Mental Health Five Year Forward View Dashboard

The Mental Health Five Year Forward View (MH FYFV) sets out our plans for improving and expanding care. The MH FYFV 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 how the NHS is performing, alongside detail on 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 4 of the 2017/18 financial year.

Key points about mental health services

Mental health services funding and investment

Putting mental health care on a level footing with physical illness has been a top priority for the NHS in England in recent years and will continue to be central to the health service as part of a long-term plan.

The blueprint for improving mental health services was set out in 2016 in NHS England’s Five year forward view, supported by an additional £1 billion investment and informed by the views and needs of thousands of patients, their families and medical professionals.

  • Since 2015, just before the NHS’ transformation plan was set, our spending across the health service has increased in each of the last three years – from £10,979m in 2015/16 to £11,976m at the end of financial year 2017/18.
  • In the last year alone, overall mental health spending, including specialised commissioning, went up from £11,602m in 2016/17 to £11,976m in 2017/18 – an increase of 3.2%.

One of the key measures designed to assess whether mental and physical health are treated with the same importance, is the Mental Health Investment Standard. The Mental Health Investment Standard is the requirement for clinical commissioning groups (CCGs) to increase investment in Mental Health services in line with the overall increase in the money available to them.

In the past year it has been met by the NHS nationally once again, with spending on mental health rising by more than in other parts of the health service.

The latest data shows that:

  • More CCGs than ever before have met the Mental Health Investment Standard with 186 (90%) out of 207 CCGs meeting the requirement and up from 85% the previous year.
  • In addition, CCGs increased their mental health spend from £9,723m in 2016/17 to £10,080m in 2017/18 – an increase of 3.7% compared to 2.1% growth in CCG programme allocation.
  • That increase in mental health spend means that it now makes up 13.7% of CCG allocations in 2017/18, compared with 13.6% in 2016/17 and 13.1% in 2015/16.
  • The actual CCG spend in 17/18 was also higher than the planned position at £10,080m, instead of £9,978m, as originally anticipated

Mental health treatment

The mental health funding taps have been turned and  thanks to the growing investment flowing through the system, new, improved and expanded services are reaching increasing numbers of people and crucially, in good time.  By the final quarter of 2017/18 we’ve seen:

  • The NHS has committed to improving access so that by 2020/21, 70,000 more children and young people are accessing treatment each year, equating to 35% of children and young people with a mental health condition. Access has risen in line with our plans to meet that commitment to improving access, with around 30.5% of children and young people with a mental health condition now receiving treatment.
    • This is based on a one off data collection  that was carried out for 2017/18 to help establish a more reliable estimate of access to treatment
  • Almost eight out of ten (78.9%) children and young people with an eating disorder are now receiving treatment within one week in urgent cases and eight out of ten (79.9%) are seen within four weeks for non-urgent cases. This has increased from around 65% for both urgent and routine cases in the first quarter of 2016/17.
  • NHS England’s Improving Access to Psychological Therapies programme which has been described as ‘the world’s most ambitious effort to treat depression’ has seen more than half of patients (51.7%) moving to recovery and waiting time standards continue to be exceeded with nine out of ten people (89.3%) starting treatment in less than six weeks.
  • 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 50% – with 74% seen within two weeks in the final quarter of 2017/18.
  • In 2016/17 almost 10,000 people with a severe mental illness (SMI) received support to help them find and keep a job. NHS England has committed to doubling access to Individual Placement and Support (IPS) services nationally by 2020/21, enabling approximately 20,000 people who experience a severe mental illness to find and retain employment

Mental Health Five Year Forward View Dashboard