# NHS commissioning. NHS England, 'Who Pays? Determining which NHS commissioner is responsible for commissioning healthcare services and making payments to providers' (v4, July 2025)

**URL:** <https://forum.mentalhealthlaw.co.uk/t/nhs-commissioning-nhs-england-who-pays-determining-which-nhs-commissioner-is-responsible-for-commissioning-healthcare-services-and-making-payments-to-providers-v4-july-2025/4583>\
**Category:** MHLO updates\
**Created:** [6 November 2025 16:45 UTC](https://forum.mentalhealthlaw.co.uk/t/nhs-commissioning-nhs-england-who-pays-determining-which-nhs-commissioner-is-responsible-for-commissioning-healthcare-services-and-making-payments-to-providers-v4-july-2025/4583 "2025-11-06T16:45:00Z")\
**Posts on this page:** 1\
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**Author:** ![MHLO](https://forum.mentalhealthlaw.co.uk/user_avatar/forum.mentalhealthlaw.co.uk/mhlo/32/24_2.png) [@MHLO](https://forum.mentalhealthlaw.co.uk/u/MHLO)\
**Post date:** [6 November 2025 16:45 UTC](https://forum.mentalhealthlaw.co.uk/t/nhs-commissioning-nhs-england-who-pays-determining-which-nhs-commissioner-is-responsible-for-commissioning-healthcare-services-and-making-payments-to-providers-v4-july-2025/4583/1 "2025-11-06T16:45:00Z")

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— Updated guidance, in force 1 August 2025.

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Full details available at: [https://www.mentalhealthlaw.co.uk/NHS\_England,\_%27Who\_Pays%3F\_Determining\_which\_NHS\_commissioner\_is\_responsible\_for\_commissioning\_healthcare\_services\_and\_making\_payments\_to\_providers%27\_(v4,\_July\_2025)?id=061125-1645](https://www.mentalhealthlaw.co.uk/NHS_England,_%27Who_Pays%3F_Determining_which_NHS_commissioner_is_responsible_for_commissioning_healthcare_services_and_making_payments_to_providers%27_(v4,_July_2025)?id=061125-1645)