25 September 2012

When investment isn’t quite what it seems?


You know I’d always thought that when someone said they were investing in something that that meant that they were putting money into something. Money that was available to be given, ie not already invested elsewhere. So when the government said it was investing in mental health I assumed this meant an overall influx of money to mental health services. But really that isn’t the case is it?

Okay so for many years more money than before was being spent on mental health but those big figures of

In addition, we will invest around £400m over four years in psychological therapies for those who need them in all parts of England, expanding provision for the entire population


Really haven’t meant that they have found £400 m to invest from somewhere else. It means that they’ve re-jigged the budget and asked other services to go without vital money they need to run their services in order to put money into this one. So some might say that efficiency has been improved but really. Do they think we haven’t got any brains?

And now that the figures are in (Department of health http://www.dh.gov.uk/health/2012/07/investment-mental-health/)

Total investment increased from £6.550 billion in 2010/11 to £6.629 billion which is a 1.2% cash increase and a real decrease of 1.0%.

The reported investment in the three traditional priority areas (Crisis Resolution, Early Intervention and Assertive Outreach) overall has fallen for the first time by £29.3 million. Only Early Intervention reported increased investment.

Investment in psychological therapies increased significantly in real terms by 6.0% over the monies in 2010/11 and now forms 7.0% of direct services investment nationally.

Five SHAs either maintained their investment in real terms or reported modest increases in investment ranging from 0.1% to 4.6%. Five reported reduced investment of up to 5.3% (London, North East, South Central, West Midlands and Yorkshire and Humber).

It seems that they have not even managed to invest more than inflation and any investment in psychological therapies is at the detriment of other services?

And I am to be grateful for this; I am to have hope for future investment because of this?

 I’m not sure I can be and what’s more I am unhappy about the way people are still talking about investment in mental health services. It seems that everyone concerned is still trying to put some spin on the investment angle despite the figures. This article states Some NHS services cut despite pledge, says ex-minister Paul Burstow http://www.guardian.co.uk/society/2012/sep/23/health-mental-health has quotes

Burstow, who is MP for Sutton and Cheam, said the picture was mitigated by increased investment in talking therapies and the improving access to psychological therapies programme


 A Department of Health spokesman said: "Investment in psychological therapy has doubled over the last three years from £197m to £386m and continues to rise

I’m astounded, do they really think we are going to be fooled. Services are improving yes but many are losing out to the governments’ pet project and how long is it really going to be before they start saying...ooh crisis care is so bad we have to invest. Oh I know therapies are doing much better lets take their money and give it to this now.

Facetious...However, am I wrong?


 The only answer to improving services is overall investment. There is no way of making these services any more efficient than they are so moving the money around just means that one aspect of mental health services suffers to breaking point.

You know the sad fact is that many people in this country are not going to realise that actually this is what the government is doing. They will not look at the figures and will not read the articles that could tell them because they are too busy to do so.

I know I am far from alone in being disgusted by this however I really don’t think the message is getting through to enough people, and particularly those who still talk about investment.

Please take note
Robbing Peter to pay Paul is not sustainable!

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