Trends in Child and Adolescent Mental
Health Services & the Cordis Bright
CAMHS stress-test
July 2020
Original material is © Cordis Bright 2020 1
Introduction
Original material is © Cordis Bright 2020 2
• This document presents an analysis of trends in Child and Adolescent Mental Health Services
(CAMHS) in England.
• It also looks at how these trends vary by local area. It highlights that Clinical Commissioning Groups
(CCGs) are often experiencing different pressures to the national average. We use 19 indicators to
identify those which we think are experiencing the most pressures in relation to CAMHS provision.
• This analysis forms part of a portfolio of stress-tests that Cordis Bright produces. Please visit our
website for stress-tests on children with special educational needs and looked after children.
• The purpose of these stress-tests is to provide new insight by analysing existing publicly-available
datasets in new and different ways.
• The CAMHS stress-test has proved particularly difficult to design because the data that is available
is relatively limited, there is often a lack of consistent reporting periods, and indicators do not cover
all aspects of provision that we would have liked.
• In places we have had to combine datasets in atypical ways to create proxy indicators which give a
flavour of potential trends in the system. We have drawn any conclusions carefully and tried to be
fully transparent in the slides and references in the calculations that have been undertaken.
• We hope that, despite these ‘health warnings’, the analysis is helpful for local planning purposes –
both now and into the future when we expect Covid-19 to have significant impacts on the mental
health and wellbeing of children and young people.
• This first version of the stress-test is very much work in progress and we are keen to refine and
expand future versions. Please send your feedback to [email protected].
A note about indicators & data availability
Indicators
• We have chosen the following indicators to form the basis of the stress-test:
– Numbers and rates of open referrals
– Numbers and rates of children and young people in contact with mental health services
– CCG spend on CAMHS
– Distance of open wards stays from home address for children and young people
– New emergency and urgent referrals to crisis care teams
– Numbers of bed days in adult in-patient wards and CAMHS tier 4 wards
Data availability
• The majority of data used in this analysis was available either on a monthly or a quarterly basis. As
it was not possible to aggregate this data to create yearly figures without avoiding potential overlaps
or double counting, we have opted to use monthly and quarterly data to provide a snapshot of
service use and spending within a specific timeframe.
• For monthly data, we have analysed data from November 2019, and have used data from
November 2016, 2017 and 2018 for historical comparisons.
• For quarterly data, we have analysed data from Q3 2019/20, and have used data from Q3 2016/17,
2017/18 and 2018/19 for historical comparisons.
• A number of CCGs have undergone mergers in recent years. In these situations, we have combined
the data from the previously separate CCGs to calculate a figure for the newly merged CCGs for
previous years – for example, to calculate the 2016 indicators for Buckinghamshire CCG, we
combined the data from Aylesbury CCG and Chiltern CCG from those years.
Original material is © Cordis Bright 2020 3
Helping you think about next steps
If this analysis raises questions for your local CCG or local authority then Cordis Bright can help in the
following ways:
• We can produce bespoke versions of this stress-test plotting your CCG’s performance against each
indicator. This helps understand your relative strengths and weaknesses. We are able to do similar
for a basket of CCGs, e.g. your statistical neighbours. There is a small charge for this analysis.
• We are experts at service reviews and evaluation. Relevant experience includes an evaluation of a
children and young people’s Emotional Wellbeing and Mental Health Transformation Programme;
evaluation of a Trauma Recovery Model approach within youth offending; a multi-site evaluation of
the Living Well approach to improving mental health; and evaluation of an innovation project
designed to safely prevent escalation to tier 4 CAMHS.
• We also offer needs assessments, helping you map local need and service provision and identifying
gaps and areas for improvement. These can be population-wide, e.g. mental health services for all
children and young people, or focused on particular cohorts, e.g. looked after children, or particular
aspects, e.g. training needs assessments for those working with children and young people who may
have emotional and mental health needs.
Our team draws upon the expertise of people who have previous experience within children and young
people’s mental health as well as children’s services more generally. If you would like to discuss any of
these options further then please contact Colin Horswell on [email protected].
Original material is © Cordis Bright 2020 4
The national picture
Original material is © Cordis Bright 2020 5
Open referrals1 in children & young people mental
health services at the end of reporting period(Monthly data, each November)
152,011
268,139
0
50,000
100,000
150,000
200,000
250,000
300,000
Nov-16 Nov-17 Nov-18 Nov-19
Original material is © Cordis Bright 2020 6
The number of open referrals in children
and young people mental health services
at the end of each November has seen a
major increase of 76% over the past four
years, from 152,011 open referrals at the
end of November 2016 to 268,139 in
November 2019.
12
21
0
5
10
15
20
25
Nov-16 Nov-17 Nov-18 Nov-19
Pe
r 1
,00
0 o
f p
op
ula
tio
n a
ge
d 0
-18
Open referrals per 1,000 of population aged 0-18 (Monthly data, each November)
Original material is © Cordis Bright 2020 7
In November 2019, the equivalent of 21
per 1,000 children and young people had
an open referral to children and young
people mental health services. This rate
has increased over time, from 12 per
1,000 in November 2016 to 21 per 1,000.
People in contact with children & young people mental
health services in England2
(Monthly data, each November)
141,894
236,061
0
50,000
100,000
150,000
200,000
250,000
Nov-16 Nov-17 Nov-18 Nov-19
Original material is © Cordis Bright 2020 8
There has been a 66% increase in the number of
people in contact with children and young people
mental health services in the month of November
in England since 2016. This rate of increase is
slower than that for open referrals. There may
indicate a lack of capacity to respond to increasing
demand for mental health services.
