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<p>The Department has not made a formal assessment. Children and young people in secure
settings should have access to the same range and quality of health services as their
peers in the wider community receive from the National Health Service.</p><p>Since
April 2013, NHS England (now NHS England and NHS Improvement) has commissioned health
services for all children and young people in Young Offender Institutions and Secure
Children’s Homes (youth justice) in England. Commissioning responsibility for health
services in Secure Training Centres (excluding Oakhill Secure Training Centre), transferred
in 2014, and for Secure Children’s Homes (welfare only) in 2015.</p><p>NHS England
and NHS Improvement have a number of systems in place to enable it to assess the adequacy
of healthcare provision. These include quarterly contract management meetings, Children
and Young People Indicators of Performance returns, quality assurance visits, a quality
surveillance process, and intelligence arising from Her Majesty’s Inspectorate of
Prisons, Ofsted and Care Quality Commission reports. In addition, NHS England and
NHS Improvement work in partnership with the relevant colleagues from Her Majesty's
Prison and Probation Service Youth Custody Service, Ministry of Justice, Department
for Education and Public Health England in responding to any concerns.</p><p> </p>
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