First reported 22 Apr 2014•Latest report 6 Mar 2025
Definition
What this concern includes
Includes failures of dedicated psychological or psychosocial intervention provision in mental health care, including absent or inconsistent availability, insufficient clinical psychology capacity and failure to offer interventions when clinically indicated.
Not included
Excludes generic mental-health treatment, staffing or service-capacity deficiencies where psychological or psychosocial intervention provision is not specifically identified.
Excludes failures limited to diagnosis, assessment, medication, care planning or risk management unless they directly concern access to or provision of a psychological or psychosocial intervention.
Excludes educational, pastoral or general social support that is not a dedicated psychological or psychosocial intervention.
Excludes the underlying mental-health condition, self-harm risk or other outcome without an identified failure in psychological-intervention provision.
Reports
19
Distinct published reports
Individual concerns
20
A report can raise multiple concerns
Date range
2014–2025
First to latest report issue date
Stated actions
22
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Department of Health and Social Care6
NHS Greater Manchester Integrated Care Board5
NHS England4
Pennine Care NHS Foundation Trust3
Aneurin Bevan University LHB1
Birmingham and Solihull Mental Health NHS Foundation Trust1
Bradford District Care NHS Foundation Trust1
Cambridgeshire and Peterborough NHS Foundation Trust1
Cambridgeshire County Council1
Change, Grow, Live1
Essex Partnership University NHS Foundation Trust1
Greater Manchester Health and Social Care Partnership1
Greater Manchester Mental Health NHS Foundation Trust1
Mersey Care NHS Foundation Trust1
Ministry of Justice1
NHS trust11
Integrated care board8
Ministerial department7
Executive non-departmental public body4
Company limited by guarantee1
English county council1
Health-system partnership1
Local health board1
Sub-organisation1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
West Yorkshire (Western)
Concerns raised1
Delays in access to psychological therapy
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Essex
Concerns raised1
Delays in the provision of psychology sessions
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Embed clinical prioritisation for community psychological treatment, record prioritisation decisions electronically, and monitor waiting-time data.
Stated by Essex Partnership University NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 12 December 2023.
Action
Undertake regular telephone contact with people waiting for psychological assessment or treatment.
Stated by Essex Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 12 December 2023.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Patients do not always require immediate ongoing psychological therapy after discharge; treatment urgency should be determined by clinical need.
Stated by Essex Partnership University NHS Foundation TrustDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Surrey
Concerns raised1
Lack of availability of psychological interventions for neurodiverse conditions
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Gwent
Concerns raised1
Delays in access to Cognitive Behavioural Therapy
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Action
Pilot embedded psychological care with outpatient follow-up and smoother transition pathways.
Stated by Aneurin Bevan University LHBStated in progressThe respondent said that this action was in progress when they made their response on 16 January 2023.
North East Kent
Concerns raised1
Failure to offer psychosocial interventions for high-risk behaviour
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Invest £2.1 million in local neurodevelopmental services to improve provision for children and young people.
Stated by Kent and Medway Clinical Commissioning GroupStated completedThe respondent said that this action was complete when they made their response on 17 March 2022.
Action
Work with NELFT to develop children’s mental health services and strengthen the service offer for children and young people.
Stated by Kent and Medway Clinical Commissioning GroupStated in progressThe respondent said that this action was in progress when they made their response on 17 March 2022.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.4
Position
Direct provision of healthcare services is outside the commissioning group’s responsibility.
Stated by Kent and Medway Clinical Commissioning GroupOutside remitThe respondent said that this matter was outside its role or authority.
Position
NELFT was commissioned to provide psychological and psychosocial interventions, not solely autism and learning-disability diagnostic services.
Stated by Kent and Medway Clinical Commissioning GroupDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Cognitive behavioural therapy was considered inappropriate and ineffective for the individual’s needs; a psychosocial intervention was offered instead.
Stated by Kent and Medway Clinical Commissioning GroupDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Commissioners are responsible for ensuring locally appropriate health and social care services, including services for people with complex needs.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Cambridgeshire and Peterborough
Concerns raised1
Shortage of availability for psychological therapies such as CBT
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised1
Delays in access to psychology assessment and therapies
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Commission new annual training places in psychological therapies for community mental health staff through at least 2023/24.
Stated by Nadine Dorries MPStated in progressThe respondent said that this action was in progress when they made their response on 15 February 2021.
Action
Develop a bespoke mental health workforce strategy to increase recruitment and address service waiting times.
Stated by NHS Greater Manchester Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 15 February 2021.
Nottinghamshire
Concerns raised1
Insufficient clinical psychology staffing and access within Community Mental Health Teams
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.5
Action
Fund additional clinical psychology posts and other staff capacity to strengthen community mental health team delivery.
Stated by NHS Nottingham and Nottinghamshire Integrated Care BoardStated completedThe respondent said that this action was complete when they made their response on 20 October 2020.
Action
Work with Nottinghamshire Healthcare NHS Trust on a five-year community mental health transformation programme, including monthly transformation meetings.
Stated by NHS Nottingham and Nottinghamshire Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 20 October 2020.
Action
Provide planned annual investment to increase clinical psychology provision across Nottinghamshire Healthcare NHS Trust services.
Stated by NHS Nottingham and Nottinghamshire Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 20 October 2020.
Action
Fund additional clinical psychology posts, alongside other posts, to increase community mental health team capacity and test new delivery models.
Stated by NHS Nottingham and Nottinghamshire Integrated Care BoardStated completedThe respondent said that this action was complete when they made their response on 20 October 2020.
Action
Invest in increased clinical psychology provision across Nottinghamshire Healthcare NHS Trust services to deliver Long Term Plan ambitions.
Stated by NHS Nottingham and Nottinghamshire Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 20 October 2020.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
The healthcare trust determines the exact community mental health team staffing resource required under the agreed service specification.
Stated by NHS Nottingham and Nottinghamshire Integrated Care BoardRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
The agreed community mental health team specification and ongoing transformation programme are considered sufficient to address concerns about clinical psychology provision.
Stated by NHS Nottingham and Nottinghamshire Integrated Care BoardExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Nottinghamshire Healthcare NHS Trust determines the staffing resource required to deliver the community mental health team specification.
Stated by NHS Nottingham and Nottinghamshire Integrated Care BoardRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester South
Concerns raised1
Lack of available in-patient psychotherapy
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Action
Invest £600,000 recurrently to improve staffing on Tameside Hospital inpatient mental health wards.
Stated by NHS Greater Manchester Integrated Care Board and Tameside Borough CouncilStated completedThe respondent said that this action was complete when they made their response on 24 May 2019.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Local commissioners and providers are responsible for taking firm action to address the concerns and failings identified.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Birmingham and Solihull
Concerns raised1
Unavailability of timely psychological services due to internal service structures and waiting lists
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Formalise distinct community mental-health treatment pathways through the 2019/20 Service Development and Improvement Plan.
Stated by NHS Birmingham and Solihull Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 26 May 2019.
Action
Establish clinical psychology capacity within every Home Treatment Team.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 26 May 2019.
Action
Develop a community-based Severe Mental Illness offer including psychological therapies, physical healthcare, employment support, personalised care and related support.
Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 26 May 2019.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Local NHS organisations are responsible for providing mental health services, while NHS England commissions specialised services.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
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Includes failures of dedicated psychological or psychosocial intervention provision in mental health care, including absent or inconsistent availability, insufficient clinical psychology capacity and failure to offer interventions when clinically indicated.