People in contact with children & young people mental
health services per 1,000 of population aged 0-183
(Monthly data, each November)
Original material is © Cordis Bright 2020 9
11
19
0
2
4
6
8
10
12
14
16
18
20
Nov-16 Nov-17 Nov-18 Nov-19
Pe
r 1
,00
0 o
f p
op
ula
tio
n a
ge
d 0
-18
Similarly, the proportion of the population
aged 0-18 years who are in contact with
CAMHS services in November of each
year has increased since 2016, i.e. from
11 per 1,000 to 19 per 1,000. This
indicates that the number of people in
contact with these services is increasing
more rapidly than the overall population of
children and young people aged 0-18.
£614m
£774m
£550m
£600m
£650m
£700m
£750m
£800m
£850m
2016-2017 2017-2018 2018-2019 2019-2020
Children & young people mental health services
planned CCG annual spend4
(Annual data)5
Original material is © Cordis Bright 2020 10
The planned spend for CCGs on children and young people mental
health services has increased from £614m for 2017/18 to £774m for
2019/20. This is an increase of 26%.6
1
The number of people in contact with children and young
people mental health services in November of each year
increased by 48% between 2017-18 and 2019-20. If this is
indicative of overall increases in caseloads across the year,
then this suggests that funding is not keeping up demand.
2
£49
£61
£0
£10
£20
£30
£40
£50
£60
£70
2016-2017 2017-2018 2018-2019 2019-2020
Children & young people mental health services
planned CCG annual spend per capita(Annual data, for population aged 0-183)
Original material is © Cordis Bright 2020 11
This increase in planned spend
corresponds to an increase in spend per
capita of the population aged 0-18 from
£49 per capita to £61 per capita. This is
an increase of 24%.
Children & young people mental health services CCG
planned spend vs. actual spend(Annual data)
Original material is © Cordis Bright 2020 12
£614m
£677m
£774m
£641m
£703m£703m
£805m
£550m
£600m
£650m
£700m
£750m
£800m
£850m
2016-2017 2017-2018 2018-2019 2019-2020Planned annual spend Actual annual spend Forecast
In 2017-18 and 2018-19, actual spend
was higher than planned spend, by an
average of 4.1%. We forecast that the
actual spend for 2019-20 will be closer to
£805m. This, however, does not take into
account the potential impact of Covid-19
on services and there is a potential that
actual spend is substantially higher.
4.3% higher
3.9% higher
Other indicators
• The remainder of this section looks at indicators for more acute CAMHS provision.
• This reflects the data that is publicly available.
• We feel these indicators might give some insight into some of the pressures faced across CAMHS,
not just those at higher tiers. Hence their inclusion.
Original material is © Cordis Bright 2020 13
0.6%
0.9%
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1.4%
1.6%
1.8%
2.0%
Nov-16 Nov-17 Nov-18 Nov-19
% o
f a
ll p
eo
ple
in
co
nta
ct w
ith
CY
P M
H
serv
ices
New emergency referrals & urgent referrals to crisis care teams (for patients aged 0-17 as a percentage of all people in contact with children and young people mental health services, monthly data, November)
Original material is © Cordis Bright 2020 14
Data on new emergency and urgent
referrals to Crisis Care teams is only
available from November 2018 – it shows
a 0.3% increase over the previous year.
1
This suggests that emergency and urgent
referrals are increasing at a faster rate
than the overall numbers of CYP in
contact with CAMHS provision. This
possibly indicates that existing services
are struggling to prevent the escalation of
need.
2
23.3%
30.2%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Nov-16 Nov-17 Nov-18 Nov-19
% o
f a
ll w
ard
s s
tays fo
r p
atie
nts
ag
ed
0-1
8Open wards stays at least 50km from home address [for patients aged 0-18, as a percentage for all ward stays for patients aged 0-18, monthly data, November)
Original material is © Cordis Bright 2020 15
The proportion of open ward stays that are at least 50km from the
home address each November has seen a 6.9% increase over the past
four years. This suggests that CCGs are finding it increasingly difficult
to cater for children and young people closer to home. Given increases
in referrals and contacts, this could be the result of the volume of
children and young people that CAMHS services are engaging with.
Number of bed days for children & young people under
18 in CAMHS tier 4 wards(Quarterly data, Q3)
Original material is © Cordis Bright 2020 16
102,567
96,137
0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
Q3 2016-2017 Q3 2017-2018 Q3 2018-2019 Q3 2019-2020
The number of bed days for children and
young people aged 0-17 in CAMHS tier 4
wards during Q3 has fluctuated over the past
4 years, rising to 119,096 in Q3 2017/-18, but
ultimately showing a decrease of 6% between
Q3 2016-17 and Q3 2019-20.
Bed days of children & young people under 18 in
CAMHS tier 4 wards (as a percentage of all people in contact with children & young people mental health
services, monthly data interpolated from quarterly data)7
Original material is © Cordis Bright 2020 17
24.1%
13.6%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Nov-16 Nov-17 Nov-18 Nov-19
% o
f a
ll p
eo
ple
in
co
nta
ct w
ith
CY
P M
H
serv
ices
This overall decrease is also witnessed in
the number of bed days in proportion to
contacts with total number of people in
contact with children and young people
mental health services in the month of
November. The rate decreased by 10.5%,
from 24.1%.
