Secure Care Programme

A new Secure Care Programme is being led by NHS England which aims to deliver the recommendations in the Five Year Forward View for Mental Health for care in the least restrictive setting, as close to home as possible, and with a stronger focus on recovery.

The programme, as outlined in Implementing the Five Year Forward View for Mental Health, aims to substantially reduce the number of people sent ‘out of area’ for care in secure mental health services, and reduce the dependency on hospital beds through increased community provision:

  • Increased investment, totalling £94million by 2020/21, will support the transformation of pathways in and out of secure care, in collaboration with those who use services, carers and our national partners.
  • The development of the secure care pathway will also be shaped by the results of a 12-month trial to test provider-led commissioning for medium and low secure services which incentivise the least restrictive care possible, closer to home.
  • A workforce strategy to support the development of community service models and an analysis of demand and improved data collection.

NHS England will continue to work in partnership with its regulatory and NHS partners to put into place the cross-system support needed to deliver this programme and embed good quality community services within the secure care pathway.