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These indicators help you check on how well the system is performing in terms of access to care.

These indicators allow you to check how well the system is performing in terms of the way care is provided.

These indicators help you check how the system is performing in terms of those delivering care: are there enough people, what is their morale like, how do they view the quality of care provided?

Our finance indicators relate to the data about how much is being invested across a range of areas in mental health.

This category helps you check how well led organisations are, based on ratings and perceptions of those working in the organisations.

Children and young people with eating disorders starting treatment within one week

<p>This chart shows the proportion of children and young people needing urgent care for eating disorders who receive treatment within a week of referral. The figures can be examined from a national perspective, CCG or STP level. You can also compare data with up to five other areas.</p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>The Government has committed to ensuring children and young people (up to the age of 19) who are referred for assessment or treatment for an eating disorder should receive NICE-approved treatment from a designated healthcare professional within one week for urgent cases, and four weeks for every other case.</p><p><a data-sf-ec-immutable="" href="https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/02/tech-cyped-eip.pdf">The Children and Young People with an Eating Disorder (CYP ED) Access and Waiting Time Standard</a> includes all children and young people in whatever setting (community or inpatients) they are receiving care.&nbsp;&nbsp; </p><p><b><u>About the data</u></b></p><p><b>Source</b>: NHS England</p><p><b>Frequency</b>: Quarterly</p><p><b>Note</b>: </p><p>There are differences in the way these data are collected at national and CCG/ STP levels. National data are collected per individual quarter whereas CCG/STP data are rolled over quarter to quarter. Therefore, it is not possible to compare England-level data with CCG-level data.&nbsp;</p><p><b>Search terms</b></p><p>CYP</p><p>Eating disorder</p><p>Anorexia</p><p>Bulimia</p><p>CYP ED</p><p>CYPED</p><p>ED</p><p>ED treatment</p><p>Urgent ED treatment</p><p>Urgent treatment</p><p>Urgent eating disorders treatment</p>
Quarterly

NHS England

Bed days for children and young people in CAMHS tier 4 wards

beds, day, CYP <p><b><u>Summary</u></b></p><p>This chart shows the total number of bed days for children and young people under the age of 18 in CAMHS tier 4 wards. <a data-sf-ec-immutable="" name="_Hlk1564905">The figures can be examined from a national perspective, CCG or STP level. </a>You can also compare data with up to five other areas.</p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p><a data-sf-ec-immutable="" name="_Hlk1045644">For children and young people with mental health problems, there </a>are four tiers of NHS care provision. Tiers one to three are community or outpatient-based and commissioned by clinical commissioning groups and local authorities. Tier four services treat patients with more complex needs usually requiring inpatient treatment.</p><p>These figures provide a useful marker for monitoring trends in NHS funding, performance and capacity of the system to deliver <a data-sf-ec-immutable="" href="https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf">Five Year Forward View for Mental Health</a> commitments and the more recent ambitions of the <a data-sf-ec-immutable="" href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf">Long Term NHS Plan</a> for children and young people. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u><a data-sf-ec-immutable="" href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/">NHS England</a></u></p><p><b>Frequency</b>: Quarterly</p><p><b>Notes</b>: </p><p>These data also include children and young people receiving care in medium secure, and deaf inpatient services.</p><p>These data are not standardised so comparisons between CCGs or STPs should be interpreted with caution.</p><p><b>Search terms</b></p><p>Beds</p><p>Inpatient</p><p>CYP</p><p>Complex</p><p>CAMHS inpatient</p><p>Complex needs</p>
Quarterly

NHS England

Inappropriate out of area placements

<p><b><u>Summary</u></b></p><p>This chart shows the number of days adult patients spend on inappropriate out of area acute placements (OAPs) per month across mental health trusts. <a data-sf-ec-immutable="" name="_Hlk1564905">The figures can be examined from a national perspective, CCG or STP level, or by sending provider. You can also compare data with up to three other areas.</a></p><p><b><u>Charts </u></b></p><p>&lt;insert chart&gt;<br /></p><p><b><u>Policy context</u></b></p><p>The Government set a national ambition to eliminate inappropriate OAPs in mental health services for adults in acute inpatient care by 2020/21. </p><p>NHS Improvement is also leading a &lsquo;<a data-sf-ec-immutable="" href="https://gettingitrightfirsttime.co.uk/workstreams/">getting it right first time programme</a>&rsquo; for crisis and acute mental health care, which seeks to work with trusts to improve services and reduce the number of OAPs. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a data-sf-ec-immutable="" href="https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/out-of-area-placements-oaps">NHS Digital</a> </p><p><b>Frequency</b>: Monthly<i> &nbsp;</i></p><p><b>Notes</b>: </p><p>An inappropriate out of area placement (OAP) for acute mental health in-patient care is defined as when a person with assessed acute mental health needs who requires adult mental health acute inpatient care, is admitted to a unit that does not form part of their usual local network of services. This means an inpatient unit that does not usually admit people living in the catchment of the person&rsquo;s local community mental health service, and where the person cannot be visited regularly by their care co-ordinator to ensure continuity of care and effective discharge planning.</p><p>The &lsquo;sending provider&rsquo; is the organisation that takes the decision to place a patient outside of their usual Community and Mental Health Team network of local services for acute mental health service provision.</p><p>As submitting organisations are able to amend and delete their data after the end of the period and resubmit in a later period, the data contained in this report is subject to change in any future publications that cover the same time period. Therefore, we have presented these data over a rolling quarter. </p><p>These data capture OAPs from both NHS and independent providers.&nbsp;</p><p><b>Search terms</b></p><p>OOA</p><p>OOA Placement</p><p>Out of area placement</p><p>OAP</p><p>Acute out of area</p><p>Out of area acute placement</p><p>Out of area acute placements</p><p>Inappropriate OAPs</p><p>Inappropriate OOA</p><p>Crisis care</p>
Monthly

