{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:29:35Z","timestamp":1783942175476,"version":"3.55.0"},"reference-count":27,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T00:00:00Z","timestamp":1565222400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec id=\"S0007125019001855_sec_a1\" sec-type=\"other\"><jats:title>Background<\/jats:title><jats:p>Equitable access to mental healthcare is a priority for many countries. The National Health Service in England uses a weighted capitation formula to ensure that the geographical distribution of resources reflects need.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125019001855_sec_a2\" sec-type=\"other\"><jats:title>Aims<\/jats:title><jats:p>To produce a revised formula for estimating local need for secondary mental health, learning disability (intellectual disability) and psychological therapies services for adults in England.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125019001855_sec_a3\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>We used demographic records for 43 751 535 adults registered with a primary care practitioner in England linked with service use, ethnicity, physical health diagnoses and type of household, from multiple data-sets. Using linear regression, we estimated the individual cost of care in 2015 as a function of individual- and area-level need and supply variables in 2013 and 2014. We sterilised the effects of the supply variables to obtain individual-need estimates. We aggregated these by general practitioner practice, age and gender to derive weights for the national capitation formula.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125019001855_sec_a4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Higher costs were associated with: being 30\u201350 years old, compared with 20\u201324; being Irish, Black African, Black Caribbean or of mixed ethnicity, compared with White British; having been admitted for specific physical health conditions, including drug poisoning; living alone, in a care home or in a communal environment; and living in areas with a higher percentage of out-of-work benefit recipients and higher prevalence of severe mental illness. Longer distance from a provider was associated with lower cost.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125019001855_sec_a5\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The resulting needs weights were higher in more deprived areas and informed the distribution of some 12% (\u00a39 bn in 2019\/20) of the health budget allocated to local organisations for 2019\/20 to 2023\/24.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.2019.185","type":"journal-article","created":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T08:28:21Z","timestamp":1565252901000},"page":"338-344","source":"Crossref","is-referenced-by-count":10,"title":["Estimating local need for mental healthcare to inform fair resource allocation in the NHS in England: cross-sectional analysis of national administrative data linked at person level"],"prefix":"10.1192","volume":"216","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2499-7656","authenticated-orcid":false,"given":"Laura","family":"Anselmi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Everton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wataru","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Burrows","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Weir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Tatarek-Gintowt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Sutton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Lorrimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2019,8,8]]},"reference":[{"key":"S0007125019001855_ref16","volume-title":"Manual for Prescribed Specialised Services 2017\/18","year":"2017"},{"key":"S0007125019001855_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.09.020"},{"key":"S0007125019001855_ref12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d6608"},{"key":"S0007125019001855_ref8","volume-title":"Allocations","year":"2019"},{"key":"S0007125019001855_ref13","volume-title":"Refreshing the Formulae for CCG Allocations for Allocations to Clinical Commissioning Groups from 2016\u201317: Report on the Methods and Modelling","author":"Chaplin","year":"2015"},{"key":"S0007125019001855_ref1","volume-title":"Mental Health Action Plan 2013\u20132020","year":"2013"},{"key":"S0007125019001855_ref3","volume-title":"Implementing the Mental Health Forward View"},{"key":"S0007125019001855_ref2","volume-title":"Common Mental Health Disorders \u2013 Public Health Profiles","year":"2018"},{"key":"S0007125019001855_ref4","volume-title":"Implementing the Five Year Forward View for Mental Health","year":"2016"},{"key":"S0007125019001855_ref5","volume-title":"The NHS Long Term Plan","year":"2019"},{"key":"S0007125019001855_ref6","volume-title":"Technical Guide to Allocation Formulae and Pace of Change for 2016\u201317 to 2020\u201321 Revenue Allocations to Clinical Commissioning Groups and Commissioning Areas","year":"2017"},{"key":"S0007125019001855_ref7","volume-title":"Fair Shares \u2013 A Guide to NHS Allocations (Infographics)","year":"2017"},{"key":"S0007125019001855_ref21","volume-title":"NHS Reference Costs 2015 to 2016","year":"2016"},{"key":"S0007125019001855_ref10","volume-title":"Report of the Resource Allocation for Mental Health and Prescribing (RAMP) Project.","author":"Sutton","year":"2010"},{"key":"S0007125019001855_ref24","volume-title":"Child and Adolescent Mental Health Services Payment by Results Pilot Project Report","author":"Wolpert","year":"2015"},{"key":"S0007125019001855_ref15","volume-title":"Agenda for Change Pay Scales \u2013 Annual","year":"2017"},{"key":"S0007125019001855_ref17","volume-title":"Secondary Uses Service (SUS)","year":"2018"},{"key":"S0007125019001855_ref18","volume-title":"Improving Access to Psychological Therapies Data Set","year":"2018"},{"key":"S0007125019001855_ref19","volume-title":"Severe Mental Illness (SMI) and Physical Health Inequalities: Briefing","year":"2018"},{"key":"S0007125019001855_ref20","volume-title":"Out-of-Work Benefit Claimants \u2013Working Age Clients for Small Areas","year":"2015"},{"key":"S0007125019001855_ref23","volume-title":"NHS Reference Costs: Financial Year 2011 to 2012","year":"2012"},{"key":"S0007125019001855_ref25","doi-asserted-by":"publisher","DOI":"10.1002\/hec.830"},{"key":"S0007125019001855_ref26","year":"2015","journal-title":"English Indices of Deprivation 2015"},{"key":"S0007125019001855_ref9","volume-title":"Allocation of Resources to English Areas: Individual and Small Area Determinants of Morbidity and Use of Healthcare Resources. Report to the Department of Health","author":"Sutton","year":"2002"},{"key":"S0007125019001855_ref14","volume-title":"Mental Health Services Datataset","year":"2018"},{"key":"S0007125019001855_ref11","volume-title":"Developing Mental Health Funding Formula for Allocations to General Practices. Phase 3: Estimation of a Formula Based on Person-Level Data.","author":"Sutton","year":"2012"},{"key":"S0007125019001855_ref22","volume-title":"Developing an Episodic Payment Approach for Mental Health: Detailed Guidance","year":"2016"}],"container-title":["The British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125019001855","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T12:27:04Z","timestamp":1590496024000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125019001855\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,8]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["S0007125019001855"],"URL":"https:\/\/doi.org\/10.1192\/bjp.2019.185","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,8]]}}}