2026/2052

I am writing to request information under the Freedom of Information Act regarding OAP Spend, CMHT and Provider Collaboratives. Please can you complete the below questions:

Out of Area Placement

1. Please provide a quarterly breakdown of expenditure on mental health out of area placements* for financial years 2024/25 and 2025/26 in the table below:

2. What percentage of your overall mental health budget did these out of area placements represent in 2025/26?
3. Does the organisation use a system to track their OAPs?
   1. If yes, what system is in place to track this?
   2. Is the organisation able to track escalations with OAP providers same day or are you required to wait till billing for this data?
   3. Who is responsible within the organisation for tracking OAP patients?

CMHT Caseload

4. How many Community Mental Health teams (CMHT) do you have within the organisation?
5. What is the current total caseload managed by each Community Mental Health Team (CMHT) within your organisation?
6. What is the highest individual caseload currently held by a practitioner within each CMHT?

Provider Collaboratives

7. Is your organisation currently a member of one or more provider collaboratives? If yes, please provide:
   1. The name(s) of the provider collaboratives
   2. Do any of these collaboratives have a specific focus on mental health services, specifically OAPs?

Out of Area Placement

1. The table below has been populated with the average number of patients for that quarter and the corresponding costs of OAPS for that quarter.

*NHS GM considers Out of Area Patients to be those who are registered with a Greater Manchester based GP, but whose placement is based at a location outside of the 10 boroughs of Greater Manchester.

Please note that we do not currently have individual information for the OAP spend (£) specifically for inappropriate OAP adults no longer requiring a secure location as this is provided on an individualised basis. However, to support the FOI request the table has been populated with the average number of patients for that quarter and the corresponding costs of OAPS for that quarter.

Due to the volume and complexity of the data involved, collating individual information for the OAP spend (£) specifically for inappropriate OAP adults no longer requiring a secure location as this is provided on an individualised basis would require a disproportionate amount of time and resources to locate extract and collate the data, and therefore, on this occasion it is with regret NHS GM are not able to process this section of your request further.

On this basis, section 12(1) has been applied, because this would exceed the appropriate limit prescribed in the Act.

In accordance with our duty under Section 16 of the Freedom of Information Act 2000 to provide reasonable advice and assistance, if you are able to narrow the scope of your request, we may be able to respond to it within the appropriate cost limit.

2. OAPS expenditure in FY 2025/26 was £2.1m. The total mental health budget (excluding specialist commissioning budgets) for 2025/26 was £990.4m.  The equates to 0.2% of the total mental health budget.

3./3a  GM ICB use the GM Tableau dashboard to track their OAPs.

3b. Yes, same day information flows through the GM Tableau dashboard, and a daily email update is sent out to interested parties within the ICB.

3c. There is not one individual responsible for tracking OAPs, but there is oversight within the ICB via multiple governance structures.

CMHT Caseload

4. The ICB does not hold this information, as it related to operational numbers, caseloads and individual practitioner caseloads. Please contact the below provider organisations for this information.

5. See response to Q4.
6. See response to Q4.

Provider Collaboratives

NHS Greater Manchester ICB participates in a range of collaborative arrangements with mental health providers, including the Manchester Mental Health Collaborative. However, NHS-Led Provider Collaboratives for specialised mental health services are provider-led arrangements. NHS Greater Manchester ICB is not the lead provider for these arrangements.