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 NHS Long Term Plan will expand capacity and improve quality of effective mental health services and is tackling a treatment gap that is all the more important to address in the context of the pandemic.

This dashboard provides transparency 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 1 of the 2022/23 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 funding for mental health services will grow faster than the overall NHS budget, creating a new ring-fenced 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 previously CCGs and now integrated care boards (ICBs).

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

The latest data shows that:

  • The MHIS has been met nationally and regionally in 2021/22, and 100% of CCGs (106 in total) have met the MHIS. For 2022/23 100% of ICBs (42 in total) are forecasting to meet the MHIS target both on a national and regional level.
  • Due to changes in CCG allocation in 2021/22, in particular the move from central support funding for systems to CCG allocation, the calculation of mental health spend (including learning disabilities and dementia) is not comparable between 2021/22 and previous years. In 2022/23 13.8% of local health spend is being allocated to mental health (including learning disabilities and dementia).

For 2018/19 and 2019/20, CCGs were required to have their reported spend on mental health externally validated with regards to meeting the MHIS. CCGs have now published their review compliance statement and reporting accountants’ report on their website for both years. Issues with governance and assurance that were identified through the review process are being addressed by NHS England and Improvement’s Mental Health and Finance, regional and CCG leadership teams. CCGs were again subjected to independent review of their achievement of the Mental Health Investment Standard in 2021/22.

Additionally, some mental health services are paid for with funding delivered at the national level. When spend on specialised commissioning services is added to local CCG mental health spending, the total planned spend for mental health funding (including learning disabilities and dementia) is £15.56 billion in 2022/23.

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 support

Investment in the Long Term Plan will deliver timely, high quality mental health support, including by 2023/24:

  • Continued investment to expand specialist community perinatal mental health services so that 66,000 new and expectant mothers with moderate to severe or complex perinatal mental health needs access evidenced based care closer to home when they need it.
  • Expanding services to ensure that at least an additional 345,000 children and young people aged 0-25 will be able to access support via NHS funded mental health services and school or college-based Mental Health Support Teams.
  • All children and young people experiencing a mental health crisis will be able to access crisis care 24 hours a day, seven days a week, with a single point of access including through NHS 111.
  • 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.

Evaluating progress

The dashboard allows NHS England to track the delivery of its national ambitions for mental health. Great progress has been made since the publication of the Five Year Forward View for Mental Health and the Long Term Plan. Despite the challenges of the COVID-19 pandemic, mental health services have remained open and continued to deliver against our commitments set out in the Long Term Plan:

  • In the previous national survey of adult crisis teams in 2018, fewer than 50% were 24/7, open access or had home treatment teams staffed to offer a genuine alternative to admission. There has been significant progress since that time, with now close to 100% of teams operating 24/7 and open to the public (all ages) and with 85% staffed to offer ‘fidelity’ to the home treatment team model. Further, anyone (of any age) can now find their local 24/7 NHS urgent mental health helpline number at nhs.uk/urgentmentalhealth through a new service finder.
  • Every general acute hospital with a consultant-led 24-hour A&E department has a liaison mental health service, with 35% of liaison mental health teams operating at the Core 24 service level in 2018/19. 78% of teams operate 24/7 (as of December 2019), compared to 39% in 2016. The next national survey of liaison psychiatry will be carried out later in 2022 to help us understand what further progress has been made since then.
  • In April 2021 a new headline metric was introduced to monitor how many under 18s receive at least 1 contact from an NHS funded service to monitor the NHS Long Term Plan Children and Young People’s Mental Health access ambition that an additional 345,000 children and young people aged 0-25 will have access to support via NHS funded services and school or college-based Mental Health Support Teams by 2023/24. Reported numbers of under 18s receiving at least one contact in Q1 2022/23 was 691,935 (rolling 12-month data as at the end of Q1). Data for young adults (18-24-year olds) is monitored separately via a new metric reported for activity from August 2022 onwards that monitors how many 18-24 year olds had 1 contact from NHS funded mental health services (excluding IAPT).
  • The SDCS data collection for children and young people’s eating disorder services, published every quarter, has shown a significant increase in demand for treatment as well as an increase in the number starting treatment since the start of the pandemic. This increased demand has impacted the system’s ability to meet the children and young people (CYP) eating disorder standard. The overall number of CYP starting treatment in 2021/22 was higher than in previous years (12,457 in 2021/22 compared to 10,695 in 2020/21 and 8,034 in 2019/20). However, Q1 2022/23 data shows a slight slowing in the rate of increased demand; a total of 2,862 CYP started both urgent and routine/non-urgent treatment (numbers published separately) in Q1 2022/23, compared to 3,452 CYP starting treatment in Q1 2021/22 and 1,675 in Q1 2020/21. There was also a slight improvement against the CYP ED Access and Waiting Time Standard; in Q1 of 2022/23, 68.1% (365 out of 536) of children and young people with an eating disorder started treatment within one week in urgent cases, compared to 61.9% (365 out of 590) in Q4 21/22, and 68.9% (1,602 out of 2,326) started treatment within four weeks for non-urgent cases, compared to 64.1% (1,536 out of 2,396) in Q4 21/22. Both, however, remain below the national standard of 95% and it is too early to comment on what this might mean for future performance.
  • Since April 2019, there has been a specialist community perinatal mental health service in every ICS area of England. In Q1 2022/23, access to specialist perinatal mental health services increased to 45,411 women compared to 35,997 in Q1 2021/22. However, access is below the planned growth trajectory in 2022/23. Services are being supported to recover this trajectory as soon as possible, to meet national LTP ambitions by 2023/24. From Q3 2021/22, PMH data included access figures from Maternal Mental Health Service (MMHS).
  • As part of ’the world’s most ambitious’ talking therapy programme (Improving Access to Psychological Therapies) 88.9% started treatment in less than six weeks. Recovery is at 50.0% in Q1 of 2022/23 which equals the 50% standard.
  • In Q4 2021/22, 72% of the country had either full or partial coverage of the 4 components of a comprehensive CYP crisis service in. CYP crisis services continue to expand at pace and are on track to meet the target of 100% coverage by the end of 2023/24.

Progress against other ambitions and delivery of mental health programmes that are measured outside of the Dashboard are published elsewhere.

NHS Mental Health Dashboard