NHS Digital

Access to IAPT services for people with depression and/or anxiety disorders

<p>This chart shows the proportion of people with depression and or anxiety disorders who accessed IAPT (improving access to psychological therapy) services per quarter. The figures can be examined from a national perspective, CCG or STP level. You can also compare data with up to five other areas.</p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>The NHS Adult Improving Access to Psychological Therapies (IAPT) programme began in in 2008 and aims to implement National Institute for Health and Clinical Excellence (NICE) guidance for people with common mental health problems.&nbsp;</p><p>The Government has set out its ambition for at least 25% of people (1.5 million) with common mental health conditions to be able to access psychological therapies through the IAPT programme each year by 2021. </p><p>The measurement of whether IAPT access targets have been met is made in the last quarter of the year. In quarter 4 of 2017/18, each CCG should achieve an access rate of at least 4.2% of estimated local prevalence (as per 2007) in order to meet the target. This rises to 4.75% in quarter 4 of 2018/19, 5.5.% in Q4 of 2019/20 and 6.25% in Q4 of 2020/21. </p><p>The <a data-sf-ec-immutable="" href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf">NHS Long Term Plan</a> sets out a further ambition for an additional 380,000 adults and older adults to be able to access NICE approved IAPT services by 2023/24, with a focus on people with long-term conditions. </p><p>A related Government target calls for 75% of people referred to IAPT services to start treatment within 6 weeks of referral, and 95% to start treatment within 18 weeks of referral. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a data-sf-ec-immutable="" href="https://digital.nhs.uk/data-and-information/publications/statistical/psychological-therapies-report-on-the-use-of-iapt-services">NHS</a> Digital</p><p><b>Frequency</b>: Quarterly</p><p><b>Source</b></p><p>Improving access to psychological therapy</p><p>Talking therapy</p><p>Talking therapies</p><p>Psychological therapies</p><p>CBT</p><p>Common mental health disorders</p><p>Psychological therapy</p><p>OCD</p><p>Medical psychotherapy</p>
Quarterly

NHS Digital

People with first episode psychosis starting treatment within two weeks of referral

<p><b><u>Summary</u></b></p><p>This chart shows the proportion of people of all ages experiencing their first episode of psychosis who started treatment within two weeks of referral. <a data-sf-ec-immutable="" name="_Hlk1564905">The figures can be examined from a national perspective, CCG or STP level. You can also compare data with up to five other areas.</a></p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>The Government has committed to ensuring at least 60% of people with first episode psychosis start treatment with a NICE-recommended package of care with a specialist early intervention in psychosis (EIP) service within two weeks of referral by 2020/21.</p><p>In order to achieve this, local areas have had a target to increase coverage from 50% in 2016/17 and 2017/18, to 53% in 2018/19, 56% in 2019/20 and finally, 60% in 2020/21. </p><p>The <a data-sf-ec-immutable="" href="https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/04/eip-guidance.pdf">standard</a> applies to people aged 14-65 years. </p><p>It is not currently possible to assess whether the provision of specialist EIP provision is in line with NICE recommendations as these data are unavailable. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a data-sf-ec-immutable="" href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/">NHS England</a></p><p><b>Frequency</b>: Quarterly</p><p><b>Search</b></p><p>Psychotic episode</p><p>Acute psychosis</p><p>EIP</p><p>Early intervention in psychosis</p><p>Psychotic</p><p>Crisis care</p><p>Urgent care</p><p>Crisis</p>
Quarterly

NHS England

How have waiting times in your area changed in the past three months?

<p><b><u>Summary</u></b></p><p><a data-sf-ec-immutable="" name="_Hlk1566843">This chart shows the responses of the RCPsych Research Panel members to the question of how access to mental health services has changed in their area in the past three months. Over time, results can be compared between quarters. </a></p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>&nbsp;</u></b></p><p><b><u>Policy context </u></b></p><p>The Government has committed to close the treatment gap for mental health. A major part of this is expanding access to mental health services so that an additional one million people receive high-quality care between 2015/16 and 2020/21. This covers children and young people, adults and older adults. </p><p>The RCPsych&rsquo;s Research Panel survey seeks to understand whether these national plans are making a difference to services on the ground. &nbsp;</p><p><a data-sf-ec-immutable="" name="_Hlk1567110"><b><u>About the data</u></b></a></p><p><b>Source</b>: <a data-sf-ec-immutable="" href="https://www.rcpsych.ac.uk/improving-care/campaigning-for-better-mental-health-policy/join-our-research-panel">RCPsych Research Panel </a>&nbsp;</p><p><b>Frequency</b>: Quarterly</p><p><b>Notes</b>: </p><p>These data are collected quarterly as one of four tracker questions gathered from the UK-wide RCPsych Research Panel. </p><p>Only data from members working in England are presented on Mental Health Watch. Responses from members working in the devolved nations of the UK can be found in the Devolved Nations data bulletins.&nbsp;</p><p><b>Search terms</b></p><p>Psychiatrists</p><p>Accessing mental health services</p><p>Trend</p><p>Trends in accessing mental health services</p><p>Waiting times</p><p>Waiting lists</p><p>Change in mental health services</p><p>Changed mental health services</p>
Quarterly