Bed days of children & young people under 18 in adult
in-patient wards (Quarterly data, Q3)
Original material is © Cordis Bright 2020 18
2,700
411
0
500
1,000
1,500
2,000
2,500
3,000
Q3 2016-2017 Q3 2017-2018 Q3 2018-2019 Q3 2019-2020
The last four years have seen a
substantial decrease of in the number of
bed days of people aged 0-17 in adult in-
patient wards, an 85% decrease from
2,700 bed days in Q3 2016-17 to 411 in
Q3 2019-20.
Bed days of children & young people under 18 in adult
in-patient wards (as a percentage of all people in contact with children & young people mental health
services, quarterly data interpolated to monthly, November7)
Original material is © Cordis Bright 2020 19
0.6%
0.1%
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
Nov-16 Nov-17 Nov-18 Nov-19
% o
f a
ll p
eo
ple
in
co
nta
ct w
ith
CY
P M
H
serv
ices
This decrease is also seen in the number
of bed days in proportion to total contacts
with children and young people mental
health services, decreasing by 0.5%, from
0.6% of all people in contact with these
services in November 2016 to 0.1% in
November 2019.
The CAMHS stress-Test
The national averages disguise substantial differences
between CCGs
Original material is © Cordis Bright 2020 20
Original material is © Cordis Bright 2020 21
We have chosen 19 indicators to be part
of the stress-test
• Open referrals in CYP MH services (Nov 2019)
• Open referrals in CYP MH services per 1,000 0-
18 population (Nov 2019)
• Percentage change in number of open referrals
(Nov 2016 to Nov 2019)
• People in contact with CYP MH services (Nov
2019)
• People in contact with CYP MH services per
1,000 0-18 population (Nov 2019)
• Percentage change in people in contact (Nov
2016 to Nov 2019)
• CYP MH services CCG planned spend (2019-
20)
• Planned spend per capita (2019-20)
• Change in CYP MH planned spend per capita
(2017-18 to 2019-20)
• New emergency & urgent referrals to crisis care
(Nov 2019)
• Percentage change in new emergency & urgent
referrals to crisis care teams (2018-2019)
• Number of open ward stays at least 50km from
home address (2019)
• Percentage change in number of open ward
stays at least 50km from home address (2016-
19)
• Number of bed days for CYP under 18 in
CAMHS tier 4 wards (Q3 2019)
• Percentage bed days of CYP under 18 in
CAMHS tier 4 wards (Nov 2019)
• Percentage change in number of bed days of
CYP under 18 in CAMHS tier 4 wards (2017-19)
• Number of bed days of CYP under 18 in adult
in-patient wards (Q3 2019-20)
• Percentage bed days of CYP under 18 in adult
in-patient wards (Q3 Nov 2019)
• Percentage change in number of bed days of
CYP in adult in-patient wards (Nov 17-19)
See slides for fuller description of each indicator
1. Open referrals in children & young people’s mental
health services (Nov 2019)
Original material is © Cordis Bright 2020 22
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
England average: 1,400
0 equal to average
123 CCGs with lower number.
Lowest number: 25 (Castle
Point and Rochford CCG, Isle
of Wight CCG)
68 CCGs with higher
number. Highest number:
12,085 (Coventry and
Rugby CCG)
2. Open referrals in CYP mental health services per
1,000 people of CCG population aged 0-18 (Nov 2019)
Original material is © Cordis Bright 2020 23
0
20
40
60
80
100
120
140
160
Num
ber
of open r
efe
rrals
per
1,0
00 p
eople
aged
0-1
8 in
CC
G
124 CCGs with lower rates.
Lowest rate: 0.6 per 1,000
(Thurrock CCG)
England average: 21 per 1,000
1 equal to average
66 CCGs with higher rates.
Highest rate: 150 per
1,000 (Blackpool CCG)
-12%
-10%
-8%
-6%
-4%
-2%
0%
2%
4%
6%
8%
10%
12%
% c
ha
ng
e n
um
be
r o
f o
pe
n r
efe
rra
ls3. Percentage change in number of open referrals in
CYP mental health services (Nov 2016 - Nov 2019)
Original material is © Cordis Bright 2020 24
55 CCGs with lower rates.
Lowest rate: -10.1% (Mansfield
and Ashfield CCG)
England average: +0.9%
2 equal to average
134 CCGs with higher rates.
Highest rate: +9.3%
(Warwickshire North CCG)
4. People in contact with children & young people
mental health services (Nov 2019)
Original material is © Cordis Bright 2020 25
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
115 CCGs with lower number.
Lowest number: 20 (Isle of
Wight CCG)
England average: 1,232
0 equal to average
76 CCGs with higher number.
Highest number: 6,770
(Oxfordshire CCG)
5. Number of people in contact with CYP mental health
services per 1,000 people of CCG population aged 0-18 (Nov 2019)
Original material is © Cordis Bright 2020 26
0
20
40
60
80
100
120
140
Pe
r 1
,00
0 p
eo
ple
ag
ed
0-1
8 in
CC
G 113 CCGs with lower rates.
