Tag: mental health services

Foysol Choudhury MSP calls for pause on mental health service cuts to allow for Strategic Review

Lothians list MSP, Foysol Choudhury, has called for an immediate pause on proposed cuts to vital community mental health services in the city, urging the Edinburgh Integrated Joint Board (EIJB) to undertake a thorough strategic assessment of the city’s mental health provision.

The Labour MSP argues that the current decision-making process lacks the necessary time and consideration to evaluate the long-term impact on those who rely on these essential services.

The call comes in response to proposed cuts, including the potential cancellation of a £188,000 contract with Change Mental Health for the Thriving Spaces and Places initiative leaving 650 people with mental health challenges and mental health illness without support, Foysol Choudhury MSP, emphasised the need for proper planning, engagement with stakeholders, and an evidence-based approach to reforming mental health services in Edinburgh.

Nick Ward, CEO of Change Mental Health, a charity which runs services under the Thriving Spaces and Places initiative, has strongly criticised the approach taken by the EIJB, highlighting the flaws in both the economic and clinical rationale behind the cuts.

He stated: “On economic, clinical, and process grounds, the Edinburgh Integrated Joint Board has approached this all wrong. It’s outrageous and short-sighted that vulnerable people will not be getting the support they need.

“Thrive and the wider Edinburgh third sector recognise the tight budgetary environment and the case for reform. However, this is not about scrapping services entirely. It’s about working together to redesign services that meet the needs of our communities.

“Removing the services will not remove the need and will just shift it to more expensive NHS services. We estimate that the Stafford Centre alone saves the NHS £4 million a year at a cost of only £188,000.

“The decision to remove funding risks undermining the stability and quality of services that so many depend on. It would be devastating to the population of Edinburgh.

“This approach, if carried forward, would leave Edinburgh as an outlier in Western Europe, where other cities continue to support community-based mental health services as an essential part of their healthcare systems.

“We call upon the EIJB and in particular the councillors on it, to reject this self-defeating proposal and instead work collaboratively with the third sector to redesign services to save money and deliver support for our city’s most vulnerable.”

Foysol Choudhury MSP pointed out that the proposal threatens to destabilise key services such as drop-in support, carer services, and veteran support, which have been fundamental in improving the mental health and wellbeing of hundreds of Edinburgh residents.

The lack of consultation and the rushed timeline undermine the collaborative approach that was promised after earlier breakdowns in communication with third-sector partners.

Commenting, Foysol Choudhury MSP said: “This is not just an issue for those directly impacted by these cuts. It is a question of public health, social cohesion, and responsible governance.

“Do Councillors, MSPs, and MPs across Edinburgh fully understand the magnitude of the decisions being made in their names? The risks associated with these cuts are profound, and it is crucial that we pause to reassess the long-term impact on mental health provision and the health system as a whole.”

Foysol Choudhury MSP concluded by calling for urgent engagement with the third sector, health professionals, and local communities to ensure a sustainable and effective redesign of services that meets the needs of the city’s population.

Mr. Choudhury also suggested a full review of the process before any further cuts are made.

Auditor General: Access to mental health services ‘slow and complicated’

Accessing adult mental health services in Scotland remains slow and complicated for many people. In particular, ethnic minority groups, people living in rural areas and those in poverty all face additional barriers.

There have been big funding increases for services since 2017, but a lack of data makes it hard for the Scottish Government to see the impact of that spending. Waiting times for psychological therapies have improved. But ministers do not measure the quality of wider mental healthcare services, or whether they are improving people’s health.

The mental healthcare system is fragmented. The Scottish Government, NHS boards, councils, Integration Joint Boards, Health and Social Care Partnerships and the third sector are all involved in funding, planning or providing services. This makes accountability complex. And it causes complications and delays in developing care focused on the needs of individuals.

The Scottish Government plans to increase its Mental Health Directorate budget by 25 per cent and ensure that ten per cent of the front-line NHS budget is spent on mental health by 2026.

They have also committed to giving all GP practices access to community based mental health and wellbeing services. These commitments are essential to improving access to services and relieving pressure on the mental health workforce. But ministers’ plans are not on track.

Stephen Boyle, Auditor General for Scotland, said: “The Scottish Government needs much more information to understand the difference its investment in mental health services is making, from specialist services to community-based support.

“That planning must include moving beyond using waiting times as the sole measure of whether services are improving the lives of those in need. And it needs to include a costed delivery plan for the care that people can expect in their communities.”

Ronnie Hinds, Interim Chair of the Accounts Commission, said: “Councils and Integration Joint Boards have a vital role to play in improving the availability
and quality of data needed to plan services and get the right levels of staffing in place.

“They also need urgently to develop shared goals and targets to improve how housing, welfare and other services work together in order to address and prevent the root causes of poor mental health.”

nr_230913_adult_mental_healthDownload

Call for increased investment in mental health as child referrals increase by more than 25%

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of children’s services, has called for greatly increased investment in mental health services as the impacts of the  Covid-19 pandemic on the young become clearer.