RCPsych's Research Panel

Items and costs of antidepressants and antipsychotics drugs

<p><b><u>Summary</u></b></p><p>These charts show the number of items of antipsychotics and antidepressants drugs prescribed in England and the total cost of these items. The figures can be examined from a national perspective only.</p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context </u></b></p><p><b>Antidepressants are a type of medicine used to treat</b><b>&nbsp;</b><a data-sf-ec-immutable="" href="https://www.nhs.uk/conditions/clinical-depression/">clinical depression</a><b>.</b><b></b></p><p>They can also be used to treat a number of other conditions, including <a data-sf-ec-immutable="" href="https://www.nhs.uk/conditions/obsessive-compulsive-disorder-ocd/">obsessive compulsive disorder (OCD)</a>, <a data-sf-ec-immutable="" href="https://www.nhs.uk/conditions/generalised-anxiety-disorder/">generalised anxiety disorder</a> and <a data-sf-ec-immutable="" href="https://www.nhs.uk/conditions/post-traumatic-stress-disorder-ptsd/">post-traumatic stress disorder (PTSD)</a>. Antidepressants are also sometimes used to treat people with long-term (chronic) pain.</p><p>Antipsychotics are&nbsp;<a data-sf-ec-immutable="" href="https://www.mind.org.uk/information-support/drugs-and-treatments/medication/" title="Medication">psychiatric drugs</a>&nbsp;which are available on prescription, and are licensed to treat types of mental health problems whose symptoms include&nbsp;<a data-sf-ec-immutable="" href="https://www.mind.org.uk/information-support/types-of-mental-health-problems/psychosis/" title="Psychosis">psychotic experiences</a>. </p><p>These include: <a data-sf-ec-immutable="" href="https://www.mind.org.uk/information-support/types-of-mental-health-problems/schizophrenia/" title="Schizophrenia">schizophrenia</a>, <a data-sf-ec-immutable="" href="https://www.mind.org.uk/information-support/types-of-mental-health-problems/schizoaffective-disorder/" title="Schizoaffective disorder">schizoaffective disorder</a>, some forms of&nbsp;<a data-sf-ec-immutable="" href="https://www.mind.org.uk/information-support/types-of-mental-health-problems/bipolar-disorder/" title="Bipolar disorder">bipolar disorder</a> and severe&nbsp;<a data-sf-ec-immutable="" href="https://www.mind.org.uk/information-support/types-of-mental-health-problems/depression/" title="Depression">depression</a>. </p><p>Some antipsychotics may also be used to treat: severe&nbsp;<a data-sf-ec-immutable="" href="https://www.mind.org.uk/information-support/types-of-mental-health-problems/anxiety-and-panic-attacks/" title="Anxiety and panic attacks">anxiety</a>&nbsp;(but only in very low doses), physical problems, such as persistent hiccups, problems with balance and nausea (feeling sick), agitation and psychotic experiences in dementia (although they're not usually recommended in this case). </p><p>It is important to monitor the prescription and costs of these medications over time. <br /></p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u>Open Prescribing</u></p><p><b>Note</b>: </p><p>A prescription item refers to a single supply of a medicine, dressing or appliance prescribed on a prescription form. If a prescription form includes three medicines, it is counted as three prescription items.</p><p><b>Search terms</b></p><p>ADs</p><p>SSRIs</p><p>Prescribing</p><p>Depression</p><p>Psychosis</p><p>Schizophrenia</p><p>Schizoaffective disorder</p><p>Bipolar disorder</p>

Open Prescribing

Number of people subject to the Mental Health Act 1983

<p><b><u>Summary</u></b></p><p>This chart shows the number of people subject to the Mental Health Act 1983 (England and Wales) at the end of each month. The figures can be examined from a national perspective, or by CCG or provider level. <a data-sf-ec-immutable="" name="_Hlk1564905">You can also compare data with up to three other CCG areas</a>.</p><p>&nbsp;<b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>These figures are relevant to the aspiration to reduce the number of people subject to the Mental Health Act, as detailed in the 2018 <a data-sf-ec-immutable="" href="https://www.gov.uk/government/publications/modernising-the-mental-health-act-final-report-from-the-independent-review">Independent Review of the Mental Health Act 1983.</a> </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u><a data-sf-ec-immutable="" href="https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics">NHS Digital</a></u></p><p><b>Frequency: </b>Monthly<b> </b></p><p><b>Note</b>: </p><p>We have standardised the data to take account of different population sizes between CCG areas using the most recent ONS population data. However, this is not possible for provider boundaries, and therefore any comparison between providers should be interpreted with caution.&nbsp;&nbsp;</p><p><b>Search</b></p><p>Detention</p><p>Detentions</p><p>Detention under the MHA</p><p>MHA</p><p>Detentions under the mental health act</p><p>Detention under the mental health act</p><p>Detentions under the MHA</p><p>CTO</p>
Monthly

