Several NHS mental health providers saw double figure real terms reductions in their income between 2011-12 and 2013-14, HSJ analysis has revealed.
Our data shows more than half of the providers saw a real terms funding decrease during this period.
It shows wide variation between trusts - with some seeing double digit reductions - due to a combination of commissioners cutting investment, and services being transferred to alternative providers.
Others have seen investment rise but overall, the sector saw a reduction in funding equal to £253m at 2013-14 prices.
The 10 trusts with the largest decrease in funding
|Organisation||Real terms funding change between 2011-12 to 2013-14|
|5 Boroughs Partnership Foundation Trust||-9.7%|
|Bradford District Care Trust||-23.8%|
|Calderstones Partnership FT||-14.4%|
|Cambridgeshire and Peterborough FT||-10.1%|
|Coventry and Warwickshire Partnership Trust||-8.5%|
|Hertfordshire Partnership University FT||-13.2%|
|Kent and Medway NHS and Social Care Trust||-9.6%|
|Leicestershire Partnership Trust||-8.2%|
|South West London and St George’s Trust||-8.6%|
|West London Mental Health Trust||-10.2%|
Bradford District Care Trust said it saw transfers of social care, mental health and learning disability services to non-NHS providers.
Oliver Shanley, deputy chief executive of Hertfordshire Partnership University Foundation Trust, which saw a real terms income drop of 13 per cent and an 18 per cent reduction in beds, said it had transformed its services as its financial challenge emerged.
This included day treatment centres, 72 hour intensive assessments and investment in new facilities and improved community based teams.
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But he added: “We have got to a point where it is really hard now and it’s difficult to see what the next steps will be.
“When I talk to colleagues elsewhere in the country there are some real signs of concern. There now has to be a very serious debate nationally about the continued funding of mental health and learning disability services.”
A spokeswoman for West London Mental Health Trust said: “Like all NHS trusts we are seeking to make efficiency savings as part of the government’s national target to save £20 billion in the NHS. We have seen our income change as a consequence of the net position of achieving 4 per cent efficiency with a 2.5 per cent inflation assumption.
“Our income is also affected by changes in the commissioning of services. The Dangerous and Severe Personality Disorder service was decommissioned during these years, which reduced our annual income by around 5 per cent.”
Cambridgeshire and Peterborough FT saw funding cut by 10 per cent.
Trusts with the largest number of beds lost
|Organisation||% of beds lost between 2011-12 to 2013-14|
|Berkshire Healthcare NHS Foundation Trust||-9%|
|Black Country Partnership FT||-12.5|
|Camden & Islington FT||-19.1|
|Hertfordshire Partnership University FT||-18.4|
|North East London NHS Foundation Trust||-13.5|
|North Staffordshire Combined Healthcare Trust||-18.5|
|Northumberland, Tyne and Wear FT||-9.9|
|Somerset Partnership FT||-12.3|
|South West London & St George’s Trust||-14|
|Southern Health NHS Foundation Trust||-31.6|
Chess Denman, the trust’s medical director, said: “There is no doubt we have been required to make substantial savings in recent years, and that situation is likely to continue for some time yet.
“The block funding of mental health services, as well as the application of a greater tariff deflator to mental health trusts than acute hospitals have had to face, have both worked against funding decisions being able to move towards greater parity of esteem for mental health patients.
“Additionally, the severe cuts in local authority funding have had a disproportionately large effect on our patient group.
“Earlier this year NHS England named this area as one of the 11 most challenged health economies in the country, and we need all those with an interest in our services to call for fairer future funding from government for the people of Cambridgeshire and Peterborough.”
Trusts that lost the largest number of nurses
|Organisation||% reduction in nurses between 2011-12 to 2013-14|
|2Gether NHS FT||-10.5|
|Calderstones Partnership FT||-9.1|
|Camden & Islington FT||-18|
|Greater Manchester West Mental Health FT||-8.6|
|Hertfordshire Partnership University FT||-11.7|
|Norfolk and Suffolk FT||-8.1|
|North Staffordshire Combined Healthcare||-10.6|
|Solent NHS Trust||-10.1|
|South London and Maudsley FT||-8.3|
|South West London & St George’s Trust||-13.9|
- BLACK COUNTRY PARTNERSHIP NHS FOUNDATION TRUST
- BRADFORD DISTRICT CARE NHS TRUST
- CALDERSTONES NHS TRUST
- CAMBRIDGESHIRE AND PETERBOROUGH FOUNDATION TRUST
- CAMDEN AND ISLINGTON NHS FOUNDATION TRUST
- COVENTRY AND WARWICKSHIRE PARTNERSHIP NHS TRUST
- Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
- East Midlands
- East of England
- GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST
- Hertfordshire Partnership University NHS Foundation Trust
- LEICESTERSHIRE PARTNERSHIP NHS TRUST
- Local government
- Long-term conditions
- Mental health
- NORFOLK AND SUFFOLK NHS FOUNDATION TRUST
- North East London NHS Foundation Trust
- North Staffordshire Combined Healthcare NHS Trust
- North West Boroughs Healthcare NHS Foundation Trust
- Patient experience
- Patient safety
- Social care
- Solent NHS Trust
- Somerset Partnership NHS Foundation Trust
- South London and Maudsley NHS Foundation Trust
- South West
- SOUTHERN HEALTH NHS FOUNDATION TRUST
- SOUTHWEST LONDON AND ST GEORGE'S MH NHS TRUST
- West London NHS Trust
- Yorkshire and the Humber
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