Please note, this page is for placing ICBs only and not members of public/patients.
The NHS England Host Commissioner guidance requires NHS Integrated Care Boards (ICBs) to oversee the quality and safety of mental health inpatient care for people with a learning disability and/or who are autistic.
Role of the Host Integrated Care Board
Inpatient mental health care provides intensive, 24/7 support in a hospital setting. All inpatient mental health hospitals providing care for autistic people or those with a learning disability must have an identified host ICB; the host ICB is normally the ICB where the inpatient unit is located.
NHS Hampshire and Isle of Wight is the host ICB for inpatient services provided by:
- Hampshire and Isle of Wight Healthcare NHS Foundation Trust
- Priory Hospital Mildmay Oaks
- Priory Hospital Nelson House
- Priory Hospital Southampton
- St Martha’s Hospital
The host ICB must:
- Act as the central point of contact for all placing commissioners and the CQC regarding quality/safety issues.
- Maintain shared intelligence systems across all commissioners placing people in the same unit.
- Build understanding of patient experience, including feedback from families and advocates.
- Ensure strong links with local safeguarding adults boards (SABs) and uphold Care Act duties.
- Lead local responses where serious or multiple quality concerns emerge.
- Work with providers to agree improvement actions and monitor progress.
- Identify a named host commissioner with appropriate seniority.
The host ICB does not:
- Replace the placing commissioner.
- Take responsibility for individual care plans, discharge planning or personal-level clinical quality.
The role of NHS commissioners placing in Hampshire and Isle of Wight
- Talk to us prior to admitting a person into Hampshire and Isle of Wight. Please do not include person identifiable information in your emails. As host ICB we will never ask for identifiable information about people you place in our area.
- Retain oversight for the clinical care of people you place in our area.
- Talk to us about any quality or governance concerns you identify within the Hampshire and Isle of Wight independent / NHS hospitals. This could include:
- Risks of harm or safeguarding issues
- Use of restrictive practices outside national policy
- Deaths, serious incidents
- Staff behaviour concerns
- Environmental or staffing issues
- Poor care planning or lack of family involvement
- Human rights concerns
- Nutrition, hydration, physical health monitoring concerns
- Collaborate with us when we set up cross-system assurance meetings
How to raise a quality, safety or governance concern (providers only)
It is important that NHS commissioners placing into Hampshire and Isle of Wight talk to us about any quality or governance concerns they may identify. You can inform us of these by emailing us at: hiow.qualityassurance4improvement@nhs.net
If your concern is a patient experience enquiry or complaint (patients / members of the public)
If you need to make an enquiry, give feedback or raise a complaint about patient care or your personal experience of services, please contact our Patient Experience and Complaints Team who manage these issues separately from quality/governance 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 NHS commissioners to contact the relevant local authority.
Hampshire and Isle of Wight safeguarding teams will also contact you directly should a local safeguarding concern be raised that involves the person you have placed in our area.
If you are concerned about an adult, don’t ignore it. If the abuse you have seen is a crime, you should report this to Hampshire Constabulary or call the police on 101.
In an emergency, or if you suspect someone is in immediate danger, call 999.
Find out more about how to make a safeguarding referral, or complete the online safeguarding referral, here.