NHS Digital

Hospital admissions for self-harm in children, young people and adults

<p><b><u>Summary</u></b></p><p>These charts show the number of finished hospital admissions for self-harm in both children and young people aged between 10-24 years, and adults over 25 years. These figures can be examined from a national perspective, CCG or STP level. You can also compare data with up to five other areas.</p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p>&nbsp;</p><p><b><u>Policy context</u></b></p><p>These figures provide a useful marker for monitoring trends in NHS funding, performance and capacity of the system to deliver <a data-sf-ec-immutable="" href="https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf">Five Year Forward View for Mental Health</a> commitments and the more recent ambitions of the <a data-sf-ec-immutable="" href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf">Long Term NHS Plan</a> for children, young people and adults. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u><a data-sf-ec-immutable="" href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/">NHS Digital</a></u></p><p><b>Frequency</b>: Quarterly </p><p>&nbsp;<b>Notes</b>: </p><p>&nbsp;All data is subject to age standardisation per 100,000 population.</p><p>Self-harm is defined by external cause codes (ICD10 X60-X84) which includes intentional self-poisoning and intentional self-harm. This definition does not include events of undetermined intent.&nbsp;</p><p><b>Search terms</b></p><p>CYP</p><p>CAMHS</p><p>Liaison</p><p>Self harm</p><p>Suicide</p><p>Crisis care</p><p>Urgent care</p><p>CYP self-harm</p><p>Emergency</p><p>Adult self-harm</p>
Quarterly

NHS Digital

Alcohol-related hospital admissions

<p><b><u>Summary</u></b></p><p>This chart shows the number of people of all ages who were admitted to hospital in alcohol related cases. <a data-sf-ec-immutable="" name="_Hlk1564905">The figures can be examined from a national perspective or CCG level. You can also compare data with up to five other areas.</a></p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>Alcohol addiction remains one of biggest causes of ill health and early death in England, and the harm of alcohol falls not just on individuals but on society as a whole. </p><p>In the <a data-sf-ec-immutable="" href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf">Long-Term NHS Plan</a>, NHS England committed to establishing Alcohol Care Teams in hospitals with the highest number of alcohol-related admissions. These teams will support patients and their families who have issues with alcohol misuse within 24 hours. Support includes counselling and medically assisted help.</p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u><a data-sf-ec-immutable="" href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/">NHS Digital</a></u></p><p><b>Frequency</b>: Data is published for a full 12-month period on a rolling quarterly basis.</p><p><b>Notes</b>: </p><p>All data is subject to age standardisation per 100,000.</p><p>These data are based on ICD-10 diagnosis codes for alcohol-specific admissions that are aligned with the conditions defined by Public Health England as alcohol-specific i.e. wholly attributable to alcohol.</p><p><b>Search terms</b></p><p>Alcohol related hospital admissions</p><p>Alcoholic</p><p>Substance abuse</p><p>Substance misuse</p><p>Drug and alcohol</p><p>Alcohol abuse</p><p>Alcohol misuse</p><p>Public health</p>
Quarterly

NHS Digital

Seven day follow-up for patients on the Care Programme Approach

<p><b><u>Summary</u></b></p><p>This chart shows the proportion of patients on the Care Programme Approach who were followed up within seven days after discharge from psychiatric inpatient care. <a data-sf-ec-immutable="" name="_Hlk1564905">The figures can be examined from a national perspective, CCG or STP level. You can also compare data with up to five other areas.</a></p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p><a data-sf-ec-immutable="" name="_Hlk1119734">The Care Programme Approach (CPA) is the national system which sets out how secondary mental health services should respond to and co-ordinate care for people with the most complex needs. Following an inpatient admission, the immediate period after discharge is a time of significant suicide and self-harm risk. Therefore, follow-up within 7 days is an important safety measure. </a></p><p>The national NHS standard is for 95% of patients on the CPA to be followed up within 7 days of discharge from an inpatient mental health setting. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u><a data-sf-ec-immutable="" href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/">NHS England</a></u></p><p><b>Frequency</b>: Quarterly</p><p><b>Search</b></p><p>CPA</p><p>Suicide</p><p>Self-harm</p><p>Self harm</p><p>Risk</p><p>Liaison</p><p>Follow up</p><p>Discharge</p><p>Inpatient</p><p>After care</p>
Quarterly

NHS Digital

How has the quality of mental health care in your area changed in the past three months?

<p><b><u>Summary</u></b></p><p><a data-sf-ec-immutable="" name="_Hlk1567193">This chart shows the responses of the RCPsych Research Panel members to the question of how access to mental health services has changed in their area in the past three months. Over time, results can be compared between quarters. </a></p><p><b><u>Charts </u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>The Government has committed to improving the quality of NHS mental health care. One part of this is for NHS England to publish a clear and comprehensive set of care pathways, with accompanying quality standards and guidance. </p><p>Similarly, the &lsquo;<a data-sf-ec-immutable="" href="https://gettingitrightfirsttime.co.uk/workstreams/">getting it right first time programme</a>&rsquo; is seeking to improve mental health care within the NHS by reducing unwarranted variations. </p><p>The RCPsych&rsquo;s Research Panel survey seeks to understand whether these national plans are making a difference to services on the ground.&nbsp; </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u><a data-sf-ec-immutable="" href="https://www.rcpsych.ac.uk/improving-care/campaigning-for-better-mental-health-policy/join-our-research-panel">RCPsych Research Panel </a></u>&nbsp;</p><p><b style="font-size:inherit;background-color:initial;">Frequency</b><font size="-1">: Quarterly</font><br /></p><p><b>Notes</b>: </p><p>&nbsp;These data are collected quarterly as one of four tracker questions gathered from the UK-wide RCPsych Research Panel. </p><p>&nbsp;Only data from members working in England are presented on Mental Health Watch. Responses from members working in the devolved nations of the UK can be found in the Devolved Nations data bulletins.&nbsp;</p><p><b>Search terms</b></p><p>Psychiatrists</p><p>Trend</p><p>Trends in quality of mental health care</p><p>Change in mental health services</p><p>Changed mental health services</p>
Quarterly