Lowest rate: 0.7 per 1,000
(Thurrock CCG)
England average: 18.8 per 1,000
0 equal to average
78 CCGs with higher rates.
Highest rate: 130 per 1,000
(Blackpool CCG)
-12%
-10%
-8%
-6%
-4%
-2%
0%
2%
4%
6%
8%
10%
12%
% c
ha
ng
e in
pe
op
le in
co
nta
ct w
ith
CY
P M
H
se
rvic
es
6. Percentage change in people in contact with CYP
mental health services (Nov 2016 - Nov 2019)
Original material is © Cordis Bright 2020 27
55 CCGs with lower rates.
Lowest rate: -9.5% (Mansfield
and Ashfield CCG)
England average: +0.8%
3 equal to average
133 CCGs with higher rates.
Highest rate: +5.74% (North
Cumbria CCG)
7. CYP mental health services CCG planned spend4
(2019/2020 planned spend)
0
£5m
£10m
£15m
£20m
£25m
£30m
Original material is © Cordis Bright 2020 28
118 CCGs with lower rates.
Lowest rate: £575k (Halton
CCG)
Average spend per CCG: £4.05m
1 equal to average
72 CCGs with higher
rates. Highest rate:
£26.89m (Birmingham
and Solihull CCG)
8. Spend per capita on CYP Mental Health (of CCG population 0-18 (2019-20 planned spend))
Original material is © Cordis Bright 2020 29
£0
£50
£100
£150
£200
£250
Sp
en
d p
er
ca
pita
of C
CG
po
pu
latio
n a
ge
d 0
-18
111 CCGs with lower
rates. Lowest rate:
£16.57 (St. Helens
CCG)
England average: £61.47 per capita
1 equal to average
79 CCGs with higher
rates. Highest rate:
£199.90 (Islington
CCG)
9. Change in CYP mental health planned CCG spend
per capita (for population aged 0-18 (2017-18 planned spend – 2019-20 planned spend))5
Original material is © Cordis Bright 2020 30
-£100
-£50
£0
£50
£100
£150
£200
Ch
an
ge
in
sp
en
d p
er
ca
pita
of C
CG
po
pu
latio
n
aged 0
-18
82 CCGs with lower rates.
Lowest rate: -£42.53
(Warwickshire North CCG)
England average: +£7.71 per capita
0 equal to average
109 CCGs with higher rates.
Highest rate: +£158.23
(Islington CCG)
10. New emergency & urgent referrals to crisis care(for patients aged 0-17 as a percentage of all people in contact with CYP mental
health services (Nov 2019))
Original material is © Cordis Bright 2020 31
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
% o
f a
ll p
eo
ple
in
co
nta
ct w
ith
CY
P M
H
se
rvic
es
138 CCGs with lower rates.
Lowest rate: 0% (122
CCGs)
England average: 0.9%
3 equal to average
50 CCGs with higher rates.
Highest rate: 53.3%
(Northumberland CCG)
11. Percentage change in new emergency & urgent
referrals to crisis care teams (for patients aged 0-17 as a percentage of all people in contact with CYP mental
health services (Nov 2018 - Nov 2019))8
Original material is © Cordis Bright 2020 32
-60%
-40%
-20%
0%
20%
40%
60%
% c
ha
ng
e in
em
erg
en
cy a
nd
urg
en
t re
ferr
als
to
crisis
ca
re te
am
s
178 CCGs with lower rates.
Lowest rate: -13.3% (Mid Essex CCG)
England average: +0.3%
0 equal to average
13 CCGs with higher rates.
Highest rate: +53.1%
(Northumberland CCG)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
% o
f a
ll w
ard
sta
ys fo
r p
atie
nts
ag
ed
0-1
8
12. Number of open ward stays at least 50km from
home address (for patients aged 0-18 as a percentage of all ward stays for patients aged 0-18
(Nov 2019))
Original material is © Cordis Bright 2020 33
171 CCGs with lower rates.
Lowest rate: 0% (170 CCGs)
England average: 30.2%
0 equal to average
20 CCGs with higher rates.
Highest rate: 100% (North
Cumbria CCG, South Norfolk
CCG)
The sizeable proportion of CCGs with a value of 0 for this
indicator is due to the suppression of data in CCGs
where there were less than 5 open wards stays at least
50km from home address in November 2019 in the
dataset.
-120%
-100%
-80%
-60%
-40%
-20%
0%
20%
40%
60%
80%
100%
120%
% c
ha
ng
e o
pe
n w
ard
sta
ys >
50
km
fro
m h
om
e
ad
dre
ss
13. Percentage change in number of open ward stays
at least 50km from home address (as a percentage of all ward stays for patients aged 0-18 (Nov 2016 - Nov 2019))
Original material is © Cordis Bright 2020 34
15 CCGs with higher rates. Highest
rate: +100% (Lincolnshire West CCG,
South Norfolk CCG)
England average: +6.9%
0 equal to average
176 CCGs with lower rates. Lowest
rate: -67% (Kernow CCG, Stoke on
Trent CCG)
14. Number of bed days for children and young people
under 18 in CAMHS tier 4 wards (Q3 2019/20)
Original material is © Cordis Bright 2020 35
0
500
1,000
1,500
2,000
2,500
3,000
3,500
122 CCGs with lower number.
Lowest rate: 0 bed days (3 CCGs)
England average: 503 bed days
0 equal to average
69 CCGs with higher
rates.