The call comes as new figures published by Public Health Scotland today (15th March 2022), indicate that at the end of December 2021, 10,021 children and young people had been referred for treatment from specialist child and adolescent mental health services (CAMHS).  

This includes issues such as anxiety and depression and represents a staggering 27.1 per cent increase from the previous quarter (July to September 2021) when the figure was 7,882.

With already under-resourced and overstretched services facing overwhelming pressure due to increased demand, the SCSC has raised concerns over a potential “lost generation” of vulnerable children and young people whose mental health is being impacted by Covid-19. 

Even prior to the pandemic cases of poor mental health were at unprecedented levels and in crisis, and there are a growing number of vulnerable children who cannot access adequate support. The pandemic has exacerbated this, leading to unprecedented demand and backlogs, with services struggling to keep up.

In total, 4, 544 children and young people started treatment at CAMHS over the period October to December 2021. This is an increase of 19.8 per cent from the previous quarter (3,792) and only 70.3 per cent were seen within the Scottish Government’s waiting time target for the NHS of 18 weeks from referral to treatment (met by at least 90 per cent of patients).

This is a fall from the previous quarter when the figure was 78.6 per cent. Eight out of 14 health boards failed to meet this target.

A total of 1,570 children and young people had been waiting over a year for treatment at the end of December 2021.

In addition to increased investment in specialist CAMHS, the SCSC has called for greater workforce planning and a renewed focus on expanded prevention and early intervention services, reducing the need for referral to costly specialist mental health services.

It has also called for greater partnership working between the public, private and third sectors as well as greater awareness of the services on offer, especially those at a community level.

A spokesperson for the SCSC commented: “For some time now, we have raised concerns over a potential lost generation of vulnerable children and young people, whose mental health is being impacted even further by the Covid-19 pandemic. 

“Too many of our young people are waiting too long for the treatment they need and it is more important than ever that children can access the support required, irrespective of where they live.

“While we welcome the attention that the Scottish Government has given to date on this vital issue, a lack of resources and lack of staff mean it’s becoming an impossible situation to manage. There must be a radical transformation of our mental health services, investing in specialist services and with a focus on preventing such problems arising in the first place and intervening early.

“This is a crisis we can overcome, but as the country comes to terms with the biggest hit to its mental health in generations, it will require a similar energy and commitment to that demonstrated for Covid-19 if we are to achieve this and prevent many young people giving up on their futures.”

Waiting times (with adjustments) for people who started their treatment from October to December 2021, by NHS Board of treatment:

Health boardTotal number seen% seen within 18 weeks
NHS Scotland4,54470.3
NHS Ayrshire & Arran35093.7
NHS Borders7067.1
NHS Dumfries & Galloway13347.4
NHS Fife36371.9
NHS Forth Valley11157.7
NHS Grampian37295.2
NHS Greater Glasgow & Clyde Valley1,56157.7
NHS Highland23275.0
NHS Lanarkshire23969.5
NHS Lothian72665.2
NHS Tayside32993.0
NHS Island Boards58100.0

Extra funding for mental health services

Extra funding to develop mental health services to cope with further demand as a result of the coronavirus (COVID-19) pandemic has been confirmed by the Scottish Government.

Minister for Mental Health Clare Haughey has announced a further £3.8 million to begin to increase the capacity of NHS 24’s telephone and online services.

This includes £2.6 million to expand the NHS 24 Mental Health Hub and Breathing Space telephone helpline and web support service and £1.2 million to provide extra capacity for Computerised Cognitive Behavioural Therapy (CCBT). Information about these expanded services will come on line as they become active.

Ms Haughey said: “Dedicated mental health professionals provide high quality care across Scotland – but in these trying times they are needed more than ever.

“The current situation around COVID-19, including concerns around social distancing, is an understandable cause of anxiety for many people. NHS 24 has already begun to see an increase in calls, including to Breathing Space, in recent weeks and anticipate this will continue to grow.

“It is vital that during this period of uncertainty anyone who requires support for their mental health can receive it.”

The additional £3.8 million will support a two-strand approach to the health response to COVID-19, both increasing the capacity of existing services while aiming to reduce demand. 

Funding of £2.6 million will provide additional capacity to the NHS Mental Health Hub of 27 full time equivalent (FTE) Psychological Wellbeing Practitioners, five FTE Mental Health Nurse Practitioners, and two FTE Senior Charge Nurses to provide 24-hour cover. This service is currently only available out of hours during the week and over the weekend.

This will take the total staffing for the hub to 69 PWPs, 20 MHNPs and six SCNs (all FTE).

The number of Breathing Space advisors will increase by 10 FTE workers and two FTE supervisors to expand both the telephone and webchat facilities. NHS 24 will also adapt a number of self-help guides and online resources through the NHS Inform website.

Funding of £1.2 million in the financial year 2020-21 will provide additional capacity to meet the immediate COVID-19 challenge on digital therapies supporting the rise in demand  and addressing the pressure on core  NHS mental health services. This will give support to the public and also to the Health and Social Care workforce and their families.