Mental Health Workforce Looking ahead to 2020/21
Core Workforce Development HEE commits 95% of its 4.9bn budget to developing the future workforce. c. 450m spent on staff in 2015/16 who work in mental health: Psychiatrists, Mental health nurses, Clinical psychologists, IAPT HIT therapists, IAPT PWP therapists, Child and adolescent psychotherapists, Occupational therapists, Child nurses, Speech and language therapists HEE solutions: Upskilling / reskilling Future workforce stock and flow New roles / workforce reform
HEE MH & LD programme System leadership and workforce transformation Significant synergy between mental health and learning disability workforce challenges Four programmes of work Specialist MH workforce Specialist CYP MH workforce Specialist LD workforce System-wide workforce development
Psychiatry workforce supply Supply of junior doctors and consultants crucial to system stability Joint Psychiatric Taskforce with RCPsych working on promoting the specialty (Chair: Professor Sir Simon Wessely President) 15/16 16/17 General 627 620 LD 94 94 CYP 229 232 Forensic 122 122 Medical 44 44 Old Age 226 231 Comb 13 13 Core 1,463 1,463
Mental Health Nursing supply Investment has been sustained to ensure supply against pressures Shape of Caring generalist vs specialist Local projects supporting return to practice and upskilling Key facts: Providers forecast reduction but Commissions were increased - 7.7% growth by 2020 (8,000 wte) Commissions: 2013/14 = 3,079 2014/15 = 3,143 2015/16 = 3,243 2016/17 = 3,343 *Some workforce not included ESR not universal for non-nhs suppliers
Clinical Psychology Key facts: Commissions: 2013/14 = 531 2014/15 = 532 2015/16 = 526 2016/17 = 526
IAPT Workforce Target of 6,000 new training commissions by 2015 exceeded From 2014 IAPT census increase in provision of other modalities (2015 census in preparation) 2012 2014 Counselling for Depression 123 262 Couples Therapy 75 86 DIT 42 66 IPT 93 140 Further training commissioned locally in 2015; plus 70 couples therapy centrally commissioned
Workforce Child and Adolescent Psychotherapy 2013/14 2014/15 2015/16 2016/17 41 41 43 43 Clinical Psychology 531 532 526 526 Child Nursing 2,151 2,182 2,343 2,343 MH Nursing 3,079 3,143 3,243 3,343 LD Nursing 628 653 664 638 Occupational Therapy 1,538 1,532 1,536 1,484 Psychological Wellbeing Practitioners (PWP) 474 436 579 579 High-Intensity Therapists (HIT) 385 320 367 367
Delivery 2015/16 (enablers) Early Intervention in Psychosis - on track to train 1,000 psychological therapists to support new standards CYP IAPT - 711 training places commissioned to date Community Eating Disorders Teams - commissioned project management for training in 2016/17 Commissioned 1 st CYP MH workforce audit Learning disability- commissioned training for c.2,500 staff in positive behavioural support supporting Transforming Care Developing Core Skills Education and Training Framework for Mental Health and Learning Disability (due by May 2016)
Delivery 2015/16 (enablers) HEE has also commissioned projects to support the wider workforce or influence curriculum development, including: e-learning modules for mental health awareness and perinatal mental health (due before April 16) Dementia framework and tier 1 & 2 training Development of MH & LD core skills frameworks (due before August 16) Liaison & Diversion - Workforce needs analysis for development of liaison and diversion services supporting expansion Perinatal MH - convened national working group to develop competence frameworks across disciplines and develop national strategy
HEE Investment CYP MH c1,500 additional therapists forecast, new CYP IAPT curricula and expansion to 100%, requiring development of new routes in to training to supply system Early Intervention in Psychosis will require continuing investment Planned transformation in crisis care, perinatal MH will place additional demand on mid-band MH nurses and general psychiatry HEE will support competent delivery of care and flexible workforce planning IAPT expansion, additional 4,500 therapists by 2021 and 7,000 existing upskilled proposed HEE will work with NHSE to understand capacity in system to deliver against timescales