Early intervention in psychosis services from age 14 Yes Eating disorder services (adult, excluding specialised eating disorders) Yes Emergency clinics or walk in clinics Yes Emergency duty teams (which are not emergency assessments e.g. for sectioning under the Mental Health Act)* Yes Homeless mental health services Yes Local psychiatric intensive care units Yes Mental health counselling and therapy*** Yes Yes Psychology *** Yes Yes Psychotherapy *** Yes Yes A&E mental health liaison services (psychiatric liaison) Yes Adult specialist eating disorder services Yes Autism and asperger syndrome Yes CAMHS Yes Drug and alcohol services Yes Eating disorder services (children and adolescents) Yes Forensic and secure mental health services Yes Gender identity disorder services Yes Improving access to psychological therapies (IAPT)** Yes Learning disability services in high dependency or high secure units Yes Mental health service for Deaf children and adolescents Yes Mental health services for military veterans Yes Mental health services provided under a GP contract Yes Perinatal mental health services (mother and baby units) Yes Primary diagnosis of drug or alcohol misuse Yes Specialised addiction services Yes Specialist mental health services for Deaf adults Yes Specialist psychological therapies (admitted patients and specialised outpatients) Yes Acquired brain injury Yes Learning disability services not provided in high dependency or high secure units Yes Neuropsychiatry Yes * these services are only included in clusters where NHS funded, otherwise they are excluded. ** other specialist teams. *** Where the service is provided to a clustered user, the cost is included in the cluster. Where the service is provided to a non-clustered user, the cost is included in a non-cluster currency. The collection and guidance is therefore organised from the perspective of service users and the settings in which mental health services are delivered. For non-cluster activity, the following settings apply: ordinary elective and non-elective admissions on an occupied bed day basis day care facilities on a patient day basis outpatient attendances community contacts
Prison health services Availability of activity data has been an issue with prison health services. However, some costs and activity, are included in reference costs (prison health and mental health specialist teams, paragraph 327(h)), and we will consider whether other costs and activity should be included in 2014-15. Screening programmes National screening programmes Treatment varies – some national screening programmes are excluded and some are included. See Table 27. Specified hosted services Services hosted in one provider, providing benefit for the patients of other providers. The specified services are: Genetic laboratory services - specialist laboratory services that are nationally commissioned and members of the United Kingdom Genetic Testing Network (UKGTN). Each laboratory carries out rare genetic tests for a large number of hospitals Intensive care support services - services providing transport, advice or other services for critical care patients on a regional basis. No other service may be excluded in this category without our permission. There is no patient event to which costs can be allocated. The host provider is fully funded, and there is no recharge to other provider. Specified services provided by ambulance trusts The following services or costs are excluded (ambulance trusts only): Air ambulance service Chemical biological radiological and nuclear costs Decontamination units Emergency bed service Emergency planning Hazardous area response teams Helicopter emergency medical services (part provided by Barts Health NHS Trust) Logistics or courier transport service e.g. collecting clinical waste Neonatal transfers (non-ambulance trusts should report the costs of neonatal critical care transportation under HRG XA06Z) Out of hours services Patient education Single point of access telephony services (e.g. 111, NHS direct) No other service, and no other provider type to ambulance trusts, may be excluded in this category without our permission. These services are not part of the ambulance service currencies for contracting, and no other suitable currency exists Specified services provided by mental health trusts The following services delivered by mental health trusts: Acquired brain injury Neuropsychiatry No other service, and no other provider type to mental health trusts, may be excluded in this category without our permission. No suitable currencies exist