Since April 2013, NHS England has commissioned health services for all children and young people in Youth Offenders Institutions in England. NHS England have a number of systems in place to enable them to assess the adequacy of healthcare provision in HMYOI Doncaster. These include quarterly contract management meetings, Health and Justice Indicators of Performance returns, quality assurance visits, a quality surveillance process, and intelligence arising from Her Majesty’s Inspectorate of Prisons and Care Quality Commission reports. In addition, NHS England work closely with colleagues from Her Majesty's Prison and Probation Service to ensure awareness of their concerns. There have been historic concerns about the healthcare provision at HMYOI Doncaster as a result of which the provider is on enhanced surveillance. An action plan has been put in place to drive improvements and NHS England anticipate that they will be able to remove the provider from enhanced surveillance once they are assured that the progress demonstrated to date is sustainable.