Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the effectiveness of therapeutic Tier 4 services.

NHS England’s London Region Specialised Commissioning is currently undertaking a tabletop review of Tier 4 (T4) Personality Disorder inpatient provision within the London footprint. This review is being led by the Nursing and Quality and Mental Health teams and covers all units providing national T4 Personality Disorder inpatient services, which are all located in London.

The review has been initiated in response to a number of quality and environmental concerns identified within the provision and is assessing the effectiveness of the current service model, its clinical distinctiveness, equity of access, and its alignment with national policy objectives.