Host commissioner

NHS Derby and Derbyshire is required to have assurances and maintain effective quality surveillance of all independent hospitals within our geographical boundaries. 

Host commissioner guidance relates specifically to maintaining oversight of the quality of care for people with a diagnosis of learning disability and/or autism. However, within Derbyshire we have extended this oversight beyond national guidance to also incorporate the care of people who have a mental health diagnosis admitted to independent hospitals in our area. We also work closely with other host commissioners when we have placed people outside of Derbyshire.

There are eight independent hospitals in Derby/Derbyshire that are caring for people who may have been placed by many different NHS Integrated Care Boards into our local area.

You can access national host commissioner guidance on the NHS England website.

You can contact us as host commissioner at the following email address ddicb.hostcommissioner@nhs.net   

Our role as host commissioner

• Maintain surveillance and oversight of the quality of care at our local independent hospitals.
• Be the point of contact to commissioners placing in our area.
• To be a point of contact and support for independent hospital providers located in our area.
• Ensure a coordinated response is in place across other commissioners, the local authority and regulator to effectively respond to concerns and support quality improvement within independent hospitals.
• To triangulate information across placing commissioners and stakeholders to inform the level of our oversight and whether this is enhanced.
• Ensure that we never request or accept patient identifiable information because this sits outside of our remit and is held by a person’s local commissioner funding care.

National guidance expects other commissioners placing in our area to:

• Talk to us prior to admitting a person into Derby and Derbyshire.
• Retain oversight for the clinical care of people you place in our area and ensure your contingency plans are robust and able to support independent hospitals to respond to crisis.
• Talk to us about any quality or governance concerns you identify within independent hospitals.
• Collaborate with us where concerns are identified to ensure a unified and supportive approach across placing commissioners to support independent hospitals to maintain quality, mitigate risk and resolve concerns.     

Reporting safeguarding concerns

We work very closely with our local authority safeguarding leads to share intelligence about any allegations of abuse or neglect. Should you have any safeguarding concerns or wish to make a safeguarding referral it will be your responsibility as placing commissioner to contact the relevant local authority. Derby and Derbyshire safeguarding teams will also contact you directly should a local safeguarding concern be raised that involves the person you have placed in Derbyshire. 

For any safeguarding concerns about an independent hospital in Derby City please contact Derby City Adult Social Care Safeguarding Adults Team:

• Telephone: 01332 642855
• Online Referral form and additional information about safeguarding is available by visiting the Derby City Council website.
• Email: AdultsMASH@derby.gov.uk

For any safeguarding concerns about an independent hospital in Derbyshire County please contact Call Derbyshire on:

• Telephone: 01629 533190 
• Email: contact.centre@derbyshire.gov.uk
• You can read about how to make a safeguarding referral by visiting the Derbyshire Safeguarding Adults website.  

How to tell us about a concern

It is important that commissioners placing in Derbyshire talk to us about any quality or governance concerns they may identify. This will help us triangulate information and also address any identified concerns as host commissioner. We also encourage our independent providers to talk to us about concerns that arise.  

You can tell us about a concern by completing the following alert form.

Quality Concerns reporting form

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Derbyshire Independent Hospitals locations 

Elysium: The Limes

• Main Street, Langwith, Mansfield, Nottinghamshire, NG20 9HD.
• Telephone: 01623 745 002
• The Limes Hospital | Elysium Healthcare

Elysium: Field House

• Chesterfield Road, Shirland, Alfreton, Derbyshire DE44 7DT.
• Telephone: 01773 838 150
• Field House | Elysium Healthcare

Cygnet: Acer Clinic (Upper and Lower House)

• Worksop Road, Chesterfield, Derbyshire, S43 3DN.
• Telephone:  01246 386 090
• Cygnet Acer Clinic – Cygnet (cygnetgroup.com)

Cygnet: Storthfield House

• Storth Lane, South Normanton, Alfreton, Derbyshire, DE55 3AA.
• Telephone:  01773 515600
• Cygnet Storthfield House – Cygnet (cygnetgroup.com)

Cygnet: The Views

• 22 Wellington Street, Matlock Derbyshire, DE4 3JP.
• Telephone:  01629 381 004
• Cygnet Views – Cygnet (cygnetgroup.com)

Cygnet: Manor

• Long Lane, Central Drive, Shirebrook, Mansfield, NG20 8BA.
• Telephone:  01623 741 1730
• Cygnet Manor – Cygnet (cygnetgroup.com)

Cygnet: Derby

• 100 City Gate, London Road, Derby Derbyshire DE24 8WZ.
• Telephone:  01332 365 434
• Cygnet Hospital Derby – Cygnet (cygnetgroup.com)

Patient Choice and Provider Accreditation

In January 2024, the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (‘Standing Rules’) were amended to include a formal accreditation process for providers seeking to be awarded an NHS Standard Contract by ICBs for services to which patient choice applies.

The information presented below, describes the process that a Provider must follow for their expression of interest to be formally registered and reviewed by Derby and Derbyshire ICB (DDICB) – ultimately to inform a decision as to whether the Provider is accredited and thus awarded an NHS Standard Contract by DDICB.

The process is split into 3 stages:

Stage 1:

All interested providers should register their request for accreditation via the dedicated Choice Services Accreditation Inbox: ddicb.nhsedchoiceaccreditation@nhs.net.

Providers will be sent parts 1-2 of the accreditation assessment pack for completion:

• General Information

• Qualification Criteria

ICB review of submitted information.

Stage 2:

Providing the Provider meets the requirements set out in stage 1, a site visit will be organised to the identified premises for service delivery.

Stage 3: Providers who meet the requirements of stages 1 and 2 will be sent out the final elements of the accreditation assessment pack for completion for review by the Choice Accreditation Panel.

• NHS Standard Contract Terms and Conditions
• Local Terms and Conditions – Service Specific
• Technical Questions – Service Specific

The purpose of the accreditation assessment pack is to assess providers against a standard set of questions to assure the ICB that the provider is a suitable provider that the ICB is confident to contract with.

Following completion of the accreditation process, providers will be notified of the outcome (Accredited, Accredited with Conditions Precedent, Additional Information Required Prior to Accreditation Decision, Accreditation Requirements Not Met).

Where the outcome is Accredited with/without conditions, an NHS Standard Contract is then to be agreed between the provider and ICB.

Providers who wish to enter a process of accreditation for the delivery of choice services should make contact via ddicb.nhsedchoiceaccreditation@nhs.net in the first instance.

Please ensure full details of the proposed service(s) are provided to allow for initial assessment and confirmation the proposed service does fall within the scope of patient choice.

Once the completed Provider Accreditation Assessment Pack has been received, DDICB will endeavour to initiate and complete an assessment process within the 6- week timeframe set out in the guidance, however, this is based on full and complete information being submitted by the provider in response to all evaluation questions and sufficient assurance being provided. 

If a Provider is seeking accreditation for a service for which there is no specification in place or a specification is being updated,  DDICB will acknowledge receipt of the request and advise that the necessary information will be provided once DDICB have completed the process for developing and/or updating service specifications. DDICB will intend to complete the process within a maximum of 12 weeks of receiving the request subject to governance procedures.  The time frame may need to be extended, but the ICB will progress this without undue delay.  Providers will be notified of this, where applicable, once the initial response is received to stage 1.