Specialised Commissioning Retained Mental Health, Learning Disability and Autism Services (MHLDA)- London

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 (CAMHS) Tier 4:General Adolescent Services including specialist eating disorder services (Under 13s) and HIV drugs.

The aim of the CAMHS service is to deliver family centred specialist inpatient, day patient and outpatient/outreach mental health care and treatment to children (and their families) who are suffering from severe and /or complex mental health conditions that cannot be adequately treated by community based 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 £109,544,160 (Annual value of £21,908,832). 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 Specialist services for severe personality disorder in adults – in London

The Portman Clinic delivers a specialist forensic mental health outpatient service for service users of all ages (children, adolescents and adults) whose conditions lead them to have or fear having antisocial or deviant impulses and/or behaviour. The Portman Clinic predominantly uses a psychodynamic approach which seeks to treat Service Users by tackling the causes of their condition, improving the symptoms (including their behaviour) in a sustainable manner, rather than just containing and restraining the Service Users.

It also supports other services and professionals by providing consultative functions to mental health and social care professionals directly involved with the Service Users. The key aim is to help Service Users to reduce their need to act on their impulses (offend) by helping them understand their emotional states and thus giving them deep-seated psychic resources to find alternative, less destructive and harmful, ways of behaving towards themselves and 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 £7,239,900 (Annual value of £1,447,980.00).

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 Fixated Threat Assessment Centre. FTAC is the first joint NHS/police unit in the United Kingdom.

Its purpose is to assess and manage the risks from lone individuals who harass, stalk or threaten public figures. Many such people are suffering from serious mental illnesses and have fallen through the care net.

FTAC helps such people get the care they need and, by doing so, decreases any risk they might pose, not just to prominent people, but to the individuals’ families and to those around them. FTAC is a unit within the Metropolitan Police Service (MPS).

It has a national remit. 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 £5,281,155.00 (Annual value of £1,056,231.00). 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 Severe obsessive compulsive disorder and body dysmorphic disorder service (Adults and Adolescents)

The national Obsessive-Compulsive Disorder & Body Dysmorphic Disorder service (OCD/BDD) is commissioned to provide highly specialised assessment and treatment for patients experiencing severe OCD or BDD through out-patient, home-based, residential unit or in-patient services on behalf of NHS England for the population of England. The national OCD/BDD service delivers highly specialised interventions in conjunction with local mental health services and is available to people of all ages on the basis of need.

The aim of the service is to improve the mental health state of both adolescents and adults suffering with the most profound OCD/BDD at Level 6 of the NICE guidelines, who have failed all previous treatments (including home-based treatments), by delivering tailored enhanced treatment packages in a safe environment. 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 £9,344,945.00 (Annual value of £1,868,989.00). 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 Autism and Intellectual Disability Intensive Intervention Team (AID-IIT)

AID-IIT is a Tier 4 national and specialist outpatient CAMHS team to support children under 13 years old with Intellectual Disability and Autism Spectrum Disorder from across London who are at risk of hospital admission. . The service works jointly with teams in a child’s local area for a short but intensive period.

AID-IIT could support children with a timely and successful discharge from inpatient care or provide intensive community support (co-working with local CAMHS) to prevent inpatient admission in the first place. 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 £2,500,000.00 (Annual value of £500,000.00). 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 Mental Health Services for Deaf Children and Adolescents

This service is commissioned to provide a highly specialised mental health to deaf children and young people (aged 0 to 18 years) and hearing children of Deaf adults, in both the community and in-patient setting, on behalf of the NHS England for the population of England. The aim of the service is to improve their mental health by delivering highly specialised assessment and treatment packages in a safe environment; at home, community, clinic or inpatient setting.

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 27,323,280 (Annual value of £5,464,656.00).

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 Mental Health Services for Deaf Adults To provide a cost effective, quality of life and recovery focused, culturally sensitive, linguistically accessible mental health service to severe or profoundly deaf and deaf[1]blind people aged 18 years and above, who have a wide range of communication and language needs and who need a deaf environment.

The service will effectively use resources to provide accurate diagnosis, and specialist 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 £19,814,740 (Annual value of £3,962,948.00). 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 Severe obsessive-compulsive disorder and body dysmorphic disorder service (Adults and Adolescents)

The national Obsessive-Compulsive Disorder & Body Dysmorphic Disorder service (OCD/BDD) is commissioned to provide highly specialised assessment and treatment for patients experiencing severe OCD or BDD through out-patient, home- based, residential unit or in-patient services on behalf of NHS England for the population of England. The national OCD/BDD service delivers highly specialised interventions in conjunction with local mental health services and is available to people of all ages on the basis of need.

The aim of the service is to improve the mental health state of both adolescents and adults suffering with the most profound OCD/BDD at Level 6 of the NICE guidelines, who have failed all previous treatments (including home-based treatments), by delivering tailored enhanced treatment packages in a safe environment. 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 £11,044,170.00 (Annual value of £2,208,834.00). 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 Specialist services for severe personality disorder in adults.

The Cassel Hospital offers treatment to adults with severe and complex personality disorders. Patients are treated at Cassel for a minimum of 9 months and a maximum of 33 months: The 9-month inpatient treatment accepts referrals from the whole of the UK, whilst the outreach service offers up to 24 months of treatment for those within easy reach of London.

The inpatient service operates to a therapeutic community model. The treatment path is determined by the patient's individual circumstances and resources available locally.

Progression from the inpatient to the outreach service is therefore not automatic. Patients will have a break in between these two phases of treatment (where applicable) to complete the ending and consolidate their learning.

The service does not accept patients that are detained under the MH Act, all patients must have a home address and associated care team. 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 £10,195,320 (Annual value of £2,039,064.00). 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).

The Secretary of State for Health has a duty under Part One, Section 4 of the National Health Service Act 2006, to provide hospital accommodation and services for persons who: are liable to be detained under the Mental Health Act 1983 (c20) and in the opinion of the Secretary of State require treatment under conditions of high security on account of their dangerous, violent or criminal propensities. 1.3.3 Only NHS Trusts approved by the Secretary of State through a formal authorisation process can provide high secure services as detailed in Part One of the National Health Service Act 2006. Such approval must be for a specified period, may be subject to conditions and can be amended or revoked at any time.

Broadmoor Hospital is currently commissioned to provide Male Mental Illness High Secure MH 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 £503,551,325.00 (Annual value of £100,710,265.00). 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 aim of the service is to deliver family centred specialist inpatient, day patient and outpatient/outreach mental health care and treatment to children (and their families) who are suffering from severe and /or complex mental health conditions that cannot be adequately treated by community based 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 £ 4,659,465.00 (Annual value of £931,893.00). 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.