i-THRIVE Accelerator Site

Warrington CCG and Halton CCG held a system-wide engagement event in September 2016 which was attended by over 100 people and included representation from the local authority, schools, health and the voluntary sector. The event introduced people to the THRIVE Framework for system change (Wolpert et al., 2019) and resulted in a system-wide sign up to making changes in line with the THRIVE Framework.

This followed engagement with young people about their experiences of support for mental health in Warrington. The themes drawn from their stories were validated at a wider engagement event in July 2016. At this event, everyone was invited to add their experiences to five posters hanging up on the walls, one for each of the THRIVE Framework’s needs based groupings. A further session explored how implementation of the THRIVE Framework could look in Warrington.

Poster of ‘What the THRIVE Framework could look like in Warrington’:

A large exercise was undertaken to map need, demand and spend against the THRIVE Framework followed by the creation of task and finish groups to oversee implementation and to co-design a local model. Warrington led on the creation of a new service specification and outcome framework which is supported by a lead provider arrangement and shared accountability through a shared outcomes and reporting framework whilst also supporting national guidance and targets, e.g. the national access target.

You can read more about this new service specification in the full i-THRIVE Implementation Story here.


Below is an overview of Warrington’s journey to date:


Reflecting on progress to date, Claire Hammill, Commissioning Manager at Warrington CCG, says that one of the key contributions of using the THRIVE Framework so far has been the shared language it provides for stakeholders from across the different sectors supporting children and young people.

Working within the concepts of the THRIVE Framework has allowed Warrington the opportunity to work in collaboration and in partnership with partner agencies. Relationships have been built with stakeholders and respect and trust have been developed.

Working with external stakeholders and having other providers working within CAMHS has led to the following:

  • Mutual understanding of each other’s contribution to improving outcomes for children, young people and families and the sharing of a similar ethos, common goal.
  • Development of a mutual understanding of the value of each partner’s contribution.
  • Improving the outcomes for children, young people and families by pooling expertise and resources which has supported and encouraged co-production in the creation of needs led, person-centred, community-based health and care which promotes equality for all.


Colleagues in Warrington believe that the THRIVE Framework has allowed creativity and innovation to test out new ways of working in the best interest of children, young people and families and all practitioners are positive and engaged in the new way of working.

If you would like more information on the work Warrington are doing with implementing the THRIVE Framework, please contact Tarnia Woods at


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