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.

This dashboard covers the period April to September 2017 and 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 latest dashboard shows figures covering a six-month period covering April to September 2017.

Key points about mental health services

Spending on mental health has gone up faster than overall NHS funding and is set to continue to rise.

The NHS spends money on services on both a national and local basis: most money is spent locally, by Clinical Commissioning Groups (CCGs) who set priorities for a particular part of the country.  To meet the Mental Health Investment Standard (MHIS), spending on mental health needs to go up faster than the overall increase in health spending.

  • Total spend reported by CCGs on mental health services in 2013/14 was £7,818.9 million, and by 2016/17 this had increased to £9,722.8 million, an increase in cash terms of £1,903.9 million. Discounting this using the GDP deflator indices for 2013/14 and 2016/17 as published by the Office for National Statistics*, this is equivalent to a real terms increase of £1.6 billion. As well as the absolute amount of money going up, the proportion of health spending going to mental health has also increased
  • CCGs increased their mental health spending from £9,148 million in 2015/16 to £9,723 million 2016/17, an increase of £575 million or 6.3 per cent.  This compares with overall growth in CCG budgets of 3.7 per cent in 2016/17.
  • From 2015/16 to 2016/17, national spend on specialised mental health also increased from £1,831 million to £1,879 million, an increase of 2.6 per cent.
  • Therefore, for CCGs and national specialised spending combined, expenditure on mental health increased from £10,979 million in 2015/16 to £11,602 million in 2016/17, an increase of 5.7 per cent. This compares to an overall increase in allocations for CCGs and national mental health specialised mental health of 3.4 per cent.
  • In 2017/18, £9,908 million is set to be spent by CCGs on mental health. In addition, we have allocated a further £70 million to CCGs to spend on mental health, bringing the total planned spend to £9,978 million.  This is a £255 million increase on the previous year and follows a rise in CCGs’ spend on mental health of £575 million between 2015/16 and 2016/17.
  • In 2017/18 CCGs are continuing to increase the proportion of their budgets that they spend on mental health.  CCG spend on mental health is planned to rise by 2.6 per cent in 2017/18, while CCGs’ overall allocation growth has increased by 2.1 per cent from 2016/17.

Investment in mental health services continues to grow with the total spend on mental health, including spend on specialised mental health services, set to reach £11.9 billion in 2017/18.

  2015/16 2016/17 2017/18 plan
Total spend on mental health (including CCG and NHS England spend) £10,979 million £11,602 million £11,860 million

CCGs continue to increase investment in mental health services for children and young people.

  • Spending by CCGs on children and young people’s mental health services grew by £103 million between 2015/16 and 2016/17, up to £619 million. This is a 20 per cent increase year on year.
  • CCGs will continue to invest more in services for children and young people, with spending set to reach £661 million in 2017/18, including £47 million for eating disorder services.
  2015/16 2016/17 2017/18 plan
CCG spend on children and young people’s mental health £516 million £619 million £661 million

New and expanded services are reaching increasing numbers of people, in good time

  • The proportion of children and young people who were seen by eating disorder services within one week for urgent cases and four weeks for non-urgent cases were 68.7 per cent and 78.9 per cent respectively in 2016/17. Figures for the first half of 2017/18 show that CCGs have further improved performance to 72.1 per cent (urgent one-week referrals) and 80.6 per cent (routine four-week referrals) between April and September 2017.
  • The proportion of people experiencing a first episode of psychosis and receiving Early Intervention in Psychosis treatment within two weeks in 2016/17 was 76.6 per cent up from 62.9 per cent in 2015/16. Performance continues to exceed the national standard with 75.9 per cent of people seen within two weeks of referral in the first half of 2017/18.
  • Through our Increasing Access to Psychological Therapies (IAPT) programme for people with common mental illnesses like depression and anxiety, waiting time standards continue to be exceeded, with almost 90 per cent of people beginning treatment in less than six weeks.

Mental Health Five Year Forward View Dashboards

*Note:  GDP deflators 155-56 to 2016-17 taken from ONS series L8GG in data tables: Table N