Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how much was spent in (a) cash and (b) real terms on child and adolescent mental health services per young person in England in each of the last five years.

The following table shows programme budgeting expenditure for Child and Adolescent Mental Health Service (CAMHS) in cash and real terms. It should be noted that:

- Children and young people with mental health problems are provided with treatment by a wide range of services and organisations and in a variety of settings. The figures below show what is spent on CAMHS but are not representative of all spending on treating mental health problems in children and young people.

- Programme budgeting data does not include expenditure by local authorities, schools, children’s services or expenditure on primary care appointments.

- Some primary care trusts (PCTs) may not have had sufficient information to allocate all expenditure on services such as continuing healthcare to specific programmes.

- 2013-14 data is not currently available.

Source: Programme Budgeting data, NHS England

Notes

1. Programme budgeting returns are based on a subset of PCT accounts data and represent a subset of overall NHS expenditure data.

2. Calculating programme budgeting data is complex and not all healthcare activity or services can be classified directly to a programme budgeting category or care setting. When it is not possible to reasonably estimate a programme budgeting category, expenditure is classified as ‘Other’. Expenditure on General Medical Services and Personal Medical Services cannot be reasonably estimated at disease specific level, and is separately identified as a subcategory of ‘Other’ expenditure.

3. The allocation of expenditure to programme budgeting subcategories is not always straightforward, and subcategory level data should therefore be used with caution.

4. In order to improve data quality, continual refinements have been made to the programme budgeting data calculation methodology since the first collection in 2003-04. The underlying data which support programme budgeting data are also subject to yearly changes. Programme budgeting data cannot be used to analyse changes in investment in specific service areas between years. Users of the data should note that significant changes to the data calculation methodology were introduced in 2010-11.

5. Figures for years 2003-04 to 2009-10 are calculated using provider costs as a basis. Figures for 2010-11 to 2012-13 are calculated using price paid for specific activities and services purchased from healthcare providers. PCTs follow standard guidance, procedures and mappings when calculating programme budgeting data.

6. PCT figures used to calculate 2010-11 data differ from those previously published in the 2010-11 programme budgeting benchmarking spreadsheet. This is due to the correction of errors identified for five PCTs for this year.

7. Aggregate PCT data supersede previously published England level programme budgeting data. England level data incorporated estimates of expenditure on healthcare conditions for the Department of Health, Strategic Health Authorities and Special Health Authorities. England level data is no longer published this data as aggregate PCT figures provide a more accurate and meaningful representation of the breakdown of NHS expenditure by healthcare condition.

8. For 2004-05 onwards, figures are based on PCT spend on own population. This is calculated by adjusting net expenditure to add back expenditure funded from sources outside the NHS and to deduct expenditure on other PCT populations incurred through lead commissioning arrangements.