Specialised Commissioning Retained Mental Health, Learning Disability and Autism Services (MHLDA)- The North West

The contracts being awarded under this notice are for the retained Specialised Mental Health, Learning Disability, and Autism (MHLDA) services: The contract is to deliver Child and Adolescent Mental Health Services Tier 4:General Adolescent Services including specialist eating disorder services (Under 13s).

Child and Adolescent Mental Health(CAMH) Tier 4 Children’s Services deliver specialist in-patient and day-patient care to children who are suffering from severe and/or complex mental health conditions that cannot be adequately treated by community CAMH services. The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years.

The approximate total lifetime value of the initial contract period is estimated to be £15,945,000 (Annual value of £3,189,000). This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023.

Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used. The contract is to deliver Tier 4 Personality Disorder (Adult) services.

Secure services provide treatment for adults aged 18 years and over with mental disorders, these include mental illness (MI), personality disorder (PD) and neurodevelopmental disorders (NDD) including learning disabilities (LD) and autism (ASD). The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years.

The approximate total lifetime value of the initial contract period is estimated to be £63,000,000 (Annual value of £12,600,000). This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023.

Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used. The contract is to deliver Children's and Young person Mental Health Medium Secure (MSU)- Inpatient services.

MSUs provide care and treatment within a highly prescribed set of physical, relational, and procedural security measures, to a variety of young people. The secure system for young people in England is complex and there is no 'high secure' environment for children and young people.

This means the most complex and vulnerable children and young people will be supported within MSUs. The predominant need for care and treatment will relate to the young person’s assessed risk of harm to self and/or others because of their mental health need.

The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be £21,105,000 (Annual Value £4,221,000).

This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.

The contract is to deliver Specialised Mental Health Services for Deaf People (Adults) The specialised service is provided to deaf service users who have significant mental health difficulties and have been unable to access culturally appropriate assessment and treatment services, or have not responded to treatments or require inpatient admission for assessment.

The service will offer advice and support to care co-ordinators from the service users’ home area and may provide consultation and advice via teleconferencing facilities. The services provide expertise in the assessment, treatment and recovery of people who are deaf, likely to use British Sign language and have a serious mental health problem.

Services may also specialise in the support of those people who are deaf and offend (Secure Services). The service can provide assessment, treatment, and care including long-term rehabilitation and short-term treatment.

The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be to be £11,695,000 (Annual Value £2,339,000).

This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.

The contract is to deliver High Secure Mental Health Services (Adult). A specialist psychiatric hospital providing assessment, treatment, and care in conditions of high security for men aged 18 and above and its catchment area covers the Midlands, North Wales and the North West.

Ashworth is one of only three high secure psychiatric hospitals in England and Wales, providing assessment and treatment for men with a serious mental illness or personality disorder who are detained under the Mental Health Act and are assessed as presenting a grave risk to others. The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years.

The approximate total lifetime value of the initial contract period is estimated to be £377,665,000 (Annual value of £75,533,000). This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023.

Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used. The contract is to deliver Child and Adolescent Mental Health Services Tier 4: General Adolescent Services including specialist eating disorder services (Under 13s).

Child and Adolescent Mental Health (CAMH) Tier 4 Children’s Services deliver specialist in-patient and day-patient care to children who are suffering from severe and/or complex mental health conditions that cannot be adequately treated by community CAMH services. The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years.

The approximate total lifetime value of the initial contract period is estimated to be The approximate total lifetime value of the initial contract period is estimated to be £6,860,000 (Annual value of £1,372,000). This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023.

Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used. The contract is to deliver Child and Adolescent Mental Health Services Tier 4: General Adolescent Services including specialist eating disorder services (Under 13s).

The Forensic Brain Injury service at Guild Lodge has inpatient beds that are secure/forensic environments. The Forensic Brain Injury service supports referrals from the whole of England and offers integrated care for individuals who have identified secure care needs associated with a brain injury.

This allows better matching of care with individual patient need in a specialist area where secure forensic brain injury provision is otherwise very limited. The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years.

The approximate total lifetime value of the initial contract period is estimated to be The approximate total lifetime value of the initial contract period is estimated to be £45,085,000 (Annual value of £9,017,000). This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.