Forward thinking: NIHR research on support for people with severe mental illness

National Institute of Health Research, March 2018

Report from the National Institute of Health Research detailing 30 published studies funded by the National Institute of Health Research (NIHR) and additional examples of ongoing research that  provides an overview of recent research funded by the NIHR on the support for people living with severe mental illness.  The focus of research is on:

  • Support early detection and intervention
  • Focus on crisis care in terms of location, settings and practice
  • Stabilising, managing mental and physical health

Supporting recovery, self management and engagement.

Click here to view the full report.


Monitoring the Mental Health Act in 2016/17

Care Quality Commission, March 2018

Annual report from the Care Quality commission on implementation of the Mental Health Act  that finds limited or no improvement in the key concerns that have been raised in the previous years. It concludes that mental health services are not doing enough to ensure that people whose liberty has been restricted under the Mental Health Act are able to exercise their rights; and that this situation is not improving.

Click here to view the full report.

Mental health rehabilitation inpatient services: Ward types, bed numbers and use by clinical commissioning groups and NHS trusts

Care Quality Commission, March 2018

Report from the Care Quality Commission looking at mental health rehabilitation inpatient services that finds:

  1. People are often receiving care a long way from where they live and from their support networks, which in turn can affect their onward recovery and wellbeing.
  2. People are being accommodated in services that are ‘dislocated’ from their home areas. This is more prevalent in the independent sector than in NHS services on average (49km) compared with NHS patients (14km).
  3. The independent sector
    1. Provided more wards that were categorised as either locked rehabilitation or complex care (75% of wards of this type) and fewer wards categorised as long stay, community or high dependency (25% of beds of this type).
    2. Accommodated patients who had been on that particular ward for longer (median 444 days compared with 230 days in the NHS) and in hospital continuously for longer (median 952 days compared with 492 days in the NHS).
    3. Because of the longer length of stay, accommodated patients whose current placement had cost twice as much (median £162K compared with £81K)

4. There is very wide variation between CCG areas in the use of rehabilitation beds, and in the use of beds that are out of area.
The report estimates that the annual expenditure on mental health rehabilitation beds is about £535 million. Out of area placements account for about two-thirds of this expenditure.   The 10% of CCGs that fund the highest number of places are spending an average of at least £19,000 per day on this element of provision – of which £8,200 is spent on independent sector provision; the majority of which is out of area.

Click here to view the full report.

Don’t be left in the dark: children and young people’s mental health

Local Government Association, February 2018

This short guide provides an overview of the challenges facing mental health and wellbeing services for children and young people. It suggests least one in 10 children and young people are affected by mental health problems, and the unreported figures are likely to be even higher. Young people are increasingly struggling with problems like anxiety, depression and self-harm, with nearly 19,000 young people admitted to hospital after harming themselves in 2015 – a 14% rise over three years. It also considers current understanding how the increasing prevalence of social media in young people’s lives is negatively impacting their emotional health.

Click here to view the report.

Supporting mental health for all

London Assembly, February 2018

Report that identifies four key problems that people in marginalised groups can encounter when trying to get mental health support.

  1. Physical barriers to accessing mental health services, in terms of where, when and how the services operate.
  2. The language used by health professionals can be offputting, intimidating or discriminatory – and this can prevent people from using particular services or discussing sensitive mental health issues with them.
  3. Many GPs and other primary care staff lack the skills and/or the capacity to deal appropriately with mental health issues in ways that are supportive and inclusive of diverse population.
  4. Specialist mental health services are being replaced by generalist services, which lack expertise in dealing with the needs of marginalised groups.

This report calls for the involvement of service users – and potential service users – from marginalised groups in the planning and discussions on developing services.

Click here to view the full report.