Personality disorder programme No longer a diagnosis of exclusion

Read more and download commissioning guidance.

This guidance aims to use what we have learned to support commissioners and service providers in addressing the needs of local populations with Personality Disorder (PD). Those populations are diverse, as PD can form part of a complex profile of need across many service user groups and age groups. Effective commissioning depends on recognising this complexity as it considers the needs of vulnerable children at risk, offenders, people with substance misuse problems, women with complex needs, offenders and others.

So, while NHS mental health commissioners have a key role to play, they cannot alone deliver better health and well-being for people with PD. Success also depends on developing effective coalitions and joint approaches, most notably with criminal justice system agencies, but also with drug action teams, children’s trusts and local authorities.

Government recognises that many departments and agencies need to work collaboratively to achieve the key priorities and objectives that are embodied in Public Service Agreements. Working together, through local strategic planning or locally agreed co-commissioning arrangements, is a necessary foundation for success.

Improving outcomes for people with PD is challenging – but commissioners, providers of services and practitioners are already demonstrating their commitment to the task. We trust that this guidance will support these endeavours.