HE2.1
Service Provision for Mental Health
Health
- Mental Health
Service Provision for Mental Health
According to the Global Burden of Disease (GBD) study mental disorders rank among the top 10 causes of health loss globally. Anxiety and depressive disorders are the most prevalent across all age groups and regions. The GBD 2019 report includes the following mental disorders:
- depressive disorders (major depressive disorder and dysthymia),
- anxiety disorders (a combined estimate of all subtypes),
- bipolar disorder (a combined estimate of all subtypes),
- schizophrenia,
- autism spectrum disorders,
- conduct disorder,
- attention-deficit hyperactivity disorder (ADHD),
- eating disorders (anorexia nervosa and bulimia nervosa),
- idiopathic developmental intellectual disability (or broader intellectual disability impairment r),
- and other mental disorders (an aggregate group of personality disorders).
Service provision for mental health disorders captures a range of professionals including psychiatrists, psychologists, mental health nurses, support staff and peer support workers. The total economic and social costs of mental ill health in England in 2022 was £300 billion according to the report called “The Economic and Social Cost of Mental Ill Health” by the NHS Confederation’s Mental Health Network as part of the Mental Health Economics Collaborative.
Key Value
Fiscal and economic value of £7,600
The average annual fiscal , and economic cost per year, for service provision to 1 person (including dementia (all ages, including children, adolescents and adults).
The headline value for service provision for mental health disorders is from the Greater Manchester Combined Authority (GMCA)* Unit Cost Database (v.2.3.1).
The average annual fiscal cost of service provision per person suffering from any type of mental health disorder, including dementia is the average across all age groups, including children, adolescents and adults (but excluding children under five years of age). In addition, the economic value quoted comprises lost earnings (£3,019 per person on average, at 2007-08 prices) and costs falling to informal carers (an estimated £736 per person); other social costs (e.g. from reduced well-being) are not monetised in the base report, the King’s Fund report: “PAYING THE PRICE: The cost of mental health care in England to 2026”.
The following conditions (with relevant ICD-10 codes where appropriate) were included in the King’s Fund report, covering most major mental health problems:
- depressive disorders (F320 to F31X)
- anxiety disorders (F400 to F411, F418 to F42X)
- schizophrenia and other functional psychoses (F200 to F29X)
- bipolar disorder and related conditions (F300 to F31X)
- eating disorders (F500 to F503)
- personality disorders (F600 to F61X)
- conditions affecting children and adolescents (hyperkinetic disorders, conduct disorder, emotional disorders)
- dementia (F000 to F03X)
| Description | Unit | Fiscal value in 2007/2008 prices | Fiscal value in 2022/2023 prices | Economic value in 2007/2008 prices | Economic value in 2022/2023 prices | Total value in 2022/2023 prices |
| Average cost of service provision for people suffering from mental health disorders, per person per year, including dementia (all ages, including children, adolescents and adults) – fiscal and economic costs | Per person per year
|
£1,866 | £2,530 | £3,755 | £5,091 | £7,621 |
Fiscal value is defined in the GMCA Unit Cost Database as the costs or savings that fall to public sector agencies and relate to public expenditure (e.g. delivery of additional services or reduced health, police or education costs). Economic value is defined as the costs or savings that fall to individuals (e.g. relating to earnings or personal expense), employers (e.g. profit, turnover) or the wider economy (e.g. growth).
The sum of fiscal and economic cost of service provision for people suffering from mental health disorders, per person per year, including dementia (all ages, including children, adolescents and adults) is £7,621. This is rounded to £7,600.
*The Greater Manchester Combined Authority(GMCA) is made up of the ten Greater Manchester councils and Mayor, who work with other local services, businesses, communities and other partners to improve the city-region.
The ten councils (Bolton, Bury, Manchester, Oldham, Rochdale, Salford, Stockport, Tameside, Trafford and Wigan) have worked together voluntarily for many years on issues that affect everyone in the region, like transport, regeneration, and attracting investment.
Local Needs Analysis Data Source
Before using this MeasureUp value, we encourage you to assess the local need in relation to the activity or outcome.
Here is the most useful initial data source for assessing local need in relation to this value.