Highest number: 3,099
bed days (Birmingham
and Solihull CCG)
15. Bed days of children & young people under 18 in
CAMHS tier 4 wards (as a % of all people in contact with CYP mental health services7 (Nov 2019))
Original material is © Cordis Bright 2020 36
0%
100%
200%
300%
400%
500%
600%
700%
% a
ll p
eo
ple
in
co
nta
ct w
ith
CY
P M
H s
erv
ice
s
94 CCGs with lower rates.
Lowest rate: 0% (3 CCGs)
England average: 13.6%
0 equal to average
97 CCGs with higher rates.
Highest rate: 637.0% (Basildon and
Brentwood CCG)
16. Percentage change in number of bed days of CYP
under 18 in CAMHS tier 4 wards (as a % of people in contact with CYP mental health services (Nov ‘17 – Nov ‘19))
Original material is © Cordis Bright 2020 37
-2000%
-1500%
-1000%
-500%
0%
500%
1000%
% c
ha
ng
e b
ed
da
ys o
f C
YP
in
CA
MH
S tie
r 4
w
ard
s
95 CCGs with lower rates.
Lowest rate: -1827.1% (East
Leicestershire and Rutland
CCG)
England average: -11.27%
0 equal to average
96 CCGs with higher rates.
Highest rate: +420.6% (Barking
and Dagenham CCG)
17. Number of bed days of children and young people
under 18 in adult in-patient wards (Q3 2019/20)
Original material is © Cordis Bright 2020 38
0
10
20
30
40
50
60
70
80
90
100
177 CCGs with
lower number.
Lowest number: 0
bed days (177
CCGs)
Average bed days per CCG: 1.9
bed days
0 equal to average
14 CCGs with
higher number.
Highest number:
90 bed days
(Devon CCG,
Sandwell and West
Birmingham CCG)
0%
1%
2%
3%
4%
5%
% o
f a
ll p
eo
ple
in
co
nta
ct w
ith
CY
P M
H
se
rvic
es
18. Bed days of children and young people under 18 in
adult in-patient wards (as a % of all people in contact with CYP mental health services7 (Nov 2019))
Original material is © Cordis Bright 2020 39
177 CCGs
with lower
rates.
Lowest rate:
0% (177
CCGs)
England average: 0.06%
1 equal to average
13 CCGs with
higher rates.
Highest rate:
3.7%
(Bradford City
CCG)
19. Percentage change in number of bed days of CYP
in adult in-patient wards [as a % of people in contact with mental health services (Nov 17 - Nov 19))
Original material is © Cordis Bright 2020 40
-120%
-100%
-80%
-60%
-40%
-20%
0%
20%%
ch
an
ge
in
be
d d
ays p
er
all
co
nta
cts
with
C
YP
MH
se
rvic
es
13 CCGs with lower rates.
Lowest rate:
-100% (Southampton CCG)
England average: -0.6%
1 equal to average
178 CCGs with higher rates.
Highest rate: +2.9% (Waltham Forest
CCG)
The 20 “most stressed” CCGs for each
indicator
Original material is © Cordis Bright 2020 41
Original material is © Cordis Bright 2020 42
Open referrals (indicators 1-3) CYP in contact with MH services (indicators 4-6)
Number Per 1,000 population % change 2016-2019 Number Per 1,000 population % change 2016-2019
Coventry and Rugby
Oxfordshire
South Warwickshire
Manchester
Warwickshire North
North West Surrey
Derby and Derbyshire
Blackpool
Leeds
Buckinghamshire
North Cumbria
Surrey Downs
Sheffield
Cambridgeshire and
Peterborough
Hull
Barnet
Hartlepool and
Stockton-on-Tees
Berkshire West
Durham Dales,
Easington and
Sedgefield
Gloucestershire
Blackpool
South Warwickshire
Warwickshire North
Coventry and Rugby
North Cumbria
North West Surrey
North Tyneside
Oxfordshire
Durham Dales,
Easington and
Sedgefield
Hull
Guildford and
Waverley
Surrey Heath
East Surrey
Manchester
Surrey Downs
North Durham
Darlington
Hartlepool and
Stockton-on-Tees
Islington
Eastern Cheshire
Warwickshire North
South Warwickshire
Coventry and Rugby
Blackpool
North Cumbria
North West Surrey
Durham Dales,
Easington and
Sedgefield
North Tyneside
Surrey Heath
Manchester
Surrey Downs
North Durham
Islington
Eastern Cheshire
Darlington
Chorley and South
Ribble
North East Hampshire
and Farnham
West Lancashire
Walsall
Portsmouth
Oxfordshire
Coventry and Rugby
Manchester
North West Surrey
Blackpool
North Cumbria
Derby and Derbyshire
Buckinghamshire
Leeds
South Warwickshire
Hartlepool and
Stockton-on-Tees
Surrey Downs
Cambridgeshire and
Peterborough
Sheffield
Durham Dales,
Easington and
Sedgefield
Barnet
Berkshire West
Hull
South Tees
Warwickshire North
Blackpool
Warwickshire North
South Warwickshire
Coventry and Rugby
North Cumbria
North West Surrey
North Tyneside
Durham Dales,
Easington and
Sedgefield
Oxfordshire
Hull
North Durham
Guildford and
Waverley
Manchester
Darlington
Hartlepool and
Stockton-on-Tees
Surrey Heath
East Surrey
South Tees
Surrey Downs
Islington
North Cumbria
North West Surrey
Durham Dales,
Easington and
Sedgefield
North Tyneside
Blackpool
Manchester
Surrey Heath
Surrey Downs
Darlington
Islington
Eastern Cheshire
Warwickshire North
North East Hampshire
and Farnham
West Lancashire
Coventry and Rugby
Portsmouth
South Warwickshire
Chorley and South
Ribble
South Eastern
Hampshire
Eastbourne, Hailsham
