Fair Funding For Mental Health

Fair Funding For Mental Health: Putting Parity Into Practice | Institute for Public Policy Research (IPPR)

The NHS is currently in the process of writing a long-term plan that will set out what it wants to achieve with additional funding and how this funding will be allocated. This report argues that it is crucial that this plan raises our ambitions on mental health, what parity of esteem looks like and how much it will cost to get there.

The report states the NHS must scale up access to – and improve the quality of care – across all areas of treatment. In consultation with the sector, the authors identify the following themes that the long-term plan must address:

  • more investment in early intervention for children and young people (CAMHS)
  • scale up access to treatment for common mental health conditions such as
    depression and anxiety including through Improving Access to Psychological
    Therapies (IAPT)
  • provide universal high-quality community care for people severely affected
    with conditions such as psychosis, bipolar disorder, personality disorder and
    eating disorders
  • provide universal high-quality liaison and 24/7 crisis care for people living with
    poor mental health
  • reduce inpatient admissions, with more people treated in the community and
    supported at an earlier stage of their condition
  • set up a Mental Health Innovation Fund (MHIF) to spread best practise across
    the system.

 

Public health grant funding gap

Taking our health for granted: plugging the public health grant funding gap | The Health Foundation 

This briefing paper assesses the extent of cuts to the public health grant since 2014/15 and projects the amount required per year to plug the funding gap that now exists is £3.2 billion. It highlights that cuts have not protected areas with the greatest deprivation or need. At a time of ongoing wider cuts to public services that directly impact on people’s health, and with the NHS under pressure, this approach risks widening health inequalities.

Full briefing: Taking our health for granted: plugging the public health grant funding gap

Additional link: Health Foundation press release

Improved Better Care Fund

Reports on data collected from local authorities outlining how the £1.01 billion allocated for 2017-18 has been used | Ministry of Housing, Communities & Local Government

At Spring Budget 2017, local government was provided with an additional £2 billion funding for adult social care. This funding was to be spent through the Improved Better Care Fund over the period 2017-18 to 2019-20.

The purpose of the grant is to:

  • meet adult social care needs
  • reduce pressures on NHS, including supporting more people to be discharged from hospital when ready
  • ensure that the local social care provider market is supported

As a condition of the funding, local authorities were required to report quarterly to MHCLG. This publication reports on data collected from local authorities outlining how the £1.01 billion allocated for 2017-18 has been used.

Full document: Improved Better Care Fund (iBCF): Quarterly and year-end reporting  2017-18

The reality behind the 2019–24 NHS funding settlement

NHS Confederation | October 2018 | The reality behind the 2019–24 NHS funding settlement

NHS Confederation have developed an infographic that  outlines the financial challenge facing the NHS over the next five years.

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Image source: nhsconfed.org

It warns that commissioners and providers will need to continue to make considerable efficiency savings to remain in balance.

The document also looks at why the NHS deficit has developed, despite considerable efficiency savings delivered by both providers and commissioners.

 

Download the infographic from NHS Confederation

Wellcome funding available for innovative health research

Wellcome | Innovator Awards 

Researchers who are transforming great ideas into healthcare innovations that could have a significant impact on human health are eligible to apply for funding awards from the Wellcome Trust. The awards are up to £500,000, or up to £750,000 for multidisciplinary collaborations. 

Individuals and teams from not-for-profit and commercial organisations can apply.

 

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You can work in any scientific discipline, including a discipline outside life sciences. You can work on any type of technology. Examples of technologies include:

  • therapeutics (small molecules or biologics)
  • vaccines
  • devices
  • diagnostics
  • regenerative medicine.

The work that you propose must be essential for developing your healthcare innovation (Source:  Wellcome).
Full details available from Wellcome  

Extra support pledged for GPs this winter

NHS England has announced it will provide £10 million to GPs to support delivery of additional extended hours, out of hours and unscheduled care sessions over winter.

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The Winter Indemnity Scheme will be used to cover the costs of professional indemnity for the extra services provided by GPs, giving them the freedom to work extra sessions securely and without extra costs. This is the fourth year that NHS England has funded the successful winter indemnity scheme, having first introduced it in 2015-16.

Having committed £10 million to support the initiative, NHS England will be monitoring uptake across GP practices, out of hours services, NHS 111 and urgent care service providers, to evaluate the scheme’s impact.

Full story at NHS England

Identifying options for funding the NHS and social care in the UK: international evidence

The Health Foundation | July 2018 | Identifying options for funding the NHS and social care in the UK:international evidence

A new working paper from The Health Foundation uncovers how 16 other high-income countries have considered and implemented changes to their funding systems for health and social care to better meet the challenges ahead. 

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The paper aims to:

  • provide examples of funding configurations for health and social care, as well as changes that have been implemented, or are being considered, in a range of high-income countries
  • explore the drivers of recent or planned health and social care funding changes and reforms and the contexts within which decisions around funding were taken
  • highlight key points that can inform the range of conceivable options for funding health care and social care in the four countries of the UK.

Key conclusions

  • Most reviewed countries fund health care primarily from public sources, such as taxation and mandatory health insurance, but funding of social care often relies more than health care on individuals paying privately.
  • Health and social care funding reforms tend to be incremental rather than radical, are path-dependent, and are catalysed by changes in economic conditions rather than by rising demand for care.

High-income countries have taken diverse approaches to tackling the need to increase health and social care funding and there is no single optimal, or commonly preferred, solution to achieving sustainable revenues (Source: The Health Foundation).

The working paper can be downloaded here