RCPsych's Research Panel

IAPT recovery rate

<p><b><u>Summary</u></b></p><p>These charts display the proportion of patients who have accessed IAPT (Improving Access to Psychological Therapies) services in the past month who have been deemed to have moved to recovery at both a whole population level and specifically within Black, Asian and minority ethnic groups. <a name="_Hlk1564905" data-sf-ec-immutable="">The figures can be examined from a national perspective, CCG or STP level. You can also compare data with up to 5 other areas.</a></p><p><b><u>Charts</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>&nbsp;</u></b></p><p><b><u>&nbsp;</u></b></p><p><b><u>Policy Context</u></b></p><p>The NHS Adult Improving Access to Psychological Therapies (IAPT) programme began in in 2008 and aims to implement National Institute for Health and Clinical Excellence (NICE) guidance for people with common mental health problems.&nbsp;</p><p><a href="https://www.england.nhs.uk/mental-health/adults/iapt/service-standards/" data-sf-ec-immutable="">NICE&nbsp;</a>recommends a range of psychological therapies to treat people with depression and anxiety disorders and bring them to recovery. It also recommends these therapies are used to provide a system of stepped care. </p><p>It is important that people have a say in what kind of treatment they receive to ensure the best health outcome for them. Services should aim to offer people choice in appointment time, gender of therapist and type of therapy (within those recommended by NICE for their problem).</p><p>The Government has set a target for at least 50% of people who complete IAPT treatment to recover. &nbsp;</p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a href="https://digital.nhs.uk/data-and-information/publications/statistical/psychological-therapies-report-on-the-use-of-iapt-services" data-sf-ec-immutable="">NHS Digital</a> </p><p><b>Frequency</b>: Quarterly</p><p><b>Note</b>: </p><p>Recovery is measured in terms of &ldquo;caseness&rdquo; &ndash; which means that a referral has severe enough symptoms to be regarded as a clinical case.&nbsp; A referral has moved to recovery if they were defined as a clinical case at the start of their treatment and not at the end of their treatment.&nbsp;</p><p><b>Search terms</b></p><p>Talking therapy</p><p>Talking therapies</p><p>Psychological therapies</p><p>CBT</p><p>Common mental health disorders</p><p>Common mental disorders&nbsp;</p><p>Psychological therapy</p><p>Immediate access to psychological therapy</p><p>Medical psychotherapy</p><p>BAME</p><p>BME</p>
Quarterly

NHS Digital

Number of NHS nurses, allied health professionals and psychiatrists in post

<p><b><u>Summary</u></b></p><p>This chart shows the numbers of NHS nurses, allied health professionals and psychiatrists in post. <a name="_Hlk1564905" data-sf-ec-immutable="">The figures can be examined from a national perspective, regional level and provider level. </a>You can compare responses across different groups of professionally qualified clinical staff, across the last three years.</p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>The Government&rsquo;s <a href="https://www.hee.nhs.uk/sites/default/files/documents/Stepping%20forward%20to%20202021%20-%20The%20mental%20health%20workforce%20plan%20for%20england.pdf" data-sf-ec-immutable="">mental health workforce plan</a>, produced by Health Education England, sets out its ambitions to expand the mental health workforce. </p><p>By 2020/21, this calls for: </p><p data-level="1" data-list="0">-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 8,100 additional nurses</p><p data-level="1" data-list="0">-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 570 additional consultant psychiatrists </p><p data-level="1" data-list="0"><a name="_Hlk1123533" data-sf-ec-immutable="">-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 4,200 additional allied health professional and scientific therapeutic and technical staff. </a></p><p>These data provide a useful marker of capacity in the system to deliver the ambitions set out in the <a href="https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf" data-sf-ec-immutable="">Five Year Forward View for Mental Health</a> and the <a href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf" data-sf-ec-immutable="">Long-Term NHS Plan</a>. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics" data-sf-ec-immutable="">NHS Digital</a> </p><p><b>Frequency</b>: Quarterly </p><p><b>Notes</b>: </p><p>The figures show the headcount of full time equivalent staff working in NHS trusts. </p><p>Numbers of psychiatrists refers to FTE across all grades. Numbers of nurses refer to FTE community, mental health and other mental health nurses across all grades. <a name="_Hlk1123387" data-sf-ec-immutable="">Other scientific, therapeutic and technical staff refers to applied psychology and psychological therapy across all grades.&nbsp;</a></p><p><b>Search</b></p><p>Staffing</p><p>Staff</p><p>Workforce</p><p>Nursing</p><p>Psychologists</p><p>Mental health nurses</p><p>Psychiatry</p>
Quarterly

NHS Digital

How would you rate morale across your multidisciplinary team in the last 3 months?

