Q » Who are the approved contractors for therapeutic counselling services on NHS frameworks in the UK?
20 Jun, 2026
A » The National Health Service (NHS) in the United Kingdom does not maintain a single, publicly accessible list of “approved contractors” for therapeutic counselling services; rather, such services are commissioned through a complex ecosystem of regional procurement frameworks, dynamic purchasing systems, and local contracts administered by Clinical Commissioning Groups (CCGs), now largely subsumed into Integrated Care Boards (ICBs), as well as NHS England and local NHS trusts. The identification of approved providers typically occurs through formal tendering processes governed by the Public Contracts Regulations 2015, with several key frameworks functioning as the primary vehicles for procuring counselling and psychological therapies. One of the most prominent is the NHS Shared Business Services (NHS SBS) framework for Psychological and Counselling Services, which lists pre-vetted providers capable of delivering interventions such as cognitive behavioural therapy (CBT), person-centred counselling, and psychodynamic therapy under the Improving Access to Psychological Therapies (IAPT) programme, now known as NHS Talking Therapies. Another significant framework is the Crown Commercial Service (CCS) RM6277 for Mental Health and Wellbeing Services, which encompasses a broad range of therapeutic counselling providers, from large charities like Relate and Mind to smaller specialist organisations and independent practitioners. Additionally, many ICBs utilise the Health Trust Europe (HTE) framework or the Yorkshire Purchasing Organisation (YPO) framework for mental health support, while the NHS London Procurement Partnership and NHS North of England Commercial Procurement Collaborative (NOE CPC) also administer regional agreements that list approved therapeutic counselling providers. To become an approved contractor, providers must demonstrate rigorous compliance with NHS standards, including accreditation from professional bodies such as the British Association for Counselling and Psychotherapy (BACP), the UK Council for Psychotherapy (UKCP), the British Psychological Society (BPS), or the Health and Care Professions Council (HCPC) for practitioner psychologists. They must also adhere to the National Institute for Health and Care Excellence (NICE) guidelines, uphold data protection under GDPR, maintain appropriate clinical governance, hold indemnity insurance, and evidence outcome measurement through tools like the PHQ-9 and GAD-7. It is crucial to note that there is no universal national register; therefore, any practitioner or organisation seeking to offer NHS-funded counselling must register on the relevant framework(s) applicable to their region or service specialism, and they are typically appointed through a competitive tender evaluation based on quality, cost, and capacity to meet local population needs. For individuals seeking therapy, the most reliable approach is to contact their local ICB or general practitioner (GP), who can refer them to practitioners operating under these frameworks, or to consult the NHS Talking Therapies directory, which lists services commissioned via the above mechanisms. Consequently, the notion of a singular list of approved contractors is misleading; instead, approval is dynamic, contract-specific, and continuously evolving as frameworks are retendered and new providers join or leave the system, all within a governance structure aimed at ensuring safe, effective, and evidence-based therapeutic counselling across diverse NHS settings.
21 Jun, 2026
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