23
Accepted
Support ICBs to adopt multi-year contracts for VCFSE organisations delivering community mental health services.
Recommendation
The Department and NHE England should support ICBs to move away from short-term commissioning cycles to multi-year contracts for VCFSE organisations supporting the delivery of CMHS. The publication of the Strategic Commissioning Framework presents an opportunity to enable the bold action needed by ICBs to harness the value and potential of community assets and transform how service are delivered—but this must be matched by practical support and accountability to ensure the ambition is realised amid ongoing system pressures. (Recommendation, Paragraph 154)
Government Response Summary
The government accepts the recommendation, acknowledging the importance of multi-year contracts for VCFSE organisations and noting the NHS medium-term planning framework facilitates this. A strategic commissioning development programme will provide practical support to ICBs during 2026-2027 to strengthen commissioning skills.
Government Response
Accepted
Government Response
Accepted
HM Government
Accepted
The government accepts this recommendation. The government acknowledges the importance of supporting ICBs to move towards longer-term commissioning arrangements for VCFSE organisations that contribute to the delivery of community mental health services. The NHS medium term planning framework creates new flexibility for ICBs to plan and allocate resources across multiple years to realise the potential of investing in upstream prevention and community capacity. As part of the strategic commissioning framework, ICBs have been encouraged to consider financial and contractual models that are sensitive to the conditions that different providers are operating within and to continue to foster strong partnerships with VCSFE organisations. This will require a much stronger focus on market making and shaping, including a better understanding of the stability and sustainability of different organisations and the outcomes they deliver so that ICBs can extract maximum value from their available resources. During 2026 to 2027, a strategic commissioning development programme will provide practical support to ICBs to strengthen the skills, tools and approaches required for commissioning sustainable neighbourhood health services that are tailored to local needs. This work will take account of ongoing system pressures and the need for flexibility, while ensuring that commissioning decisions reflect the value and potential of VCFSE organisations in transforming how services are delivered.
Source
Committee
Health and Social Care Committee
Inquiry
Community Mental Health Services
Report
4th Report - Community Mental Health Services
02 Dec 2025
HC 566
Addressee Bodies
Department of Health and Social Care
Timeline
Recommendation age
0.7 yr
Report published
02 Dec 2025