<p><b><u>Summary</u></b></p><p><a name="_Hlk1566843" data-sf-ec-immutable="">This chart shows the responses of the RCPsych Research Panel members to the question of morale in their multidisciplinary team in the last three months. Over time, results can be compared between quarters. </a></p><p><b><u>Charts </u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>Staffing is not just a question of numbers. The resilience and wellbeing of<br />staff is critical. Morale varies widely across the system today, linked with pressure of work and level of training. </p><p>The <a href="https://www.hee.nhs.uk/sites/default/files/documents/NHS%20%28HEE%29%20-%20Mental%20Wellbeing%20Commission%20Report.pdf" data-sf-ec-immutable="">NHS Staff and Learners&rsquo; Mental Wellbeing Commission</a> recommends that the NHS should establish an NHS Workforce Wellbeing Guardian and a <i>Workplace Wellbeing Leader to work with and report to the Workforce Wellbeing Guardian </i>in every NHS organisation.</p><p>The RCPsych&rsquo;s Research Panel survey seeks to assess staff morale across multidisplinary teams and track trends over time. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u><a href="https://www.rcpsych.ac.uk/improving-care/campaigning-for-better-mental-health-policy/join-our-research-panel" data-sf-ec-immutable="">RCPsych Research Panel </a></u>&nbsp;</p><p><b>Frequency</b>: Quarterly</p><p><b>Notes</b>: </p><p>These data are collected quarterly as one of four tracker questions gathered from the UK-wide RCPsych Research Panel. </p><p>Only data from members working in England are presented on Mental Health Watch. Responses from members working in the devolved nations of the UK can be found in the Devolved Nations data bulletins.</p><p><b>Search terms</b></p><p>Staffing</p><p>Staff</p><p>Workforce</p><p>Nursing</p><p>Psychologists</p><p>Mental health nurses</p><p>Nurses</p><p>Psychiatry</p><p>Psychiatrists</p><p>MDT&nbsp;</p>
Quarterly

RCPsych's Research Panel

NHS staff engagement with their work, their team and their organisation

<p><b><u>Summary</u></b></p><p><a name="_Hlk1576776" data-sf-ec-immutable="">This chart shows the overall engagement scores of staff working in NHS mental health trusts. </a><a name="_Hlk1564905" data-sf-ec-immutable="">The figures can be examined from a national perspective, regional level or provider level. </a>You can compare responses across different groups of professionally qualified clinical staff, across the last three years.</p><p><b><u>Charts</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>The NHS Staff Survey, ran annually since 2003, asks staff in England about their experiences of working for the NHS with the intention the information being used to help organisations understand and compare their own performance. </p><p>Highly engaged staff is a marker of a positive working environment. This is likely to contribute to the quality of care provided. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a href="http://www.nhsstaffsurveys.com/" data-sf-ec-immutable="">NHS Staff Survey Coordination Centre</a>&nbsp;</p><p><b>Frequency</b>: Annual </p><p><b>Note</b>: </p><p>Overall staff engagement is derived from a composite score of the responses to nine individual questions relating to: </p><ul><li>staff motivation at work</li><li>staff ability to contribute towards improvement at work, and</li><li>likelihood of staff recommending their organisation as a place to work or receive treatment. </li></ul><p>Respondents are asked to provide answers ranging from strongly disagree to strongly agree.&nbsp;</p><p><b>Search terms</b></p><p>Staffing</p><p>Staff</p><p>Workforce</p><p>Nursing</p><p>Psychologists</p><p>Mental health nurses</p><p>Nurses</p><p>Psychiatry</p><p>Psychiatrists</p>
Annual

NHS Staff Survey Coordination Centre

NHS staff survey scores for quality of care

<p><b><u>Summary</u></b></p><p>This chart shows the scores from staff working in NHS mental health trusts on whether or not they would recommend their organisation to others as a place to work or to receive treatment. <a name="_Hlk1564905" data-sf-ec-immutable="">The figures can be examined from a national perspective, regional level or provider level. </a>You can compare responses across different groups of professionally qualified clinical staff, across the last three years.</p><p><b><u>Charts </u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>The NHS Staff Survey, ran annually since 2003, asks staff in England about their experiences of working for the NHS with the intention the information being used to help organisations understand and compare their own performance. </p><p>This measure is an important marker of the quality of care provided in an organisation. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a href="http://www.nhsstaffsurveys.com/" data-sf-ec-immutable="">NHS Staff Survey Coordination Centre </a>&nbsp;</p><p><b>Frequency</b>: Annual </p><p><b>Note</b>: </p><p>This is a composite score from responses to a number of questions in this domain &ndash; &lsquo;key finding 1&rsquo;.&nbsp;</p><p><b>Search terms</b></p><p>Staffing</p><p>Staff</p><p>Workforce</p><p>Nursing</p><p>Psychologists</p><p>Mental health nurses</p><p>Nurses</p><p>Psychiatry</p><p>Psychiatrists</p><p>Environment</p><p>Care quality&nbsp;</p>
Annual

