Tag: Mental Health Services

Millions of people with mental health needs still not accessing services, NAO finds

Despite funding and staffing levels for mental health services increasing and more patients being treated, millions of people with mental health needs are still not accessing services, with some facing lengthy waits for treatment, according to a new National Audit Office (NAO) report, Progress in improving mental health services in England.

The report says it is unclear how far current government commitments take the NHS towards its end goal, and what else is needed to achieve it. While funding and the workforce for mental health services have increased and more people have been treated, many people still cannot access services or have lengthy waits for treatment. Staff shortages continue and data that would demonstrate the results of service developments are limited.

Public Health

Current Awareness

Sexual assault has lasting effects on teenagers’ mental health and education.
NIHR Evidence; 2022.
(The mental and physical health symptoms reported in this study were higher than in the general population. Young people who had been involved with social services, or who had mental health problems before the assault had worse mental health problems and worse school attendance afterwards. Sexual assault can therefore increase health inequalities in this already vulnerable group.)

Autistic people’s healthcare information strategy for England.
NHS England; 2022.
(This document sets out an initial strategy for the development of information about the health of, and health care received by people with autism in England, from sources already collected or being established. It proposes the development of three dashboards, setting out statistics for: autism diagnosis services and transition from child to adult services; long-term health conditions, healthcare use and mortality for autistic people; more intensive inputs from mental health services.)

Suicide prevention – priorities in the next decade.
(Consultant psychiatrist JS Bamrah speaks to Professor Louis Appleby, who leads the National Suicide Prevention Strategy for England and directs the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. The webinar will cover current suicide prevention priorities, tying in with the recently announced suicide prevention strategy from the UK Government, before answering questions from the chair and audience. The event is open to BMA members and non-members.)

Food poverty: households, food banks and free school meals
House of Commons Library; 2022.
(There is no widely accepted definition of ‘food poverty’. However, a household can broadly be defined as experiencing food poverty or ‘household food insecurity’ if they cannot (or are uncertain about whether they can) acquire “an adequate quality or sufficient quantity of food in socially acceptable ways”. The increase in the cost of living has increased household food insecurity.)

Public Health

Current Awareness Updates

ASH brief for local authorities on youth vaping.
Action on Smoking and Health (ASH); 2022.
(This short briefing is to help local authorities respond to growing concerns about youth vaping in their communities. It is primarily for public health officials and trading standards officers, but also sets out important information for councillors, schools, parents and retailers. Links to further information are also provided.)

Quantifying health inequalities in England.
The Health Foundation; 2022.
(Results show health inequalities starting at a very early age and continuing to develop through adulthood. The early ages and changing structure of health inequalities reinforces the notion that nothing short of a joined-up policy approach can address the wide and complex health inequalities we see in England. We believe this new presentation of health inequalities shows powerfully that investing in the circumstances in which people live will help people stay healthier for longer.)

Advertising ban was linked to lower purchases of unhealthy food and drink.
NIHR Evidence; 2022.
(This is the first study to look at the implementation of the TfL advertising ban. It found that advertising restrictions are feasible, and could have a meaningful impact on population health. The findings could encourage governments and local authorities to consider similar policies to prevent obesity. The TfL restrictions were part of a childhood obesity strategy, but they could influence the whole population.)

Commission on Young Lives,
Centre for Mental Health; 2022.
(Alongside the Children & Young People’s Mental Health Coalition, Centre for Mental Health have co-authored the fourth report from the Commission on Young Lives on rethinking mental health services for vulnerable young people. It reviews the latest data with a focus on those who are at higher risk, including those from racialised communities, lower socioeconomic backgrounds, young people with SEND, those in contact with the criminal justice and care systems, as well as LGBTQI+ communities.)

Domestic abuse and mental health: the amplified risks created during the pandemic.
Hisham I N. BJPsych Advances 2022;28(5):316-327.
[This article focuses on how COVID-19 and its anticipated aftermath exacerbate the risk factors for domestic abuse in the general population and discusses clinical implications for mental health practitioners in the UK. It aims to provide a point of learning based on previous disease outbreaks and recessions, with a focus on specific factors, such as unemployment and alcohol misuse, and how these contribute to increasing incidence and severity of abuse and how to mitigate these for patients…] Open Athens account required.

Community network

There is no community without people: the staffing challenges facing community health services and how we can address them

Source: NHS Providers

This briefing sets out the key workforce pressures facing community health providers, alongside suggested solutions and policy enablers to increase workforce capacity in the sector. The content has been directly informed by the views and experiences of community provider leaders.

For more information click here.

Public Health

Current Awareness Updates

Weight loss outcomes achieved by adults accessing an online programme offered as part of Public Health England’s ‘Better Health’ campaign.
Toon J. BMC Public Health 2022;22(1456):-.
(This service evaluation shows that an online programme, offered as part of a national campaign, can offer effective support to a large number of people with different starting BMIs and from different socioeconomic backgrounds. An increased level of engagement leads to better weight losses.)

National operational framework: asylum accommodation.
Office for Health Improvement and Disparities and Home Office; 2022.
(This framework contains the minimum standard principles to support the health and wellbeing needs of asylum seekers living in initial and contingency sites.)

Supporting healthy relationships among parents of children with behaviours that challenge: A practical guide.
Early Intervention Foundation (EIF); 2022.
(This practical guide for local areas has been developed to improve understanding of how risk factors among parents of children with behaviours that challenge can impact on parental conflict and in turn on child outcomes, how to effectively engage these parents, what evidence-based support can be offered, and how to appropriately assess progress for these families.)

Heads Up: Rethinking mental health services for vulnerable young people.
Commission on Young Lives; 2022.
(The report looks at the growing crisis of mental health problems among children and young people in England and puts forward ambitious and innovative proposals to redesign young people’s mental health services, particularly for those young people at risk of harm.)

How can NHS anchors support communities to create health: Learning from the community response to COVID-19.
The Health Creation Alliance; 2022.
(This report provides real-world insight into how NHS anchor institutions are working in partnership communities, capitalising on both their strengths to address health inequalities.)

NHS Providers

Mental health services: meeting the need for capital investment

There has been prolonged under-investment in facilities across the English NHS. However, while restricted capital funding is affecting all sectors of the NHS, there is a particular need for capital investment within the mental health sector. This briefing summarises the findings of a survey NHS Providers sent to NHS mental health trusts and foundation trusts to gather further evidence on the sector’s capital funding needs, to support the case they are making for the sector to receive its fair share of capital investment in future.

Read the report here