All young offender institutions (YOIs) in England have access to in-reach Child and Adolescent Mental Health Services (CAMHS). YOIs in Wales are the responsibility of the Welsh Assembly Government.
Transfer of the responsibility for commissioning health services in YOIs, and adult prisons in England, began in 2003 and was fully devolved to the national health service by April 2006. Primary care trusts (PCTs) work with their partner establishments to develop a comprehensive health needs assessment of the population and commission on the basis of that need.
Since 2006 all funding including mental health forms part of the wider health care allocation and is paid out as part of the NHS Bundle and part of PCT main allocation. The NHS bundle includes the strategic health authority. All health funding is allocated to NHS bundle and they distribute this to the PCTs.
The Department of Health has provided £1.5 million additional funding for 2007-08, repeated in 2008-09, to extend the range of CAMHS in the secure estate for children and young people.