the english mental health care system which operates predominantly under the national health service but also under public health england and alongside government local authorities is made up of primary and specialist care secondary care and tertiary care and social care comprehensive mental health care is also likely to include some input from social care services both services funded and run by public health england and local social services run by local authorities governmentfunded and staterun mental health care services are sometimes supplemented by voluntary services and by private services paid for by the nhs especially for medium and low security care see section section ii