Asked by: Fabian Hamilton (Labour - Leeds North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce Child and Adolescent Mental Health Services waiting lists.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We are committed to expanding and transforming National Health Service mental health care through the NHS Long Term Plan so more people, including children and young people, can be supported more quickly. The NHS forecasts that, between 2018/19 and 2023/24, spending on mental health services has increased by £4.7 billion in cash terms, compared to the target of £3.4 billion set out at the time of the NHS Long Term Plan. Nationally, overall spend on children and young people’s mental health services has increased from £841 million in 2019/20 to just over £1 billion in 2022/23. In the year to December 2023, over 750,000 children and young people aged under 18 years old were supported through NHS funded mental health services, a 31% increase since March 2021.
We are rolling out Mental Health Support Teams in schools and colleges in England, and as of May 2023, these teams cover 3.4 million pupils in England, or the equivalent to 35% of pupils. We expect this to increase to 44% by spring 2024, and we are extending coverage to 50% of pupils by the end of March 2025. We are also providing £8 million to fund 24 early support hubs across the country. This will improve access for children and young people to vital mental health support in the community, offering early interventions to improve wellbeing before their condition escalates further.
In addition, the NHS is working towards implementing five new waiting time standards for people requiring mental healthcare in both accident and emergency and in the community, to ensure timely access to the most appropriate, high-quality support. Four of these include children and young people.
Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department is taking steps to bring waiting times for mental health patients in-line with waiting times for physical health patients.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We remain committed to achieving parity between mental and physical health services, as outlined in the parity of esteem definition set out in a letter to the Public Accounts Committee in February 2024.
Given funding is important for reaching parity of esteem, we are making good progress with investment in National Health Service mental health services. Between 2018/19 and 2023/24, NHS spending on mental health has increased by £4.7 billion in cash terms, as compared to the target of £3.4 billion in cash terms set out at the time of the Long-Term Plan. For 2024/25, mental health spend is forecast to continue to grow, and will make up 9.01% of all recurrent NHS spending.
In February 2022, NHS England published the outcomes of its consultation on the potential to introduce five new access and waiting time standards for mental health services, as part of its clinically led review of NHS Access Standards. These are: for an urgent referral to a community based mental health crisis service, a patient should be seen within 24 hours of referral, across all ages; for a very urgent referral to a community based mental health crisis service, a patient should be seen within four hours of referral, for all age groups; patients referred from accident and emergency should be seen face to face within one hour by a mental health liaison or children and young people’s equivalent service; children, young people and their families and carers presenting to community-based mental health services, should start to receive care within four weeks of referral; and adults and older adults presenting to community-based mental health services should start to receive help within four weeks of referral.
Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of trends in the level of average waiting times for receiving NHS mental health (a) treatment and (b) other support services on the (i) wellbeing and (ii) employment of patients requiring those services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
While no such assessments have been made, through the NHS Long Term Plan the Government is providing record levels of investment and increasing the mental health workforce, to expand and transform National Health Service mental health services in England, helping to reduce waiting times. The NHS is also working towards implementing new waiting time measures for people requiring mental healthcare in both accident and emergency and in the community, to increase transparency, drive improvements in the quality of data, promote timely access to the most appropriate and high-quality support, and drive accountability in local systems.
The 2023 Spring Budget contained a package of over £400 million to support the long-term sick and disabled in remaining in or entering employment. This included approximately £75 million for the expansion of the Individual Placement and Support scheme, to help people with severe mental illness into employment. At the 2023 Autumn Statement, we announced a further £795 million of funding to increase the number of sessions per course of Talking Therapies treatment and broaden access, leading to an expected additional 384,000 people completing a course of treatment by 2028/29. It will also fund an additional 100,000 Individual Placement and Support places over five years, which will help people with severe mental illness gain and retain paid employment.
Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made with Cabinet colleagues of the impact of trends in the number of patients waiting for mental health treatment on the economy.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
While no such assessments have been made, through the NHS Long Term Plan the Government is providing record levels of investment and increasing the mental health workforce, to expand and transform National Health Service mental health services in England, helping to reduce waiting times. The NHS is also working towards implementing new waiting time measures for people requiring mental healthcare in both accident and emergency and in the community, to increase transparency, drive improvements in the quality of data, promote timely access to the most appropriate and high-quality support, and drive accountability in local systems.
The 2023 Spring Budget contained a package of over £400 million to support the long-term sick and disabled in remaining in or entering employment. This included approximately £75 million for the expansion of the Individual Placement and Support scheme, to help people with severe mental illness into employment. At the 2023 Autumn Statement, we announced a further £795 million of funding to increase the number of sessions per course of Talking Therapies treatment and broaden access, leading to an expected additional 384,000 people completing a course of treatment by 2028/29. It will also fund an additional 100,000 Individual Placement and Support places over five years, which will help people with severe mental illness gain and retain paid employment.
