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Host commissioner

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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   


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:

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

  • Telephone: 01629 533190 
  • Email:
  • 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.

Derbyshire Independent Hospitals locations 

Elysium: The Limes

Elysium: Field House

Cygnet: Acer Clinic (Upper and Lower House)

Cygnet: Storthfield House

Cygnet: The Views

Cygnet: Manor

Cygnet: Derby

Last Updated: Tuesday 19th December 2023 - 4:30:pm

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