What we do
The Trust delivers community health, mental health, learning disability & neurodiversity, and substance misuse services across two systems: East London (City & Hackney, Newham and Tower Hamlets), serving a population of more than 950,000; and Bedfordshire and Luton (Luton, Bedford Borough and Central Bedfordshire), serving a population of over 900,000.
We work in some of the most diverse communities in the country, and among the most deprived, with correspondingly high levels of poor mental and physical health. These are also areas projected to see some of the highest population growth in the country over the coming years.
In addition to our core footprint, we are also a lead provider within wider provider collaborative arrangements across north, central and east London, supporting a population of around two million people.
This role extends beyond our direct services in East London and Bedfordshire & Luton, with responsibility for coordinating services, setting standards and working in partnership with other providers to deliver high-quality, integrated care across the wider system.
We also run three primary care inclusion practices in East London, for people experiencing homelessness.
Scale: we deliver from 129 sites, employ nearly 8,000 staff, and have an annual turnover of approximately £750 million.
How services are organised
The Trust structures its services geographically, so they link into local services and support a place-based approach to improving population health. Mental health services are delivered across all our places (City & Hackney, Newham, Tower Hamlets, Bedfordshire and Luton); community health services are delivered in Bedfordshire, Newham and Tower Hamlets.
Specialist services include CAMHS, specialist children’s services, talking therapies, and specialist addiction services. Community-based provision includes community mental health teams, home treatment teams, crisis resolution teams, rehabilitation teams, and rapid response and admission avoidance teams.
Our People Participation function sits within our corporate directorate, with participation leads working alongside clinical teams so that the voices of people who use our services, carers and communities shape care design and delivery.
Partnership and system working
We work closely with North East London NHS Foundation Trust to make best use of adult healthcare resources across the system, so people can be cared for locally wherever possible. This is a bilateral partnership, not a shared management or governance structure.
More broadly, we operate within North East London and Central East Integrated Care Systems, where much of our work is delivered in collaboration with partner organisations fellow NHS trusts, local authorities, other public bodies and the voluntary sector. We are an active participant and, in some cases, a coordinating partner in these arrangements; we do not lead or run the ICS itself.

