The Five Year Forward View for Mental Health report outlines recommendations to transform mental health services in the UK's National Health Service (NHS) over five years. It is based on input from over 20,000 people and aims to improve access to high quality mental health services, integrate physical and mental healthcare, and focus on prevention. The report recommends over £1 billion in additional NHS funding by 2020/21 to help an additional 1 million people of all ages and was fully endorsed by the UK government. An implementation plan was also developed to achieve goals like reducing suicide rates and increasing access to services like children's mental healthcare by 2020. The voluntary sector is expected to support the rollout at national and local levels through advocacy, accountability, and potentially
3. The report in a nutshell:
• 20,000+ people engaged
• Designed for and with the NHS Arms’ Length Bodies
• All ages (building on Future in Mind)
• Three key themes:
o High quality 7-day services for people in crisis
o Integration of physical and mental health care
o Prevention
• Plus ‘hard wiring the system’ to support good mental
health care across the NHS wherever people need it
• Focus on targeting inequalities
• 58 recommendations for the NHS and system
partners
• £1bn additional NHS investment by 2020/21 to help an
extra 1 million people of all ages
• Recommendations for NHS accepted in full and
endorsed by government
Five Year Forward View for Mental Health
Prime Minister: “If you suffer from
mental health problems, there's not
enough help to hand.”
Simon Stevens: “Putting mental and
physical health on an equal footing
will require major improvements in 7
day mental health crisis care, a large
increase in psychological treatments,
and a more integrated approach to
how services are delivered. That’s
what today's taskforce report calls
for, and it's what the NHS is now
committed to pursuing.”
4. To develop a Mental Health Five Year Forward View for action by the NHS arms-length bodies,
including:
• Engaging experts by experience and carers to co-produce priorities for change
• Focusing on people of all ages – taking a ‘life course approach’
• Address equality and human rights
• Enabling cross-system leadership
• Making comprehensive recommendations on data and requirements to implement changes,
monitor improvement and increase transparency
• Assess priorities, costs and benefits as well as identifying and addressing key risks and issues
Aims and scope of the Taskforce
5. • 20,000 responses to online survey
• 250 participants in engagement
events hosted by Mind and Rethink
Mental Illness
• 60 people engaged who were
detained in secure mental health
services
• 26 expert organisations submitted
written responses
• 20 written submissions from
individual members of the public
The themes identified through the
engagement process informed the four
priorities that shape the full set of
recommendations…
A co-production approach
6. FYFVMH Implementation Plan
• Overview of the 5 year programme
• Focus on key areas of success and new commitments
– The perinatal mental health programme
– Children and young people’s mental health
– Delivering excellent crisis care
– Eliminating out of area treatments
– Early intervention in psychosis and the new access
standard
– Improving outcomes for people through IAPT
– New care model for mental health
– Transparency and a new dashboard
• How every area in England can drive the Five Year Forward
View for Mental Health
• Early priorities for change
7. In response to the taskforce report, and with new funding, the NHS
will deliver a programme of transformation across the NHS so that by
2020:
70,000 more children will
access evidence based
mental health care
interventions
280,000 people with SMI
will have access to
evidence based physical
health checks and
interventions
Intensive home treatment
will be available in every
part of England as an
alternative to hospital
No acute hospital is
without all-age mental
health liaison services,
and at least 50% of acute
hospitals are meeting the
‘core 24’ service
standard
The number of people
with SMI who can access
evidece based Individual
Placement and Support
(IPS) will have doubled
60% people experiencing
a first episode of
psychosis will access
NICE concordant care
within 2 weeks
10% reduction in suicide
and all areas to have
multi-agency suicide
prevention plans in place
by 2017,
At least 30,000 more
women each year can
access evidence-based
specialist perinatal mental
health care
Increase access to
evidence-based
psychological therapies
to reach 25% of need,
helping 600,000 more
people per year to
access care
8. There will soon be a new mental health dashboard that
shares progress including measures as part of the CCG
improvement and assessment framework
Access Quality Outcomes Investment
Health
promotion
Integration
7 day services
Hard-Wiring
Is everyone
who needs
access
getting
access?
Is care
provided of
the right
quality, at
the right
time and in
the right
place?
Is that care
effective and
delivering
the
outcomes
that people
want to
see?
Is there the
right level of
investment?
9. National role for the voluntary sector: supporting
implementation
• A new mindset and ambition for mental
health
• Working in partnership
• Sharing policy expertise, intelligence,
good practice and emerging evidence
• Raising the profile of FYFVMH through
networks, supporters and media
• Facilitating direct engagement with
people with lived experience
• Oversight and scrutiny – holding the
NHS to account for delivery (formal and
informal)
10. Local voluntary sector: championing the FYFVMH
• Engaging with local health and care
leaders, including via STPs
• Sharing expertise and local knowledge
• Giving a voice to people with lived
experience of mental health problems,
including those from marginalised
communities
• Holding local leaders to account for
delivery
11. Local voluntary sector: delivering new services
• Innovative, effective, person-centred
services
• Relationship of trust with service users –
reaching groups that others don’t
• Co-production of services with service
users
• Voluntary sector involved in three of the
New Care Models pilots
• Opportunities from FYFVMH:
• IAPT for people with LTCs
• IPS
• Supported housing
• System navigators