NHS Mental Health Dashboard

The NHS Mental Health Dashboard (formerly 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 Long Term Plan for mental health.

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 2019/20 financial year.

Mental health services funding and investment

The NHS’s 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 CCGs. This is called the mental health investment standard (MHIS). From 2019/20 onwards, as part of the NHS Long Term Plan, the MHIS also includes a further commitment that local funding for mental health will grow by an additional percentage increment to reflect additional mental health funding being made available to CCGs.

Since it was introduced in 2015/16 the MHIS has been met nationally.

The latest data shows that:

  • The Mental Health Investment Standard was met nationally and regionally in 2019/20.
  • 96% of CCGs (184 out of 191 CCGS) met the Mental Health Investment Standard in 2019/20.
  • The consistent increases in mental health spend means now makes up 14.0% of local health spend in 2019/20, compared with 13.8% in 2018/19, 13.7% in 2017/18 and 13.1% in 2015/16.

2018/19 is the first time that CCGs have been required to have their reported spend on mental health externally validated with regards to meeting the MHIS. On or just after 9 July, CCGs published their Review compliance statement and reporting accountants’ report on their website. Any shortfall in spend that was identified as part of the review has been added to the 2019/20 calculation and subsequently spent by all CCGs that met the MHIS in 2019/20.

Letters from the NHS England and Improvement Chief Financial Officer and the National Director of Mental Health have been sent to the Chair and Accountable Officer of each CCG. CCGs that have either not met the MHIS for 2018/19 or have received an adverse or disclaimer opinion for the review received a letter outlining the uses of legal powers to require the Chair and Accountable Officers to explain how they will address the failures in governance and assurance that led to their previous incorrect statement on MHIS achievement. The most serious cases will be required to meet in person to provide explanations.

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 £11.0 billion in 2015/16 to £13.3 billion in 2019/20.

The NHS Long Term Plan commitment that spending on children and young people’s mental health services will increase faster than overall spending on mental health has also been met.

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 to expand specialist community perinatal mental health services for mothers who need specialist support during and following pregnancy so that by 2023/24 66,000 women per year will be able to access evidence-based care closer to home when they need it.
  • 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.

Evaluating progress

The Mental Health Dashboard allows NHS England and NHS improvement to track the delivery of its national ambitions for mental health. Great progress has been accomplished since 2016 and the publication of the Five Year Forward View for Mental Health:

  • For the first time, every general acute hospital with a consultant-led 24-hour A&E department has a liaison mental health service, with 33.1% 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, 36.8% of children and young people with a diagnosable condition received treatment in 2019/20. A study published in November 2018 showed that prevalence of mental health conditions has since increased.  The latest data equates to a 34.7% access rate achieved against this more recent prevalence data, which still exceeds the 34% indicative national trajectory for 2019/20.
  • In quarter four of 2019/20 80.5% children and young people with an eating disorder are receiving treatment within one week in urgent cases and 84.4% within four weeks for non-urgent cases. Both of these waiting time measures have increased from around 65% in the first quarter of 2016/17.
  • Since April 2019, there is now a specialist community perinatal mental health service in every clinical commissioning group area of England.
  • As part of ’the world’s most ambitious’ talking therapy programme (Improving Access to Psychological Therapies) 87.6% started treatment in less than six weeks and 49.8% moved to recovery in quarter four of 2019/20.

Impact of COVID-19 and future publications

  • The COVID-19 pandemic has resulted in every part of the NHS redirecting staff and resources to support the immediate response to the outbreak.
  • In particular, reporting and data collection asks have been reviewed and reprioritised, which is and will continue to impact on the data and financial reporting from Q4 2019/20 onwards.

NHS Mental Health Dashboard