“The RCOT recognises the importance and growing need for mental health services and believes in parity with general physical health. The current focus of our flagship Improving Lives, Saving Money campaign is focused on mental health services to reflect this growing need. Our intelligence gathering is driven by the understanding that resources in the NHS are under continuous and growing pressure and it is our aim to pinpoint and raise awareness of areas of best practice that both improve lives and save money to tackle this pressure.
“In May we will be releasing our latest report outlining how occupational therapy should be redeployed into primary care to offer early intervention, teaching self-management techniques, resilience training and balancing daily and weekly routines with activities (occupations) that support mental wellbeing. Currently, services are focused on managing crisis (perhaps an underlying reason why the Kings Fund has compared mental health with acute services?) and are predominantly reactive. Not offering support and advice at an early stage inevitably pushes people into crisis. Early intervention is key to being able to address many mental health issues and bring mental health into equal parity of esteem with physical health as laid out in the NHS’ Five Year Forward View.”
Kings Fund press release:
Mental health funding gap widens further
The gap between spending on NHS acute hospitals and NHS mental health providers widened further last year, according to a new report from The King’s Fund.
Analysis done for the report shows that 84 per cent of mental health trusts, which provide the great majority of mental health services, received an increase in funding last year; a significant increase on previous years. But funding for acute and specialist hospitals has continued to grow more quickly as national leaders have given priority to reducing financial deficits and improving performance in A&E.
As a result, income for mental health trusts rose by less than 2.5 per cent in 2016/17 compared to over 6 per cent for acute and specialist trusts, continuing a trend of a growing gap between spending on mental health and acute trusts. Since 2012/13, funding for mental health trusts has increased by just 5.6 per cent compared to an increase of 16.8 per cent in funding for acute hospitals.
The squeeze on NHS mental health providers funding, together with a lack of available staff, has put huge pressure on the workforce and left mental health trusts struggling to staff services safely. The number of mental health nurses has fallen 13 per cent since 2009, while one in 10 of all posts in specialist mental health services are currently vacant.
Analysis of Care Quality Commission inspection reports for all 54 mental health trusts identified an increased risk to patient safety as a result of problems with staffing in more than half of trusts. This included an increased risk of suicide and self-harm on inpatient wards, delays in treatment and reduced access to care and bed closures. Examples drawn from a review of board papers of a small number of trusts also highlighted difficulties staffing services on a day-to-day basis, a reliance on bank and agency staff and ‘substitution’ of staff, for example health care assistants stepping in for registered nurses.
Helen Gilburt, report author and Fellow in Health Policy at The King’s Fund, said: ‘The NHS is in the very difficult position of trying to deliver parity of esteem at the same time as it is under huge pressure to reduce deficits and improve performance in acute hospitals.
‘While the great majority of local clinical commissioning groups have met their commitments to raise spending on mental health, the overall spending gap between mental health trusts and acute and specialise trusts has widened because national funding has focused on relieving pressure on acute hospitals
‘Unless funding grows more quickly, mental health providers may end up implementing improvements to some services at the expense of others. Despite the commitment of national leaders, the funding gap between mental health and acute NHS services is continuing to widen, while growing staff shortages are affecting the quality and safety of care.
As long as this is the case, the government’s mission to tackle the burning injustices faced by people with mental health problems will remain out of reach.’
ENDS
Notes to editors
- ‘Funding and staffing of NHS mental health providers: still waiting for parity’ is published by The King’s Fund on Tuesday 16 January 2018.
- The King’s Fund is an independent charity working to improve health and care in England. We help to shape policy and practice through research and analysis; develop individuals, teams and organisations; promote understanding of the health and social care system; and bring people together to learn, share knowledge and debate. Our vision is that the best possible care is available to all.
- For further information, or to request an interview, please contact The King’s Fund Press and Public Affairs team on 020 7307 2585 (if calling out of hours, please ring 07584 146035).