The state of the NHS provider sector

Survey findings

Figure 0.1

Created with Highcharts 9.3.0Number of survey respondents (chairs and chief executives) by regionLondonMidlands and EastNorthSouth(n=158)

Figure 1.0

Created with Highcharts 9.3.0£bnTotal cost of mental health support and services in England 2013/14 (£bn)NHS-Other HMGNon-HMGNHS totalMental health​related​benefitsMental health​social careOther HMGHMG totalUnpaid carePrivate sectorVoluntary​sectorTotal spend010203040Source: www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf, p10

Figure 1.1

Created with Highcharts 9.3.0%Mental health services providers: Based on current trends, how do you think demand will change for the following mental health​services in 2017/18?Substantially increaseIncreaseStay the sameDecreaseSubstantially decreaseCAMHSIAPTCrisis careElderly care mental healthEarly interventionIn-patient carePerinatal0102030405060708090100(n=40-41)

Figure 1.2

Created with Highcharts 9.3.0Providers not delivering mental health services: Are you aware of changing demand for mental health services for patients seen​within your trust?Substantially increaseIncreaseStay the sameDecreaseSubstantially decreaseDon't know(n=111)

Figure 1.3

Created with Highcharts 9.3.0Mental health services providers: How confident are you that national commitment to increase investment in mental health and​transparency on CCG spending will result in adequate investment to meet mandate ambitions in 2017/18?Very confidentConfidentNeither confident or worriedWorriedVery worried(n=39)

Figure 1.4

Created with Highcharts 9.3.0Providers not delivering mental health services: Following national commitments to increase investment in mental health, do you​think local investment will change accessibility to mental health services for patients in your area in 2017/18?Substantially increaseIncreaseStay the sameDecreaseSubstantially decreaseDon't know(n=112)

Figure 1.5

Created with Highcharts 9.3.0%Mental health services providers: How confident are you that current national strategic workforce planning will deliver appropriate​numbers of the following staff groups to meet mental health targets?Very confidentConfidentNeutralWorriedVery worriedDon't knowPerinatalEarly interventionIAPTElderly Care mental healthCrisis careCAMHSIn-patient care0102030405060708090100(n=31-34)

Figure 1.6

Created with Highcharts 9.3.0%Mental health services providers: How would you rate the level of service provision within your catchment for the following patient​groups?Managing demand and planning for unmet needMeeting presenting demandNot able to meet presenting demandPerinatalUrgent care - police and crime servicesUrgent care - A&E servicesCAMHSElderly care specialist support0102030405060708090100(n=35-38)

Figure 1.7

Created with Highcharts 9.3.0%Has commissioning of mental health and wellbeing services in your local area by the following commissioners changed in 2016/17​and 2017/18?Substantially increasedIncreasedStayed the sameDecreasedSubstantially decreasedNHS CCG(s) 2016/17NHS England 2017/18Local authority - public health 2016/17Local authority - other 2017/18Third sector 2016/17Other 2017/180102030405060708090100(n=7-35)

Figure 1.8

Created with Highcharts 9.3.0Mental health services providers: How confident are you the local STP process will lead to improvement in capacity to provide​timely access to mental health services to your local population?Very confidentConfidentNeither confident or worriedWorriedVery worriedDon't know(n=38)

Figure 1.9

Created with Highcharts 9.3.0Providers not delivering mental health services: How confident are you the local STP process will lead to improvement in capacity​to provide timely access to mental health services to your local population?Very confidentConfidentNeither confident or worriedWorriedVery worriedDon't know(n=112)

Figure 1.10

Created with Highcharts 9.3.0%Mental health service providers: In your area do you provide 24/7 liaison services supporting the following patient groups?Yes - active nowPlans to be introduced in the next yearNoDon't knowUrgent care - A&E servicesUrgent care - police and crime servicesCAMHSElderly care specialist supportPerinatal0102030405060708090100(n=37-38)

Figure 1.11

Created with Highcharts 9.3.0%Providers not delivering mental health services: In your area do you provide 24/7 liaison services supporting the following patient​groups?Active nowPlans to be introduced in the next yearNoDon't knowInpatient carePerinatal0102030405060708090100(n=106-107)

Figure 2.1

Created with Highcharts 9.3.0Over the next six months do you think your trust's performance against key access targets is likely to:Considerably improveSlightly improveStay the sameSlightly deteriorateConsiderably deteriorateDon't know(n=158)

Figure 2.2

Created with Highcharts 9.3.0%How would you rate the quality of healthcare provided by your local area?Very high qualityHigh qualityAverageLow qualityVery low qualityDon't knowCurrentlyIn six months05101520253035404550556065707580859095100(n=149-155)

Figure 3.1

Created with Highcharts 9.3.0Over the next six months do you think the financial performance of your trust is likely to:Considerably improveSlightly improveStay the sameSlightly deteriorateConsiderably deteriorateDon't know(n=156)

Figure 4.2

Created with Highcharts 9.3.0%How confident are you that your trust has the right numbers, quality and mix (clinical and non-clinical) staff in place to deliver high​quality healthcare to patients/service users?Very confidentConfidentNeither confident or worriedWorriedVery worriedCurrentlyIn six months0102030405060708090100(n=152-156)

Figure 5.3

Created with Highcharts 9.3.0How confident are you that transformation activity in your local area will progress as well as it needs to over the next six months​to deliver long term plans?Very confidentConfidentNeither confident or worriedWorriedVery worried(n=158)

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