The Mental Health Five Year Forward View (MH FYFV) set out our plans for improving and expanding mental health care, which continues to be central to the NHS and forms the first part of our long term plan.
The Mental Health Five Year Forward View Dashboard brings together key data from across mental health services to measure the performance of the NHS in delivering our plans.
The dashboard provides the greatest transparency ever in assessing how NHS mental health services are performing, alongside technical details explaining how mental health services are funded and delivered.
The most recent version of the dashboard includes the latest data available up to and including quarter four of the 2018/19 financial year.
Key points about mental health services
Mental health services funding and investment
The NHS’s recently published Long Term Plan reaffirms our commitment to putting mental health care on a level footing with physical health services.
To support the ambitions within the Plan the NHS has made a renewed commitment that mental health services will grow faster than the overall NHS budget, creating a new ringfenced local investment fund worth at least £2.3 billion a year by 2023/24.
In consecutive years the NHS in England has met its commitment that the increase in local funding for mental health (excluding learning disabilities and dementia) is at least in line with the overall increase in the money available to them. This is called the mental health investment standard (MHIS).
Since it was introduced in 2015/16 the MHIS has been met nationally.
The latest data shows that:
- All of the 195 CCGs – covering every part of England – have met the Mental Health Investment Standard in 2018/19, an increase from 186 (90%) out of 207 CCGs that achieved it in 2017/18.
- The consistent increases in mental health spend means it now makes up 13.9% of local health spend in 2018/19, compared with 13.7% in 2017/18 and 13.1% in 2015/16.
Some mental health services are paid for with funding delivered at the national level. When this is added to local spending, mental health funding (including learning disabilities and dementia) has gone up from £10,979m in 2015/16 to £12,513m for 2018/19, with further investment expected on top of that during the year.
Mental health treatment
Investment in the Mental Health Five Year Forward View and Long Term Plan will deliver timely, high quality mental health support, including by 2023/24:
- Expanding access to talking therapies so that an additional 380,000 people per year get support for common disorders
- Continued investment in perinatal mental health care for mothers who need specialist support during and following pregnancy, to benefit an additional 24,000 women per year, in addition to the extra 30,000 women getting specialist help by 2020/21.
- Expanding services and work with schools and colleges so that an additional 345,000 children and young people aged 0-25 will be able to access comprehensive support per year.
- All children and young people experiencing crisis will be able to access crisis care 24 hours a day, seven days a week.
- The NHS will provide a single-point of access and timely, age-appropriate, universal mental health crisis care for everyone, accessible via NHS 111.
- People with moderate to severe mental illnesses will access better quality care across primary and community teams, have greater choice and control over the care they receive, and be supported to lead fulfilling lives in their communities.
This builds on progress made over the last few years as set out in 2016 in NHS England’s Five year forward view – the ‘blueprint’ for improving mental health services – informed by the views of thousands of patients, their families and medical professionals.
- For the first time, every general acute hospital with a consultant-led 24-hour A&E department has a liaison mental health service, with 33% of liaison mental health teams operating at the Core 24 service level. 67% now operate 24/7, compared to 39% in 2016.
- The children and young people’s access target of 35% by 2020/21 (equivalent to an additional 70,000 children and young people treated each year) has already been exceeded. Based on the prevalence estimates used to establish the Five Year Forward View ambition, 36.1% of children and young people with a diagnosable condition received treatment in 2018/19. A new study published in November 2018 showed that prevalence of mental health conditions has since increased. The latest data equates to a 33.1% access rate achieved against this more recent prevalence data, which still exceeds the 32% indicative national trajectory for 2018/19.
- In the fourth quarter of 2018/19 eight out of ten (80.6%) children and young people with an eating disorder are receiving treatment within one week in urgent cases and more than eight out of ten (82.4%) within four weeks for non-urgent cases. These have increased from around 65% in the first quarter of 2016/17. Actual spend on children and young people eating disorder care increased from £46.7m in 2017-2018 to £50.6m in 2018-2019.
- As part of ‘the world’s most ambitious’ talking therapy programme (Improving Access to Psychological Therapies) nine out of 10 people (89.0%) received treatment in less than six weeks and more than half of patients (53.0%) moved to recovery in quarter four of 2018/19.
- The proportion of people experiencing a first episode of psychosis and receiving early intervention in psychosis treatment within two weeks remains above the national standard of 53% – with 75.3% seen within two weeks in the fourth quarter of 2018/19.