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Mental Health Services: Finance

Question for Department of Health and Social Care

UIN HL6436, tabled on 13 March 2023

To ask His Majesty's Government what steps they will take to measure the effectiveness of (1) NHS England's plan to fund art, music or gardening classes instead of prescribing antidepressants, announced on 2 March, and (2) the National Institute of Health and Care Excellence's draft guidance, issued on 1 March, approving the use of digitally enabled therapies for patients with depression, anxiety, post-traumatic stress disorder and body dysmorphia disorders.

Answered on

29 March 2023

The Department is committed to the roll out of social prescribing and associated activities, including arts, music and gardening across the National Health Service in England. Social Prescribing Link Workers (SPLWs) work with people to understand ‘what matters to them’ then to connect them to agencies for practical, emotional and social support and to community groups and activities. Where individuals consent, SPLWs capture wellbeing outcomes before and after engagement with the social prescribing service as routine practice, using standardised outcomes measures such as Office for National Statistics Four. There is growing evidence on the role that activities, whether they be creative, activity- or nature-based, improve people’s health and wellbeing. The role of SPLW is also being evaluated by the National Institute for Health and Care Research to determine how access, engagement and outcomes vary by delivery model, geography and population characteristics over time.

The National Institute for Health and Care Excellence (NICE) Guidance has been released for guided Digital Cognitive Behavioural Therapy tools for children and young people with symptoms of low mood and anxiety. The technologies in these categories are being evaluated by NICE as part of their Early Value Assessment, which covers both clinical and cost effectiveness.

For NHS Talking Therapies for anxiety and depression services, a key characteristic is the routing collection of clinical outcome measures and monitoring activity. NHS England’s Digitally Enabled Therapies (DETs) Assessment Criteria enables DETs to be reviewed for suitability for use in NHS Talking Therapies Services.