england has a growing private health sector which individuals can choose to access on a personal basis perhaps using private medical insurance oecd mental health questionnaire england following the nhs reforms nonnhs mental health care providers can also be commissioned directly by any of the commissioning bodies usually a ccg or nhs england or may be subcontracted by an nhs provider the government is also committed to ensuring that patients and service users are able to choose any qualified provider in certain community and mental health services