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FOI 2025/1258

Reference FOI 2025/1258
Description Mental Health Assessments
Date Requested 11/06/2025
Date Replied 04/07/2025
Category Mental Health

Under the Freedom of Information Act 2000, I would like to request the following information regarding expenditure for mental health assessments.

  1. What is the current average and 90th percentile waiting time for ADHD post diagnostic therapies (including psychotherapies), broken down by (a) NHS providers and (b) outsourced private providers?
  2. What is the current average and 90th percentile waiting time for ASD post diagnostic therapies (including psychotherapies), broken down by (a) NHS providers and (b) outsourced private providers?
  3. How many ADHD referral requests were (a) declined and (b) deemed ‘not clinically urgent’ by NHS services in the last 12 months?
  4. How many ASD referral requests were (a) declined and (b) deemed ‘not clinically urgent’ by NHS services in the last 12 months?
  5. What percentage of patients diagnosed with ADHD by the NHS receive (a) medication titration and (b) follow-up care within 3 months?
  6. Are any post-diagnosis services outsourced to private providers? Which?
  7. What is the current waitlist time for dementia assessment?
  8. What is the split by demographics (under 60 vs over 60)?
  9. Which providers are you working with to support on memory assessments (eg. dementia)?
    1. Please can you share the spend broken down by provider for FY24/25
    2. Please can you share the spend broken down by provider for FY23/24
  10. What other mental conditions does the NHS use private providers to deliver assessments for?
  11. Which providers are you working with for these assessments?
    1. Please provide a breakdown of all NCA spend by category across mental health services for FY24/25
    2. Please provide a breakdown of all NCA spend by category across mental health services for FY23/24

  1. NHS GM does not receive reporting times for ADHD post diagnostic therapies. Therefore, it will be necessary for you to contact the provider organisations for the information you see. To assist you please find below links to their websites.
  1. NHS GM does not receive reporting times for ASD post diagnostic therapies. Therefore, it will be necessary for you to contact the provider organisations for the information you seek. Please refer to the response to question 1 for links to their websites.
  2. NHS GM does not receive information for ADHD referral requests. Therefore, it will be necessary for you to contact the provider organisations for the information you seek. Please refer to the response to question 1 for links to their websites.
  3. NHS GM does not receive information for ASD referral requests. Therefore, it will be necessary for you to contact the provider organisations for the information you seek. Please refer to the response to question 1 for links to their websites.
  4. NHS GM does not receive information for ADHD titration or follow up care. Therefore, it will be necessary for you to contact the provider organisations for the information you seek. Please refer to the response to question 1 for links to their websites.
  5. NHS GM do not outsource any post-diagnostic services to private providers.
  6. Average waiting time to earliest diagnosis as of April 2025

GMMH: 172 Days

Pennine Care: 130 days

Others: 150 days

GM Overall: 169 days

Source: GM Tableau Dementia MAS dashboard

 

Average waiting time to 1st contact as of March 2025

 

GMMH: 65.5% within 6wks, 96.5% within 18wks

Pennine Care: 82.4% within 6wks, 96.6% within 18wks

GM Overall: 72.2% within 6wks, 96.5% within 18wks

Source: Dementia Access to Memory Assessment Services Dashboard (MHSDS) via NHS Futures

 

  1. Age split on dementia register as of March 2025 (excludes opt-outs)

Under 60yrs: 1.3%

Over 60yrs: 98.7%

Source: Snowflake “LongTermConditionRegister_SecondaryUses”

 

  1. NHS GM Commissions memory assessment services primarily from its NHS Mental Health Foundation Trust providers, being Greater Manchester Mental Health NHS Foundation Trust and Pennine Care NHS Foundation Trust. For both these providers, it is not possible to separately identify a value for the memory assessments from the remainder of their contract, as services are commissioned as part of a block arrangement.

NHS GM also commissions memory assessment services from a range of GP Providers. However, similarly, the expenditure associated with providing memory assessments cannot be separately identified from other GP activity, and therefore cannot be provided.

 

  1. NHS GM commissions providers to undertake a range of assessments, however, some of these are part of wider packages of care, and therefore are excluded from this response. This is because the service commissioned is not just an assessment but includes a therapy element as well.

The follow mental health conditions include arrangements where some assessments are commissioned by NHS GM from private providers:

  • CYP Psychological Assessments
  • Family Therapeutic Service
  • Dissociative Disorders
  • Eating Disorders

 

  1. Non contracted activity spend with the providers in respect of the services included in response to question 10 are included in the table below:
Service Provider Spend in 24/25 (£) Spend in 23/24 (£)
CYP Psychological Assessments Beyond Psychology Unable to separately identify the costs of these assessments from other activity performed by the provider.
Family Therapeutic Service Walking Together Unable to separately identify the costs of these assessments from other activity performed by the provider.
Dissociative Disorders Cheshire Psychology 1,495 4,485
Eating Disorders

 

Oakwood House

Napier Clinic

Unable to separately identify the costs of these assessments from other activity performed by the provider.

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