Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, who requested the table-top review of Tier 4 services for personality disorder by NHS England; who is leading that review; and what that review's aims and purpose are.

NHS England 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. It will also consider how the current T4 Personality Disorder pathway aligns with national mental health policy, including the NHS Long Term Plan, with a particular focus on the strategic shift from inpatient care towards community-based, multidisciplinary models of support.

The review is assessing the effectiveness of the current service model, its clinical distinctiveness, equity of access, and its alignment with national policy objectives.