Mental health problems are widespread, at times disabling, yet often hidden. One in four adults experiences at least one diagnosable mental health problem in any given year. People in all walks of life can be affected and at any point in their lives. Mental health problems represent the largest single cause of disability in the UK.
The NHS is placing more national focus than ever before on mental health. NHS England aims to deliver a transformation in mental health services by 2020/21, with an ambition of putting mental health on an equal footing to physical health in the NHS.
NHS England is developing major programmes which aim to develop and implement new effective services for adults in line with the recommendations of the Five Year Forward View For Mental Health.
Our key commitments include:
- Evidence-based treatment pathways for mental health: as set out in Implementing the Five Year Forward View For Mental Health, to improve timely access to services delivered in line with NICE recommendations. A comprehensive set of pathways will be introduced over the next five years. The first are:
- Early intervention in psychosis, supported by £40m recurrent funding per year with additional investment over the next 5 years;
- Psychological therapies for depression and anxiety disorders (IAPT)
- 24/7 urgent and emergency mental health liaison in acute hospitals (e.g. in emergency departments and adult inpatient wards), with a helpful resources document.
- Perinatal mental health: NHS England is transforming services so that more women experiencing mental ill health during or after pregnancy have access to the right care. This five-year transformation programme is backed by £365m extra investment.
- Community-based adult mental health services: working with partners to improve access to high-quality, evidence-based care which considers people’s physical and mental health needs and wellbeing, reducing premature mortality among people with severe mental illness and doubling the reach of Individual Placement and Support (IPS).
- Urgent and emergency mental health care: as a signatory to the Crisis Care Concordat, NHS England began a major programme on crisis care, with the aim of ensuring 24/7 access to the right services for people experiencing mental health crisis. This includes £249m investment in urgent and emergency mental health liaison in acute hospitals. The bidding process for Wave 1 of the transformation funding for urgent and emergency liaison mental health services is now live.
- Acute mental health care: NHS England is aiming to improve the commissioning and provision of acute care for adults. This includes £400m investment in Home Treatment Teams so that they are able to offer an alternative to inpatient hospital care, and to support our headline ambition to eliminate the practice of sending people long distances for non-specialist acute care by 2020/21
- Improving Access to Psychological Therapies (IAPT) : This programme, which began in 2008, has transformed the treatment of adult common mental health disorders in England. NHS England is expanding it further:
- To increase access by 2020/21 so that at least 25 per cent of people with common mental health conditions access services each year and to sustain and improve the quality of care, including recovery rates. A focus will be on co-locating services within primary and community health care so that people’s treatment can be more convenient and timely and considers both their physical and mental health needs
- To increase access to psychological therapies for people with psychosis, bipolar disorder, and personality disorder
- Secure care: to improve pathways in and out of secure care, with a focus on developing community-based services to ensure people with severe mental health problems are cared for in the least restrictive setting, as close to home as possible.