and Seaford
The 20 “most stressed” CCGs for each indicator
Original material is © Cordis Bright 2020 43
CYP MH spend (indicators 7-9)
Emergency/urgent referrals (indicators
10-11)
Open wards stays > 50km
(indicators 12-13)
£ £ p.c.% change 2017-
2019
Number% change 2018-
2019 Number% change 2016-
20199
Birmingham and
Solihull
Devon
Bristol, North
Somerset and
South
Gloucestershire
Derby and
Derbyshire
Leeds
Cambridgeshire
and Peterborough
Dorset
Sandwell and
West Birmingham
Gloucestershire
Manchester
Islington
Herts Valley
Berkshire West
Wakefield
Newcastle
Gateshead
Nene
Liverpool
East and North
Hertfordshire
Sheffield
Wiltshire
Islington
Camden
South Tyneside
Isle of Wight
Norwich
South East
Staffordshire and
Seisdon Peninsula
West London
Great Yarmouth
and Waveney
Barnsley
Wakefield
Hammersmith and
Fulham
Stafford and
Surrounds
Sunderland
City and Hackney
Hartlepool and
Stockton-on-Tees
South Tees
Northumberland
East Staffordshire
Cannock Chase
Tower Hamlets
Islington
Norwich
Great Yarmouth
and Waveney
East Staffordshire
Enfield
South East
Staffordshire and
Seisdon Peninsula
Stafford and
Surrounds
North Norfolk
Morecambe Bay
Tameside and
Glossop
Wakefield
Hambleton,
Richmondshire
and Whitby
Tower Hamlets
Central London
(Westminster)
Isle of Wight
Birmingham and
Solihull
Hammersmith and
Fulham
Bradford City
Doncaster
Northumberland
Northumberland
Lincolnshire West
Lincolnshire East
South Tyneside
South Lincolnshire
South West
Lincolnshire
Newcastle
Gateshead
Vale of York
Sunderland
Harrogate and
Rural District
Scarborough and
Ryedale
East Riding of
Yorkshire
Birmingham and
Solihull
Bedfordshire
Croydon
West
Leicestershire
Wolverhampton
Wigan Borough
Leicester City
Kernow
South
Worcestershire
Redditch and
Bromsgrave
Lincolnshire East
Luton
Ealing
Cambridgeshire
and Peterborough
Kernow
East
Leicestershire and
Rutland
Lewisham
Leicester City
Wigan Borough
West
Leicestershire
Croydon
Birmingham and
Solihull
Bedfordshire
South West
Lincolnshire
Sunderland
Newcastle
Gateshead
South Tyneside
Northumberland
South Norfolk
South Cumbria
South
Worcestershire
Norwich
Nene
Medway
Gloucestershire
East Riding of
Yorkshire
East Berkshire
Coventry and
Rugby
Coastal West
Sussex
Cambridgeshire
and Peterborough
Berkshire West
Bedfordshire
Bath and North
East Somerset
Barnsley
Devon
Derby and
Derbyshire
West Kent
Bristol, North
Somerset and
South
Gloucestershire
South Norfolk
Lincolnshire
South
Worcestershire
Norwich
Nene
Medway
East Riding of
Yorkshire
Coastal West
Sussex
Bedfordshire
Bath and North
East Somerset
West Kent
Bristol, North
Somerset and
South
Gloucestershire
Birmingham and
Solihull
Cambridgeshire
and Peterborough
Derby and
Derbyshire
Original material is © Cordis Bright 2020 44
Bed days in tier 4 wards
(indicators 14-16)
Bed days in adult wards
(indicators 17-19)
Number % CYP in contact with
MH services% change 2017-2019 Number11 % CYP in contact with
MH services11 % change 2017-20199
Birmingham and
Solihull
Cambridgeshire and
Peterborough
Devon
Dorset
Nene
Derby and
Derbyshire
Bristol, North
Somerset and South
Gloucestershire
Coventry and Rugby
Manchester
Kernow
Herts Valleys
West Kent
West Hampshire
Islington
East and North
Hertfordshire
Barking and
Dagenham
Sheffield
Oxfordshire
Ealing
Gloucestershire
Basildon and
Brentwood
Castle Point and
Rochford
Isle of Wight
Barking and
Dagenham
North East Essex
Southend
West Essex
Medway
Mid Essex
South Tyneside
Havering
Redbridge
Waltham Forest
Thurrock
Newcastle
Gateshead
South Lincolnshire
South West
Lincolnshire
Sutton
Lincolnshire West
North East
Lincolnshire
Barking and
Dagenham
Castle Point and
Rochford
Havering
South Tyneside
Redbridge
Newcastle
Gateshead
Waltham Forest
Sunderland
Northumberland
Merton
Southend
Redditch and
Bromsgrove
Ealing
East Riding of
Yorkshire
Devon
Greater Preston
Dorset
Lambeth
Wyre Forest
West London
Sandwell and West
Birmingham
Devon
West Hampshire
Warwickshire North
Calderdale
Bradford Districts
Bradford City
Airedale, Wharfedale
and Craven
Vale of York
Southport and
Formby
Waltham Forest
Shropshire
Hull
East Riding of
Yorkshire
Bradford City
Waltham Forest
Vale of York
Sandwell and West
Birmingham
Southport and
Formby
Airedale, Wharfedale
and Craven
Devon
Calderdale
Bradford Districts
West Hampshire
Warwickshire North
East Riding of
Yorkshire
Shropshire
Hull
Waltham Forest
Vale of York
Sandwell and West
Birmingham
Southport and
Formby
Airedale, Wharfedale
and Craven
Devon
West Hampshire
Bradford City
East Riding of
Yorkshire
Shropshire
Wolverhampton
Conclusions
• There is a higher degree of variation in how CCGs are performing both as a snapshot in
time and in terms of trends over time.