Asked by: Wes Streeting (Labour - Ilford North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate she has made of the number of patients (a) waiting for mental healthcare and (b) on NHS waiting lists for physical conditions who are also waiting for mental healthcare.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
There is currently no waiting times standard covering all mental health service areas. For services where a waiting times standard does exist, the latest position over the period from November 2023 to January 2024 was published by NHS England on 14 March 2024.
Information on routine and urgent referrals to children and young people’s eating disorder services and referrals to the early Intervention in Psychosis pathway is available at the following link:
Information on referrals to NHS Talking Therapies is available at the following link:
For referrals to adult community mental health services waiting for a second contact, referrals to children and young people’s community mental health services waiting for a first contact and Accident & Emergency attendances for mental health or self-harm, information is being collected to prepare for the proposed new waiting time standards being developed as part of the Clinically-led review of National Health Service access standards but these are NOT yet associated with a target. The latest position over the period from November 2023 to January 2024 is available at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/performance-january-2024
Information on the number of patients on NHS waiting lists for physical conditions who are also waiting for mental healthcare is not held centrally.
Through the NHS Long Term Plan, we are expanding and transforming NHS mental health care so that more people can get the support that they need more quickly. Between 2018/19 and 2023/24, the NHS forecasts that spending on mental health services has increased by £4.6 billion in cash terms, compared to the target of £3.4 billion in cash terms set out at the time of the NHS Long Term Plan. All integrated boards are also on track to meet the Mental Health Investment Standard in 2023/24.
Asked by: Stephen Morgan (Labour - Portsmouth South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce waiting times for mental health services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
More and more people are getting support with their mental health thanks to investments made through the NHS Long Term Plan. Unfortunately, demand has risen as the impacts of the COVID-19 pandemic and the rise in the cost of living on people’s mental health continues to be felt. This means that some people are facing waiting times that are much longer than we would like.
We are providing record levels of investment and increasing the mental health workforce to expand and transform National Health Service mental health services, to expand access and reduce waiting times. Between 2018/19 and 2023/24, NHS spending on mental health has increased by £4.6 billion in cash terms, as compared to the target of £3.4 billion in cash terms set out at the time of the Long Term Plan. The NHS Long Term Plan committed to grow the mental health workforce by an additional 27,000 staff between 2019/20 and 2023/24. We are making positive progress, delivering two-thirds of this, or 17,000 additional staff, by September 2023, with further significant growth expected by the end of this financial year.
The NHS is also working towards implementing five new waiting time measures for people requiring mental healthcare in both accident and emergency and in the community, for both adults, and children and young people. This includes working towards improving the quality of data that we have on waiting times for people requiring mental healthcare, in both accident and emergency and in the community. NHS England began publishing this new data in 2023 to improve transparency and drive local accountability.
Asked by: Lisa Cameron (Conservative - East Kilbride, Strathaven and Lesmahagow)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential impact of evidence-based digital mental health innovations on reducing waiting lists for child and adolescent services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
To date, there has been no assessment made to determine the potential impact of evidence-based digital mental health innovations on reducing waiting lists for child and adolescent services. The National Institute for Health and Care Excellence has made recommendations on four products for self-help digital cogitative behavioural therapy technologies for children and young people with low mood or anxiety, through their Early Value Assessment process. Whilst there was no definitive determination on the impact to waiting lists, early evidence suggests that these types of interventions can improve access for patients and can supplement existing treatments whilst patients are waiting for further treatment.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 30 January 2024 to Question 10927 on Mental Health Services: Children and Young People, what the average waiting time was from referral to assessment for a child referred to the Child and Adolescent Mental Health Service in the latest period for which data is available; and how many children are on a waiting list in each local authority within the NHS North East and North Cumbria Integrated Care Board area.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The information regarding the average waiting time from referral to assessment for a child referred to the Child and Adolescent Mental Health Service, in the latest period for which data is available, as well as how many children are on waiting lists in each local authority within the North East and North Cumbria Integrated Care Board, is shown in the attached tables.
Asked by: Tim Farron (Liberal Democrat - Westmorland and Lonsdale)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of young people in South Cumbria identified as highly complex or at high risk to self or others are on the waiting list for (a) cognitive behavioural therapy, (b) psychology and (c) family therapy as of 29 January 2024.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
This information is not held in the format requested.
Asked by: Simon Fell (Conservative - Barrow and Furness)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of young people who were referred to child and adolescent mental health services waited (a) two weeks, (b) one month, (c) three months, (d) six months and (e) longer than six months for an assessment in the last 12 months.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The following table shows the number of referrals of children and young people aged between zero and 17 years old in England in 2021/22, as well as the time waiting between referral and their second contact for the timescales available:
Number waiting between zero and four weeks | 137,943 |
Percentage waiting between zero and four weeks | 18.80% |
Number of waiting between four and 12 weeks | 62,037 |
Percentage waiting between four and 12 weeks | 8.50% |
Number waiting over 12 weeks | 38,855 |
Percentage waiting over 12 weeks | 5.30% |
Total number | 733,756 |
Source: NHS England
Note: These statistics are classified as experimental and should be used with caution.