NHS England’s Implementing the Five Year Forward View outlines the changes that will be made to mental health services in response to recommendations made in the Five Year Forward View for Mental Health report published earlier this year by the independent Mental Health Taskforce.
The plan prioritises objectives, shares timeframes and details funding for the delivery of the work to transform services by 2020/21.
What follows is a summary of the priorities for implementing the Five Year Forward View for children and young people’s mental health services. For a broad overview of the plan in full, we recommend reading the Mental Health Network’s briefing.
- Increased access to services
An additional 70,000 children and young people will receive treatment each year. This means at least 35% of those with diagnosable mental health conditions will access NHS community-based treatment by 2020/21.
Source: Implementing the Five Year Forward View, p.7
- Additional funding
The funding pledged across mental health will rise to £1bn a year by 2020/21 and a proportion of this is set to go to children, young people and perinatal mental health services, in addition to the cumulative £1.4bn that had already been committed.
The majority of new funding for children and young people’s services is included in CCG allocations to support delivery of Local Transformation Plans and wider improvements to CYP services.
Source: Implementing the FYFV, p.9
- Reduced waits for eating disorder treatment
95% of children and young people with eating disorders are to receive treatment within 1 to 4 weeks. Local areas will baseline their current performance against new waiting time standards for eating disorders and plan for improvement. They will be measured against the standard from 2017/18.
- Reduced inpatient stays
By 2020/21, inpatient stays for CYP should only take place where clinically appropriate. This will be achieved through improved access to CYP appropriate 24/7 crisis resolution and liaison mental health services.
- Updates to Local Transformation plans
All local areas are to expand their Transformation Plans and republish them as Sustainability and Transformation Plans (STPs) by 31 October 2016. Updated plans must detail how additional funding will be used, with clear targets for increased access every year until 2020/21.
- Training and expansion of workforce
The recruitment of new therapists and the addition of supervisors will increase yearly to meet the increase in access for mental health service, reaching a target of 1,700 new therapists and 334 supervisors by 2020/21.
Source: Implementing the FYFV, p.8
- Joining CYP IAPT
By 2020/21, all services should be working within CYP IAPT, resulting in at least 3,400 staff being trained in specific therapies, supervision, organisational change and team development
- Collecting and returning data
The plan states that to support transparency: “It is crucial that all providers return the necessary data and that commissioners ensure data quality through contract monitoring”.
The MHSDS items that providers routinely collect and report against will be used in national metrics to demonstrate progress towards CYP mental health transformation. Intervention codes and outcome tools included in the MHSDS are likely to be included in new payment models being developed for CYP mental health services.
- Standards and pathways
Evidence-based treatment pathways being developed by NHSE will cover the journey from referral to recovery. These will include expectations of referral to treatment times, interventions provided and outcomes measured. A CYP generic mental health pathway and urgent and emergency CYP mental health pathway are planned for 2016/17. Datasets will be changed to monitor and evaluate performance and incentives, and payment models will be developed to support delivery of each pathway.
iaptus CYP supports providers of children and young people’s mental health services through care pathways tailored to your service, enabling you to quickly and easily collect quality data for service management and national reporting.
We’re here to help. Contact us today to discuss how iaptus CYP can support you in implementing your Transformation Plans.