To assess local needs related to the value HE2.1 ‘Service provision for mental health’, a mix of wellbeing and risk indicators can provide insight into population mental health and emotional wellbeing. Key sources include:
Anxiety rating and Feeling life is worthwhile – Both indicators are from the Office for National Statistics – Local Statistics Explorer, reflecting subjective wellbeing and mental health. These are updated annually and available at local authority, combined authority, region, and country levels. You can filter data by country, region, combined authority, or local authority, depending on the indicator.
Suicide rate – A critical indicator of severe mental health outcomes, published by the Office for Health Improvement and Disparities. Data is available at the local authority, regional, and national levels and updated every few years.
These measures can be used together to understand the mental health landscape in a local area, supporting the design of preventative strategies and mental health support services.
If you’re just starting out, start with Bronze first. The result of a Bronze measurement is just an estimate, but requires the least effort; whereas Silver and Gold give more accurate results but require more effort.
Each level has an effort to accuracy indicator, choose the one that’s right for you.
Bronze
Effort
Accuracy
Monetised value:
Monetised fiscal and economic value: Times the number of people in your stakeholder group by the average cost of service provision for people suffering from mental health disorders, of £7,600.
Silver
Effort
Accuracy
Monetised value:
Monetised social value: Consider the type of mental health and age of the people who access the service provision for mental health disorders.
Gold
Effort
Accuracy
Monetised value:
At Gold level you are looking to build on your silver estimations by engaging with the person or people affected.
Gold+
Effort
Accuracy
Monetised value:
At the Gold+ level, you are building on your Gold value calculation by assessing the value against the counterfactual, or ‘what would have happened anyway’.
| Value Type: | Activity |
What's this?
This is the type of value. Some values are outcomes, which means many different interventions might lead to them, others are specific interventions that have a set value. |
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| UN SDG Categories: |
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What's this?
The UN Sustainable Development Goals are global goals adopted in 2015 for all signed up nations to achieve for us to have a sustainable global future by 2030. There are 17 Goals that address the global challenges we face, including those related to poverty, inequality, climate change, environmental degradation, peace and justice. The Goals are all interconnected, and in order to leave no one behind, it is important that we achieve them all by 2030. |
| 2020 Social Value Models: |
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What's this?
PPN 06/20 Taking account of social value in the award of central government contracts introduced the Central Government Social Value Model in 2020 which all Central Government contracting authorities must use in their in scope procurements. It consists of 5 themes, 8 policy outcomes, and 24 Model Award Criteria which outline key priority areas to achieve more social value. |
| 2025 Social Value Models: |
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What's this?
PPN 06/20 was superseded by PPN 002 Taking account of social value in the award of contracts, published in February 2025 in line with the Royal assent of the Procurement Act 2023. This PPN outlined the requirement to use the new 2025 Central Government Social Value Model. The Model applies to all Central Government procurements commencing on or after 1 October 2025 under the Procurement Act 2023. Out of scope procurements can choose to apply the model but are not required to do so. The updated model is structured around 5 government missions and 8 outcomes, with 17 Model Award Criteria, and a mandatory minimum 10% weighting of the total evaluation score assigned to social value. |
Evidence
Measure Up focuses on empowering you to numerically measure the impact you’re having. We recommend that numeric reports are backed up with stories and other types of evidence to help illustrate, in human terms, the impact that’s being made on individuals.
We recommend seeing consent from one or more participants in your intervention to collect and tell their story. This should include a little background on the participant, a summing up of life before the intervention, the human impact of the intervention, and the longer term (if known) impact on the person’s life outside of, and after, the intervention.
Providing photographs, audio recordings, video interviews or even artefacts from the intervention (for example, writing, paintings, music, etc from creative interventions) can add more colour, and convey the emotional impact of interventions more directly.
In some cases it’s appropriate to anonymise or abbreviate the personal information of case study participants. No story should be published or shared without the recorded consent of the individual(s) it concerns. Individuals continue to own the rights to their stories and if they request you stop sharing the story or making it available online you should do so promptly and without need for justification.
Feedback
Measure Up is an open, collaborative and transparent. If you have any suggestions or feedback on our pragmatic, recommended approach to measuring and valuing social value, including wellbeing, economic, and fiscal impact, and effects on our environment, please get in touch so we can share and discuss this at our next Advisory Group meeting.
More help
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If you need any more help, or just someone to do the legwork for you we can help signpost you to software, training and consultancy to help you get to grips with the impact you’re having.
