Data from 32 mental health trusts, obtained by a Freedom of Information request from Healthwatch England, indicates the average number of bed days per psychiatric patient per year has fallen by 10%. Such patients spend six fewer days in hospital currently than in 2012-13, and sometimes may not receive suitable support in the community post-discharge.
Coinciding with a reduction in bed availability, according to the recent report from the Chief Medical Officer Professor Dame Sally Davies, investment in community teams set-up to replace inpatient care fell by £29.3m from £520m between 2010-11 and 2011-12 in three priority areas: (i) crisis resolution, (ii) early intervention and (iii) assertive outreach.
Champion, G. (2015). Mentally ill patients sent home unsupported, experts warn. London: BBC Health News / BBC Radio Four File on 4, May 19th 2015.
Annual Report of the Chief Medical Officer 2013. Public mental health priorities: investing in the evidence. London: Department of Health, September 9th 2014.
Crisis Resolution / Home Treatment Teams and Psychiatric Admission Rates
A statistical exploration of the efficacy of crisis resolution and home treatment teams (CRHTs) in reducing hospital admissions for mentally ill patients.
Radhakrishnan, R. Ramaswamy, J. [and] Muthalif, S. [et al] (2016). How effective is a crisis resolution and home treatment team for older people at reducing the number of admissions and length of stay in mental health wards? Journal of Geriatric Care and Research. December 2016, 3(2): 35-39.
Mental Health Funding?
Mental health trusts in England recently forecast a fall in income of 8% in real terms between 2014-15 to 2018-19. NHS England countered that mental health spending overall has risen from £11.36 billion in 2013-14 to £11.66 billion last year.
Hutchinson, S. (2015). Mental health spending cuts forecast. London: BBC News / BBC Health News, May 6th 2015.
“Mental health accounts for about 23% of the burden of disease in England, but it only receives around 11% of the funding”. Chris Naylor: the King’s Fund.
May 2015 Statement
Promotion of mental health, particularly for children and young people, continues to be a priority for the government, according to Alistair Burt the new Minister for Community and Social Care.
Osterloh, M. (2015). Mental health remains a focus. London [Online]: Department of Health, May 28th 2015.
Children and Young People’s Mental Health Services
Buchanan, M. (2015). £143m for children’s mental health services in England. London: BBC Health News, July 31st 2015.
A new dawn for mental health – Dr Jacqueline Cornish. London: NHS England, August 3rd 2015.
This relates to:
NHS England launches first stage of new programme to improve young people’s mental health services. London: NHS England, August 3rd 2015.
There are two relevant documents:
Local transformation plans for children and young people’s mental health and wellbeing: guidance and support for local areas. London: NHS England, August 3rd 2015.
Access and waiting time standard for children and young people with an eating disorder: commissioning guide. Version 1.0. London: National Collaborating Centre for Mental Health and NHS England, July 31st 2015.
Background policy interest:
Future in mind: promoting, protecting and improving our children and young people’s mental health and wellbeing. London: Department of Health and NHS England, March 18th 2015. NHS England Publication Gateway Ref. No.02939.