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12.09.12

Addressing mental health underspend could cut physical health costs

Reversing the current underspending on mental health services by NHS commissioners could end up saving far more, according to leading health professionals and health economists.

In a letter to CCGs and new health secretary Jeremy Hunt, Professor Lord Richard Layard, Professor Clare Gerada and Professor Simon Wessely argue that people with untreated depression and anxiety disorders are costing the NHS in England £10bn extra in physical healthcare, compared with other people with equally severe physical problems, blighting over 2 million lives.

By providing proper psychological therapy services, the NHS could save at least half a billion pounds a year on physical healthcare, they say.

Commissioners should give top priority to the expansion of Improved Access to Psychological Therapies services, which now only cover only 10% of people with diagnosable depression and anxiety disorders.

If 25% of need was covered, the £0.3bn cost would be wiped out by the £0.5bn savings in physical healthcare, they calculate.

“By doing the right thing for people, the NHS would actually save money,” they say.

The letter is based on the report from the LSE Centre for Economic Performance on ‘How Mental Health loses out in the NHS’, debated at a private meeting of the Foundation for Science and Technology on last night.

Visit www.foundation.org.uk for more on the meeting, and http://cep.lse.ac.uk/pubs/download/special/cepsp26.pdf  to see the full report.

Tell us what you think – have your say below or email us directly at [email protected]

Comments

Peter   14/09/2012 at 18:38

A few things were left out here Clare Gerada is Simon Wesselys wife the therapies they mostly recommend are CBT cognitive behavior therapy and one not mentioned here is GET graded exercise therapy .These treatments will save money according to an economist and they want more money spent on therapy's and recruitment to psychiatry should be increased . How much exactly does it cost to train these extra psychiatrists and to pay his or her wages and is it cheap enough? From the argument put forward here I can see this being a win win situation for psychiatry with more psychiatrists being employed as recommended by the psychiatrist Simon Wessely and his wife all of them given more work and more funding from the NHS to carry out more talking therapies to treat mental health disorders, illness as well as physical disease this overlap of the mental health and physical disease which Simon suggests suits psychiatrists eager to be accepted into mainstream health . ,This argument in favour of therapies is based on the idea that positive mind training CBT this one so incredibly effective treatment will cure every person with a long term mental health disorder and will save the NHS money? Are the psychiatrists going to be honest and tell us when CBT does not work for a mentally ill patients and are they going to get rid of the extra psychiatrists who are no longer needed if these therapies do work .Will the NHS become the national mental health service treating shyness a broken leg along with mental illness and long term unexplained illnesses as all mental health issues?

Karen   10/06/2014 at 08:36

I find that the evidence is lacking. They do not substantiate their claims. Don't take me wrong, I am all for help to the mentally ill. However, I also know that there is a move towards treating physical illnesses as if it's all in the persons head. There also seems to be a consensus to ignore that there are several test which can pin point what is wrong on a cellular level. Dr. Sarah Myhill from Wales is one those few who really work to help people. And her work is based on actual evidence. And she has a lot of grateful patients around the world. Wessely and his followers, on the other hand, have a lot of people in opposition. They are not being helped. GET and CBT doesn't help when you physically I'll, even when you pretend not to see the physical symptoms. Sincerely, Karen

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