The FYFV for Mental Health: One year on and the year to come
Professor Tim Kendall, the National Clinical Director for
Mental Health NHS England and NHS Improvement, and the Director for
the National Collaborating Centre for Mental Health at the Royal
College of Psychiatrists, reflects on progress towards the aims of
the Five Year Forward View for Mental Health in the NHS.
“One year ago the Five Year Forward View for Mental Health was
published. A 5-year programme, it builds on the £1.4 billion
investment in children and young people’s mental health, injecting
another £1 billion for us to help 1 million more people throughout
their lives. It aims to develop more and better alternatives to
hospital, reduce the reliance on restrictive approaches, encourage
prevention wherever possible and help people to access effective
(NICE-recommended) treatment as early as possible.
“Getting the £1 billion into the ‘real world’ of mental health
is a challenge. First we have to ensure the Mental Health
Investment Standard is realised (this is the proportionate CCG
investment in mental health). Then it’s about getting the new money
to the front line. To encourage this, we are publishing how much
each CCG spends and a dashboard of their progress in implementing
new changes. More than this: NHSE and NHSI now require CCG finance
returns to be countersigned by mental health providers, confirming
they accurately reflect health economy investment in mental health.
This has never been done before.
“We have invested in a number of priority areas, such as 20
specialist community perinatal mental health services, to increase
access to care for thousands more women. We are also helping
psychiatric liaison services to reach ‘core 24’ standard
(consultant-led multidisciplinary teams, operating 24/7) – with
good bids from over 80 acute hospitals we expect to reach the
target of at least 50% at core 24 by 2020/21.
“Our next aim, building on the independent Commission the
College set up to review acute adult psychiatric care, is to
eliminate all inappropriate acute adult out-of-area placements over
the next 2-3 years. We now have national data on out-of-area
placements for the first time. On any given day there are over 400
such placements, a third involving people travelling over 100km.
The cost is a staggering £5m per month, and this is likely to be an
“Mental health has never been as important in the public sphere
and in government as it is now. It is now down to all of us to
campaign until all people with mental health problems get the
treatment they need, when they need it, and wherever they are. Help
us make this happen!”
Professor Tim Kendall
A view from the college
We were pleased to see the tangible implementation progress
over the last 12 months.
In particular, we’ve been delighted to see the introduction of
national standards for access to mental health care as well as
a Mental Health Dashboard which provides for the first time an
easy way to track performance against key mental health
There has also been encouraging progress against the
implementation of the report published by the independent
Commission the college set up to review acute adult psychiatric
care. We expect more to be done, with a formal response to the
report to be published soon.
Below, you can find