NHS Staff Survey Coordination Centre

Proportion of CCG and STP allocations spent on mental health services

<p><b><u>Summary</u></b></p><p>This chart shows the proportion of CCG total budget spent on mental health services with detail on the amount planned to be spent at the beginning of the financial year and the amount actually spent at the end of the financial year. <a data-sf-ec-immutable="" name="_Hlk1564905">The figures can be examined from a national perspective, CCG or STP level. You can also compare data with up to five other areas.</a></p><p><b><u>Charts </u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>As part of the <a data-sf-ec-immutable="" href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf">NHS Long Term Plan</a>, the Government has committed to ensuring mental health services to continue to receive a growing share of the NHS budget, increasing by at least &pound;2.3 billion a year in real terms by 2023/24. </p><p>The Mental Health Investment Standard (MHIS), set by NHS England, requires all CCGs in England to increase their planned spending on Mental Health services by a greater proportion than their overall increase in budget allocation each year.&nbsp; </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a data-sf-ec-immutable="" href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/">NHS England</a> </p><p><b>Frequency</b>: Annual</p><p><b>Note</b>: </p><p>These data also include spending on Learning Disability and Dementia services. However, it should be noted that the MHIS does not currently include spending on Learning Disability and Dementia services.&nbsp;</p><p><b>Search terms</b></p><p>Funding</p><p>MHIS</p><p>Investment</p><p>Spend</p><p>Spending</p><p>Mental health spend</p><p>Mental health funding</p><p>Mental health investment</p><p>CCG spend</p><p>Money</p>
Annual

NHS England

Spending on mental health services per person

<p><b><u>Summary</u></b></p><p>This chart shows how much is spent on mental health services per person (per capita) within a CCG area. It includes detail on the amount planned to be spent at the beginning of the financial year and the amount actually spent at the end of the financial year. <a name="_Hlk1564905" data-sf-ec-immutable="">The figures can be examined from a national perspective, CCG or STP level. You can also compare data with up to five other areas.</a><br /></p><p><b><u>Charts </u></b></p><p>&nbsp;&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>As part of the <a href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf" data-sf-ec-immutable="">NHS Long Term Plan</a>, the Government has committed to ensuring mental health services to continue to receive a growing share of the NHS budget, increasing by at least &pound;2.3 billion a year in real terms by 2023/24. </p><p>The Mental Health Investment Standard (MHIS), set by NHS England, requires all CCGs in England to increase their planned spending on Mental Health services by a greater proportion than their overall increase in budget allocation each year.&nbsp; </p><p>While there are no specific national or regional targets on spending on mental health services per person, given the commitment for national spending to be increased by at least &pound;2.3 billion annually, it is anticipated that spending will rise. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" data-sf-ec-immutable="">NHS England</a> </p><p><b>Frequency</b>: Annual </p><p><b>Notes</b>: </p><p>&nbsp;We have standardised the figures to take account of different population sizes between CCG areas using the most recent ONS population data.&nbsp; </p><p>&nbsp;These data also include spending on Learning Disability and Dementia services.&nbsp;</p><p><b>Extra search terms</b></p><p>Funding</p><p>MHIS</p><p>Investment</p><p>Spend</p><p>Spending</p><p>Mental health spend</p><p>Mental health funding</p><p>Mental health investment</p><p>CCG spend</p><p>Money</p><p>Per capita&nbsp;</p><p><br /></p>
Annual

NHS England

NHS mental health trusts’ CQC ratings

<p><b><u>Summary</u></b></p><p>This chart shows the ratings of mental health trusts across five domains measured by the Care Quality Commission (CQC): safe, effective, caring, responsive and well led, as well as their overall ratings. For each domain, you can view the ratings for CCGs from outstanding to inadequate. The table below provides these data by individual provider. </p><p>The table and charts are based on the most recent CQC ratings as of 12 February 2019. </p><p><b><u>Charts </u></b></p><p>&lt;insert chart&gt;</p><p>data-sf-ec-immutable=""&gt;<b></b><br /></p><p><b><u>Policy context</u></b></p><p>The CQC monitors, inspects and regulates services to make sure they meet fundamental standards of quality and safety.</p><p>When inspecting acute hospitals, specialist mental health services and community health services, the CQC gives ratings based on five key questions relating to the areas above.</p><p>By law, trusts are required to display their CQC ratings in a prominent place where people who use their services can easily see them. </p><p>These ratings provide a useful marker in understanding NHS funding, performance and capacity of the system and its impact on safety and quality of care. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a href="https://www.cqc.org.uk/what-we-do/services-we-regulate/find-mental-health-service" data-sf-ec-immutable="">CQC</a> </p><p><b>Frequency</b>: CQC ratings for individual trusts are updated on an ad hoc basis. The charts above will be updated quarterly</p><p><b>Search</b></p><p>Care quality commission</p><p>Safe</p><p>Caring</p><p>Effective</p><p>Responsive</p><p>Well-led</p><p>Standards</p><p>Improvement</p><p>Improve</p><p>Providers&nbsp;</p><div><div><div id="_com_1" language="JavaScript"><p>&nbsp;</p></div></div></div>
Ad hoc