• In the table overleaf, we highlight those CCGs who are facing multiple stressors.
• CCGs which feature most often in the top 20 of each stressor are:
– Coventry and Rugby CCG
– Islington CCG
– Manchester CCG
– Warwickshire North CCG
• These are each in the top 20 for eight indicators.
• These are the CCGs that we think are likely to be experiencing most ‘stress’ in relation
to CAMHS provision.
Original material is © Cordis Bright 2020 45
CCGs facing multiple stressors…
Original material is © Cordis Bright 2020 46
CCGNumber of indicators in which CCG is in
top 20 “most stressed”
Coventry and Rugby CCG 8
Islington CCG 8
Manchester CCG 8
Warwickshire North CCG 8
Cambridgeshire and Peterborough CCG 7
Devon CCG 7
East Riding of Yorkshire CCG 7
North Cumbria CCG 7
Birmingham and Solihull CCG 6
Blackpool CCG 6
Derby and Derbyshire CCG 6
Durham Dales, Easington and Sedgefield CCG 6
Hull CCG 6
North West Surrey CCG 6
South Warwickshire CCG 6
Surrey Downs CCG 6
Helping you think about next steps
If this analysis raises questions for your local CCG or local authority then Cordis Bright can help in the
following ways:
• We can produce bespoke versions of this stress-test plotting your CCG’s performance against each
indicator. This helps understand your relative strengths and weaknesses. We are able to do similar
for a basket of CCGs, e.g. your statistical neighbours. There is a small charge for this analysis.
• We are experts at service reviews and evaluation. Relevant experience includes an evaluation of a
children and young people’s Emotional Wellbeing and Mental Health Transformation Programme;
evaluation of a Trauma Recovery Model approach within youth offending; a multi-site evaluation of
the Living Well approach to improving mental health.
• We also offer needs assessments, helping you map local need and service provision and identifying
gaps and areas for improvement. These can be population-wide, e.g. mental health services for all
children and young people, or focused on particular cohorts, e.g. looked after children, or particular
aspects, e.g. training needs assessments for those working with children and young people who may
have emotional and mental health needs.
Our team draws upon the expertise of people who have previous experience within children and young
people’s mental health as well as children’s services more generally. If you would like to discuss any of
these options further then please contact Colin Horswell on [email protected].
Original material is © Cordis Bright 2020 47
Original material is © Cordis Bright 2020 48
References ISlide 6
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019
Slide 7
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019
Population: Mid-2016: SAPE20DT5: Revised, Population 2017: Mid-2017: SAPE20DT5, and Population 2018: Mid-2018:
SAPE21DT5:
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Note: Mid-year population data for 2019 was not available at the time of publication, so figures for November 2019 were
also calculated using the mid-year population data for 2018.
Original material is © Cordis Bright 2020 49
References IISlide 8
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019
Slide 9
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019
Population: Mid-2016: SAPE20DT5: Revised, Population 2017: Mid-2017: SAPE20DT5, and Population 2018: Mid-2018:
SAPE21DT5:
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Original material is © Cordis Bright 2020 50
References IIISlide 10
NHS Mental Health Dashboard Q3 2016-17, NHS Mental Health Dashboard Q3 2017-18, NHS Mental Health Dashboard
Q3 2018-19 and NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-
dashboard/.
Slide 11
NHS Mental Health Dashboard Q3 2016-17, NHS Mental Health Dashboard Q3 2017-18, NHS Mental Health Dashboard
Q3 2018-19 and NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-
dashboard/.
Population: Mid-2016: SAPE20DT5: Revised, Population 2017: Mid-2017: SAPE20DT5, and Population 2018: Mid-2018:
SAPE21DT5:
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Slide 12
Planned spend: NHS Mental Health Dashboard Q3 2016-17, NHS Mental Health Dashboard Q3 2017-18, NHS Mental
Health Dashboard Q3 2018-19 and NHS Mental Health Dashboard Q3 2018-19:
https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
Actual spend: NHS Mental Health Dashboard Q4 2016-17, NHS Mental Health Dashboard Q4 2017-18, NHS Mental
Health Dashboard Q4 2018-19 and NHS Mental Health Dashboard Q4 2018-19:
https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
Original material is © Cordis Bright 2020 51
References IVSlide 14
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019
Slide 15
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019
Slide 16
NHS Mental Health Dashboard Q3 2016-17, NHS Mental Health Dashboard Q3 2017-18, NHS Mental Health Dashboard
Q3 2018-19 and NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-
dashboard/.
Original material is © Cordis Bright 2020 52
References VSlide 17
Bed days:
NHS Mental Health Dashboard Q3 2016-17, NHS Mental Health Dashboard Q3 2017-18, NHS Mental Health Dashboard
Q3 2018-19 and NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-
dashboard/.
Contacts with CYP MH services:
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019
Slide 18
NHS Mental Health Dashboard Q3 2016-17, NHS Mental Health Dashboard Q3 2017-18, NHS Mental Health Dashboard
Q3 2018-19 and NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-
dashboard/.
