequities. Feedback from community and grassroots organisations highlights support at familiar community or religious locations is more effective for communities at greater risk of poor mental health. Robust Equity Impact Assessments are undertaken for all activities to ensure work directly addresses health inequalities.
What we learned for scaling
Great Mental Health Day shows the value of a once-for-London, partnership-led model. Pairing a single citywide moment with local activity, over 650 people joined two online sessions from 16 boroughs, and 67 borough events were recorded across 28 of London’s 32 boroughs, meant reach did not depend on local resource levels. Separately, Thrive LDN continues to explore the intersection of climate change, mental health, and systemic inequalities through a three-year partnership project.
London Co-Occurring Conditions Programme: integrating support for people experiencing homelessness
People experiencing homelessness frequently face co-occurring mental health conditions, substance use issues, and complex health needs. Guidance on meeting their needs was published in the 2025 Co-Occurring Mental Health and Substance Use Delivery Framework and is reflected in existing NICE guidance and Public Health England recommendations. However, many people still experience services as inconsistent, inaccessible, and fragmented. TPHC manages the London Co-Occurring Conditions Programme to ensure there is no “wrong door” to support and treatment.
What we did
TPHC played a leading role in shaping and delivering system-wide improvements for people with co-occurring needs, contributing expert insight at both national and regional levels. By working in partnerships spanning mental health, substance use, homelessness, autism, and end-of-life care, we helped design and implement more integrated, responsive models of support.
This included establishing a new mental health outreach service in North Central London, piloting an expedited autism assessment process for people rough sleeping in Newham, and enabling multi-sector collaboration in research and service redesign.
Alongside this, we refined our own operating model to align with a more place-based, public health-led approach for the future.
Improving access for people experiencing homelessness
Our programme was part of the National DHSC COMHAD Expert Reference Group. We advocated for the national Co-Occurring Mental Health and Substance Use Delivery Framework to reference the disproportionate impact of co-occurring mental health and substance use on people experiencing homelessness (and vice-versa). This has been referenced in the new Framework. The London Co-Occurring Conditions Task and Finish Group has developed a set of co-produced London principles, a consensus statement, and a quality checklist for London stakeholders. The Mayor’s Rough Sleeping Plan of Action has recognised inclusion health and co-occurring conditions as a key priority, and our programme is working in partnership with the Greater London Authority.
The programme secured £754,000 recurrent funding via North London NHS Foundation Trust to establish the Homeless Health Outreach Service, which opened in north central London in September 2025. It has seen over 100 people in its first six months who would otherwise have struggled to access mental health support.
In Newham, an expedited assessment process for autistic people rough sleeping is now being trialled and evaluated. A shared training programme has been delivered between Newham autism service and local homelessness services, increasing workforce knowledge and skills. In north east London and south west London, Communities of Practice and a learning programme have been established to support staff when working with people experiencing homelessness at end of life.
Strengthening pan-London coordination and national influence
The programme achieves critical strategic and operational impact through national influencing and pan-London coordination. It supports a London system that is extremely stretched, which has little capacity for the consistent, collaborative improvement activity needed to address co-occurring conditions. This dual role, working at both strategic and operational levels, supports a shift towards more integrated, coordinated, and effective pathways, services, and systems for people experiencing co-occurring conditions and homelessness.
Fast-Track Cities – London HIV GP champions pilot
HIV care remains fragmented across services in London. People with HIV miss testing opportunities and face ongoing stigma and inconsistent support in healthcare settings. Primary care plays a crucial role in early diagnosis, prevention, and long-term management of HIV. Without better integration, people living with HIV receive disjointed, reactive care rather than the preventive, coordinated support they need.
London is part of Fast-Track Cities, a global initiative to achieve zero new HIV transmissions, zero AIDS-related deaths, and zero HIV-related stigma by 2030.
What we did
We developed a GP Champions model, designating 16 existing GP Champions across London’s five integrated care systems to lead locally tailored initiatives improving HIV testing, prevention, and long-term care in primary care. We worked with people with lived experience and community organisations to ensure services addressed stigma, improved engagement, and were responsive to the needs of people living with HIV.
Improving HIV testing and diagnosis
HIV testing increased by 29% in south London following the pilot launch in 2025. Over 2,000 primary care professionals were trained across London in HIV awareness and stigma reduction. The data showed increased statin prescribing (over 50% in some areas) and improved uptake of preventative care. This means more people are being diagnosed earlier, stigma is being reduced within healthcare settings, and people living with HIV are receiving more coordinated, holistic care closer to home.
Clients, stakeholders and clinicians reported that the programme improved relationships between primary and secondary care and removed barriers to delivering good HIV care.
Strengthening the system and driving policy change
The GP Champion programme is a key case study in the National HIV Action Plan released on 1 December 2025, informing primary care actions at national level.
Our evaluation identified five critical recommendations for scaling the model:
- sustain and scale the GP Champions model beyond the pilot
- fund HIV consultant involvement to reflect their essential role
- develop shared pan-London performance metrics
- provide local incentives to support GP practice engagement
- reframe HIV as a long-term condition to support integration into primary care.
The programme demonstrates that GP-led flexibility and local leadership drive innovation, and that strong collaboration between GPs, HIV consultants, and community organisations is essential for integrated care.
Curious to see how we can make a difference?
Interested in hearing more about how we have helped tackle health inequalities? Contact us for an informal chat.
email us at:rf-tr.tphc-communication@nhs.net