Care Quality Commission

Single Oversight Framework ratings for NHS trusts

<p><b><u>Summary</u></b></p><p>This chart shows the ratings of NHS trusts across four domains measured through the Single Oversight Framework: maximum autonomy, targeted support, mandated and targeted support, and special measures. You can compare the ratings between mental health trusts, acute trusts, ambulance trusts and community trusts. </p><p>The chart is based on the most recent ratings as of 12 February 2019. </p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context</u></b></p><p>The Single Oversight Framework enables NHS Improvement to oversee NHS trusts and NHS foundation trusts with the objective of helping providers of services to maintain Care Quality Commission&nbsp;ratings of &lsquo;Good&rsquo; or &lsquo;Outstanding&rsquo;, meet NHS constitution standards, and manage their resources effectively with their local partners.&nbsp;</p><p>Trusts&rsquo; performance is monitored on the following areas: quality of care; finance and use of resources; operational performance; strategic change; and, leadership and improvement capability. Trusts are then segmented into categories according to the level of support each is deemed to need. &nbsp;</p><p>These ratings provide a useful marker in understanding NHS funding, performance and capacity of the system and its impact on safety and quality of care.</p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a href="https://improvement.nhs.uk/resources/single-oversight-framework-segmentation/" data-sf-ec-immutable="">NHS Improvement</a> </p><p><b>Frequency</b>: Trust segmentation is updated on an ad hoc basis. The chart above will be updated quarterly.&nbsp;</p><p>&nbsp;</p><p><b>Search terms</b></p><p>SOF</p><p>Standards</p><p>Improvement</p><p>NHS Improvement</p><p>NHSI</p><p>Rating</p><p>Ratings</p><p>CQC&nbsp;</p>
Ad hoc

NHS Improvement

CCG Improvement and Assessment Framework ratings

<p><b><u>Summary</u></b></p><p>These charts show the performance of CCGs over four domains covered by NHS England&rsquo;s Improvement and Assessment Frameworks: mental health, leadership, dementia, and learning disability. For each domain, you can view the ratings for CCGs from outstanding to inadequate. The table below provides these data by region and CCG. </p><p>&nbsp;</p><p>These charts are based on the most recent ratings as of 12 February 2019. </p><p><b><u>Charts</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Table </u></b></p><p>&nbsp;</p><p>&nbsp;</p><p><b><u>Policy context</u></b></p><p>NHS England has a statutory duty (under the Health and Social Care Act (2012) to conduct an annual assessment of every CCG. The CCG Improvement and Assessment Framework is designed to align key objectives and clinical priorities to assess CCGs&rsquo; fitness to operate and to act as a focal point for joint work and support between NHS England, NHS Improvement, CCGs, providers and STP/ICS areas. </p><p>&nbsp;It is intended to demonstrate, in-year, what is working well and what is off-track. </p><p><b><u>About the data</u></b></p><p><b>Source</b>: <a href="https://www.england.nhs.uk/publication/ccg-annual-assessment-2017-18/" data-sf-ec-immutable="">NHS England</a> </p><p><b>Frequency</b>: Indicators on mental health, dementia and learning disability services are updated annually. The leadership indicator is updated quarterly, although we are awaiting a full set of ratings for the 195 CCGs now in operation before we update with the latest ratings.</p><p><b>Search terms</b></p><p>CCG IAF</p><p>Standards</p><p>IAF </p><p>Improve</p><p>Improvement</p><p>CCG</p><p>NHSE</p><p>Rating</p><p>Ratings&nbsp;</p><p>CCG ratings&nbsp;</p><div><div><div id="_com_1" language="JavaScript"><p>&nbsp;</p></div></div></div>
Annual

NHS England

How confident are you in your local leadership's ability to improve mental health services?

<p><b><u>Summary</u></b></p><p>This chart shows the responses of the RCPsych Research Panel members to the question asking about their confidence in their local leadership in improving mental health services. Over time, results can be compared between quarters. </p><p><b><u>Chart</u></b></p><p>&lt;insert chart&gt;</p><p><b><u>Policy context: </u></b></p><p>The Government and NHS has committed to making mental health one of its top clinical priorities, underpinned by the recommendations of the <a href="https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf" data-sf-ec-immutable="">Five Year Forward View for Mental Health</a> and the <a href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf" data-sf-ec-immutable="">NHS Long-Term Plan</a>. Implementing this plan will benefit people of all ages, reflecting the specific needs of all groups from children and young people through to older people. </p><p>This is an ambitious programme of work requiring collaboration with other local organisations including local government, housing, education, employment and the voluntary sector. STPs and Integrated Care Systems (ICS) provide the local vehicle for strategic planning, implementation at scale and collaboration between partners. </p><p>The RCPsych&rsquo;s Research Panel survey seeks to understand whether there is sufficient confidence in the leadership in order to deliver these national plans locally. <b><u></u></b></p><p><b><u>About the data</u></b></p><p><b>Source</b>: <u><a href="https://www.rcpsych.ac.uk/improving-care/campaigning-for-better-mental-health-policy/join-our-research-panel" data-sf-ec-immutable="">RCPsych Research Panel </a></u>&nbsp;<br /></p><p><b>Frequency</b>: Quarterly<br /></p><p><b>Notes</b>: <br /></p><p>These data are collected quarterly as one of four tracker questions gathered from the UK-wide RCPsych Research Panel.</p><p>Only data from members working in England are presented on Mental Health Watch. Responses from members working in the devolved nations of the UK can be found in the Devolved Nations data bulletins.&nbsp;</p><p><b>Search</b></p><p>Leadership</p><p>NHS Improvement</p><p>Standards</p><p>NHSI</p><p>ICS</p><p>STP</p><p>Improvement</p><p>FYFVMH&nbsp;</p>
Quarterly

RCPsych's Research Panel

Sorry there is no current indicator