Original material is © Cordis Bright 2020 53
References VISlide 19
Bed days:
NHS Mental Health Dashboard Q3 2016-17, NHS Mental Health Dashboard Q3 2017-18, NHS Mental Health Dashboard
Q3 2018-19 and NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-
dashboard/.
Contacts with CYP MH services:
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019
Slide 22
Mental Health Services Monthly Statistics: Final November 2019 MHSDS Data File, https://digital.nhs.uk/data-and-
information/publications/statistical/mental-health-services-monthly-statistics/final-november-provisional-december-2019.
Slide 23
Mental Health Services Monthly Statistics: Final November 2019 MHSDS Data File, https://digital.nhs.uk/data-and-
information/publications/statistical/mental-health-services-monthly-statistics/final-november-provisional-december-2019.
Population: Mid-2018: SAPE21DT5,
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Original material is © Cordis Bright 2020 54
References VIISlide 24
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019.
Population: Mid-2016: SAPE20DT5: Revised, and Population 2018: Mid-2018: SAPE21DT5:
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Slide 25
Mental Health Services Monthly Statistics: Final November 2019 MHSDS Data File, https://digital.nhs.uk/data-and-
information/publications/statistical/mental-health-services-monthly-statistics/final-november-provisional-december-2019.
Slide 26
Mental Health Services Monthly Statistics: Final November 2019 MHSDS Data File, https://digital.nhs.uk/data-and-
information/publications/statistical/mental-health-services-monthly-statistics/final-november-provisional-december-2019.
Population: Mid-2018: SAPE21DT5,
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Original material is © Cordis Bright 2020 55
References VIIISlide 27
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019.
Population: Mid-2016: SAPE20DT5: Revised, and Population 2018: Mid-2018: SAPE21DT5:
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Slide 28
NHS Mental Health Dashboard Q3 2019-20: https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
Slide 29
NHS Mental Health Dashboard Q3 2019-20: https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
Population: Mid-2018: SAPE21DT:
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Slide 30
NHS Mental Health Dashboard Q3 2017-18, and NHS Mental Health Dashboard Q3 2019-20:
https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
Population: Mid-2017: SAPE20DT5, and Mid-2018: SAPE21DT:
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/clinicalco
mmissioninggroupmidyearpopulationestimates.
Slide 31
Mental Health Services Monthly Statistics: Final November 2019 MHSDS Data File: https://digital.nhs.uk/data-and-
information/publications/statistical/mental-health-services-monthly-statistics/final-november-provisional-december-2019.
Original material is © Cordis Bright 2020 56
References IXSlide 32
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2018
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019.
Slide 33
Mental Health Services Monthly Statistics: Final November 2019 MHSDS Data File, https://digital.nhs.uk/data-and-
information/publications/statistical/mental-health-services-monthly-statistics/final-november-provisional-december-2019.
Slide 34
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2016
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019.
Slide 35
NHS Mental Health Dashboard Q3 2019-20: https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
Slide 36
NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
People in contact with CYP MH services:
Mental Health Services Monthly Statistics: Final November 2019 MHSDS Data File: https://digital.nhs.uk/data-and-
information/publications/statistical/mental-health-services-monthly-statistics/final-november-provisional-december-2019.
Original material is © Cordis Bright 2020 57
References XSlide 37
NHS Mental Health Dashboard Q3 2017-18, and NHS Mental Health Dashboard Q3 2018-19, in:
https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
People in contact with CYP MH services:
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019.
Slide 38
NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
Slide 39
NHS Mental Health Dashboard Q3 2018-19: https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
People in contact with CYP MH services:
Mental Health Services Monthly Statistics: Final November 2019 MHSDS Data File: https://digital.nhs.uk/data-and-
information/publications/statistical/mental-health-services-monthly-statistics/final-november-provisional-december-2019.
Slide 40
NHS Mental Health Dashboard Q3 2017-18, and NHS Mental Health Dashboard Q3 2018-19, in:
https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/.
People in contact with CYP MH services:
Mental Health Services Monthly Statistics: Final November MHSDS Monthly Data File, in:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/mental-health-
services-monthly-statistics-final-november-provisional-december-2017
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/final-
november-provisional-december-2019.
Original material is © Cordis Bright 2020 58
Endnotes
1. This measure is effectively a count of open caseload, as is the measure of number of people in contact with services
used in slides 6-9. The number of open referrals for people in contact with services, will generally be greater than the
number of people in contact with services, as the latter only counts a person once regardless of how many referrals
into services they have open at any time.
2. This measure relates to the number of people in contact with children and young people's mental health services at
the end of the reporting period i.e. November of each year.
3. The data source does not specify the age-range of people in contact with children and young people mental health
services. For the purpose of this analysis, we have chosen the 0-18 year cohort as the denominator.
4. This measure excludes spend on excluding learning disabilities and eating disorders services.
5. National data on the annual planned spend of CCGs on CYP Mental Health was only available from 2017-18.
6. These figures do not take into account inflation over the period.
7. In order to calculate the quarterly number of bed days as a percentage of monthly data of people in contact with CYP
MH services, the number of bed days was divided by 3 to determine an average across the 3 months of the quarter,
and this figure was used to calculate a percentage of the total number of people in contact with CYP MH services in
November for that year.
8. Data for this indicator is only available from November 2018.
9. These indicators do not have a complete top 20 due to a large proportion of CCGs returning values of zero as a result
of data suppression.
Original material is © Cordis Bright 2020 59
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