3. Key facts
Key messages from the 2015 needs assessment (please note positive progress has been made on some of these indicators, notably the Improving Access to Psychological Therapies (IAPT) programme performance)
Population level indicators
- In general terms mental health outcomes in South Gloucestershire are better than the England average, largely due to good performance on wider determinants of health such as employment, housing and crime.
- Demand for services will increase at least in keeping with population growth and with the significant projected increases in South Gloucestershire population this will lead to an increase in pressure on services. In 2016 there was a 10% increase in demand for support from mental health services.
- South Gloucestershire CCG receives one of the lowest funding allocations from NHS England in the country. This determines funding levels across all health services including mental health. The CCG has since 2015 invested additional resources into both community and inpatient mental health services. National benchmarking data and performance data demonstrate that services achieve good outcomes for patients compared to similar CCG areas.
Mental health services and provision
The needs assessment highlighted that residents would like:
- easier access to talking therapies services (Improving Access to Psychological Therapies (IAPT) programme)
- longer term support for mental health issues in the community including after an acute episode of mental illness
- shorter waiting times to access an autism diagnostic assessment
- Service users and other groups including the Care Quality Commission have expressed concerns about engagement, access and quality of care.
There have been some improvements since the needs assessment was undertaken. The Talking therapies service is meeting the national access and patient outcome targets. Avon and Wiltshire Mental Health Partnership NHS Trust is part of the consortium delivering the Wellbeing College which focuses on wider social, practical and vocational support for people with mental ill health. South Gloucestershire CCG has invested additional resources to support the reduction in the autism waiting list. Waiting times remain but they have been reduced.
- Groups at higher risk of mental ill-health in South Gloucestershire include the unemployed, people with disabilities, prisoners, gypsies and travellers, substance misusers (including alcohol misusers), smokers, people with long term conditions, people in the Lesbian, Gay, Bisexual or Trans (LGBT) community, those in contact with the criminal justice system and victims of domestic abuse.
- There are more people experiencing such risk factors in Priority Neighbourhoods (Kingswood, Patchway, Staple Hill, Yate and Dodington and Cadbury Heath).
- Young women are at particular risk of non-fatal self-harm; poisoning is the most common method used.
- Males have a twofold to threefold increased risk of suicide compared with women. Men over 40 have the highest suicide rates.
Our 26 local priorities for action are captured in the needs assessment and fall into the three strategy areas of mental health promotion, mental illness prevention and treatment and rehabilitation.