7/7 #NHSTalkingTherapies is a crucial resource for many struggling with depression and anxiety, and a unique offering as an example of public mental healthcare. It's imperative that it be made more resilient to attrition. Read here for the full piece: https://t.co/jv0DMID82J

6/7 Wasted resource at the front door needn’t be the reality - are individuals put off by the lack of treatment choice? (34% of all appointments in 2023/24 were for CBT.) Why are so many considered unsuitable? Many questions, like these, need to be answered.

5/7 Of the ~1.8 million people who sought help from #NHSTalkingTherapies in 2023/24, only 17% (approximating 300,000 people) underwent a complete course of treatment AND reliably recovered.

4/7 Looking at the data for 2023/24, the trouble starts after a referral is logged - many were considered unsuitable (~20%), many left the treatment incomplete (23%), some were not assessed at all or declined what they had been offered.

3/7 However, what hasn’t changed is the proportion of all individuals referred to the service who completed treatment. That has been roughly 38% for the past decade. So, what is happening between referral and completion?

2/7 Concrete plans to grow the service have been in the works since 2019/20, with higher targets for staffing and access year on year. And indeed, the number of referrals made to the service have increased, as have those completing a course of treatment.

#NHSTalkingTherapies, the flagship psychotherapy service offered by the NHS, was heralded as a game changer when it launched in 2008. 16 years on, I’ve done some data digging to inspect its inner workings. @NuffieldTrust @HealthFdn 1/7 🧵

Where unspecified, the source is #NuffieldTrust analysis of NHSE public data. To learn more, visit @QualityWatch on the @NuffieldTrust website: https://t.co/E6e56nEJ8K

And in 2024, nearly 10 per cent of all patients admitted via A&E waited for 12 hours or more for a bed (source: #DarziReport) - something which was unheard of in 2019/20 🛌 (🧵7/7)

In August 2024, over 116,000 patients waited for a bed for over 4 hours after it was decided that they would be admitted. (🧵6/7)

… which is an improvement over the last 3 years, but much lower than it should be (target=95% 🎯). (🧵5/7)

In August 2024, 76.3% of patients spent less than four hours in the hospital before they were admitted/transferred/discharged… (🧵4/7)

In other words, a 100 people would be waiting at an average A&E department on a typical evening in 2024, compared to 39 in 2009 🧑‍🤝‍🧑 (source: #DarziReport) (🧵3/7)

Attendances at hospital emergency departments are on the rise. 2.16m attendances in August 2024, 23% more than 14 years ago 🏥 ( 🧵2/7)

What we know about NHS hospital emergency care- from the latest NHS data, interspersed with findings from the #DarziReport, hot off the press 📋 @Quality_Watch @NuffieldTrust 🧵(1/7)

For more information, read ⬇️ https://t.co/E6e56nEJ8K

6/ Waits for a hospital bed once decision to admit has been made (trolley waits) are the shortest they have been in the past 9 months, but still at least 80 times longer than before the pandemic in June 2019 🛌

5/ A quarter of A&E attendances had waits lasting over 4 hours in June 2024, just shy of the 24% interim target that was set for March 2024 ⏲️

4/ In the past five years, A&E attendances have increased by 9%. In June 2024, there were 2.29 million total attendances to all A&E departments, the busiest June for A&E departments since 2011 🚑

3/ 40% of cancer patients were waiting longer than 2 months for treatment in May 2024, based on the new standard for cancer treatment waits, 10 percentage points away from the new objective of reducing this proportion to 30% by March 2025 🎯