More funds for talking therapies

10 Oct 2007

The government is to spend millions more on "talking treatments" for depression and anxiety in England.

Health Secretary Alan Johnson said by 2010, £170m a year would be spent - allowing 900,000 more people to be treated using psychological therapies.

These are just as effective as drugs, says the National Institute of Health and Clinical Excellence. The plan will pay for itself as people return to work and stop needing benefits, an expert said. Currently, treatments such as cognitive behavioural therapy (CBT) are in short supply - on average, patients wait 18 months to start treatment.

The new plan aims to reduce that wait to just a fortnight, in line with improvements in outpatient waiting times in other parts of the NHS. The Department of Health said that all GP surgeries would have access to the treatments as the programme "rolled out" across the country. It is planned to recruit an extra 3,600 therapists.

Mr Johnson said: "More than one in six people suffer from mental health problems at any one time. For many people prescribing medication is a successful treatment but we know that psychological therapies work equally well. Improving access to psychological therapies will give people with mental health problems a real choice of treatment."

Researchers say that this will effectively cost the government nothing, and is likely to save them money. One forecast suggests that, if 900,000 people receive the therapies, there will be 25,000 fewer people on sick pay and benefits. The number currently claiming incapacity benefit due to mental health problems is now more than one million.

Lord Layard, from the London School of Economics, who worked with the government to develop the scheme, said: "Depression and anxiety lead to huge costs both to the people involved, and to the country in terms of incapacity benefits and sick pay. It costs more in benefits than unemployment."

He said that the total economic cost of one person on incapacity benefit was approximately £750 per month. He added: "The single biggest factor in terms of human misery in this country is a history of poor mental health - and this should be a priority for government."

Andrew Lansley, the Shadow Health Minister, welcomed the new funds, but said mental health problems were often the result of many factors, such as poor housing and addiction, which required a multi-agency approach.

Mr Johnson also gave details of a new £250m access fund to provide extra GP surgeries in deprived areas and extended hours health centres in every part of the country. A further £100m will be spent on medical innovation, £130m to extend MRSA screening in hospitals, and £140m to tackle C. difficile, which is posing a growing problem in hospitals.

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