FOI 2025/1212

1. The number of individual patients treated in your ICB who are diagnosed, either as a primary diagnosis or a co-morbid diagnosis, with the following mental health conditions/available categorisation over the past five years/available time period:

– Psychosis / Schizophrenia / Schizo-Affective Disorder

– Treatment Resistant Depression

– Bipolar / Cyclothymia / Hypomania

– Eating Disorders

– EUPD/CEN

– Other

– Diagnosis not recorded

2. The total number of admissions in your ICB involving the following mental health conditions/available categorisation, where individuals have been sectioned under the Mental Health Act over the past five years/available time period:

– Psychosis / Schizophrenia / Schizo-Affective Disorder

– Treatment Resistant Depression

– Bipolar / Cyclothymia / Hypomania

– Eating Disorders

– EUPD/CEN

– Other

– Diagnosis not recorded

3. Does your ICB have a specialist care pathway, such as EIP (Early Intervention in Psychosis), that provides treatment for the following conditions:

– Bipolar/Cyclothymia/Hypomania

– Psychosis/Schizophrenia/Schizo-Affective Disorder

– EUPD/CEN

– Treatment resistant depression

– Eating Disorders

4. If ‘yes’, please describe these care pathways.

5. If ‘yes’, please provide the estimated annual spend for said specialist care pathways for each year / available time period, providing the name of each service, from 2019 to 2025.

1.

* I can confirm that NHS Greater Manchester (NHS GM) holds the information requested. However, due to the low numbers involved we consider this to be exempt under section 40(2) of the Freedom of Information Act 2000 as the disclosure of this information may lead to the identification of individuals. This exemption is not subject to the public interest test.

2.

* I can confirm that NHS GM holds the information requested. However, due to the low numbers involved we consider this to be exempt under section 40(2) of the Freedom of Information Act 2000 as the disclosure of this information may lead to the identification of individuals. This exemption is not subject to the public interest test.

3. Yes

Bipolar/Cyclothymia/Hypomania – Dependant on severity, seen through Community Mental Health Teams (CMHT)

Psychosis/Schizophrenia/Schizo-Affective Disorder – Dependant on severity, seen through CMHT or if first presentation, seen through Early Intervention Teams (EIT).

EUPD/CEN – Dependant on severity, seen through CMHT

Treatment Resistant Depression – Dependant on severity, seen through CMHT. Could also be seen through NHS Talking Therapies if mild – moderate

Eating Disorders – First Episode Rapid Early Intervention for Eating Disorders (FREED) pathways have launched in Salford, Manchester, Heywood Middleton and Rochdale, Oldham, Tameside, Bolton and Trafford.  FREED Champions are in post in Bury and Wigan and these pathways will launch in 2025. FREED will then be available in all 10 Greater Manchester localities.  NICE compliant evidence based psychological therapies for Adult Eating Disorders (AED) available in all localities.

4. For CMHT as set out in the NHSE document the ‘The community mental health framework for adults and older adults (Sept 2019) NHS England » The community mental health framework for adults and older adults.

For NHS Talking Therapies, as set out in the NHS Talking Therapies manual (March 2024) NHS England » NHS Talking Therapies for anxiety and depression manual.

For Early Intervention  – Standards for Early Intervention in Psychosis Services – 1 st Edition Royal College of Psychiatry (June 2018) The Early Intervention in Psychosis standards.

5. NHS GM does not hold this data. Early intervention services would be provided by NHS providers and would be paid under a block contract arrangement. The block contract does not provide this level of detail.