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					London CAMHS Programme: Potential sources of funding for EHWB / CAMHS
There have been a number of recent changes to funding streams announced by the Coalition
Government. This briefing clarifies the current position and summarises the different
funding streams.

CAMHS Grant
The CAMHS Grant was separately ringfenced until 2008/9 when it was incorporated into the
Area Based Grant. An amount was identified for CAMHS for each local authority but this was
indicative only and the funding was not ringfenced.
From next year (2011/12), the CAMHS Grant is incorporated into the Local Government
Revenue Support Grant. There is no indicative figure for CAMHS but this is where your
‘CAMHS grant’ now sits and can be ‘found’ under Ongoing Personal Social Services which
sees a year-on-year increase to 2014-15.
The Local Government Revenue Support Grant (RSG) is the main route by which councils
receive funding for local public service delivery, and is issued via DCLG. Incorporating a
whole range of separate grants into the RSG reduces the administrative burden on local
authorities and gives them maximum flexibility.
Further information can be found at
http://www.communities.gov.uk/publications/localgovernment/srlettersoscouncilleaders

Early Intervention Grant
The new Early Intervention Grant (EIG) replaces a number of previous government grants
that supported services for children, young people and families. This includes TaMHS.
Issued by DfE, the EIG has no ringfences within it so as to give local areas the flexibility to
respond effectively to local needs and priorities. The Government expects local authorities
to support vulnerable young people to engage in education and training, intervening early
with those who are at risk of disengagement. This includes those requiring targeted mental
health support.
The overall amount to be allocated through EIG in 2011-12 is 10.9% lower than the
aggregated funding of the predecessor grants. No local authority will loose more than 12.9%
compared to their 2010-11 allocation.
Further information can be found at
http://www.education.gov.uk/childrenandyoungpeople/informationforprofessionals/a0070
357/early-intervention-grant-frequently-asked-questions/#toc

Pupil Premium
A new Pupil Premium will provide additional funding for disadvantaged pupils (those eligible
for free school meals) in order to boost their attainment. The money will not be ring-fenced
but will be passed straight to schools to decide how best it should be used to support their
pupils. Local authorities will also receive a pupil premium for children in care. In both cases,
the premium has been set at £430.
Further information can be found at
http://www.education.gov.uk/inthenews/inthenews/a0070359/written-ministerial-
statement-by-the-secretary-of-state-for-education-on-schools-financial-settlement-pupil-
premium
NHS Operating Framework
The NHS Operating Framework for 2011-12 was published on 16th December. Among the
national priorities for next year are:
    - developing an expanded and stronger health visiting service
    - expanding the Family Nurse Partnership programme
    - implementing the Mental Health Strategy (to be published early 2011)
    - improving young people’s access to evidence-based early intervention services
    - extending access to talking therapies (IAPT) to children and young people
    - improving children and young people’s physical and mental health
Further information can be found at
http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Planningframew
ork/index.htm

Communities Budget
As announced in the Comprehensive Spending Review, 16 areas (including Barnet, Croydon,
Islington, Lewisham and an alliance between Westminster, H&F, K&C and Wandsworth)
have been given Community Budgets that pool various strands of Whitehall funding into a
single 'local bank account' for tackling social problems around families with complex needs.
This is an opportunity to adopt a ‘wraparound’ service encompassing the mental health
needs of both children and their parents.
Further information on this model can be found at http://www.nmhdu.org.uk/our-
work/wraparound-milwaukee-innovative-award-winning-service-for-children-and-
adolescents-who-have-serious-emotional-disorders/

Making the Case
Despite the above, EHWB / CAMHS commissioners are still likely to need to make a case for
prioritising child mental health. There are a number of resources out there which may help
you achieve this.

1. External Reports, Tools and Research
   - Check out “Productive children’s services: A new model” which argues the case for
       changing both “what we do and how we do it”
       http://media.education.gov.uk/assets/files/productive%20childrens%20services%20
       a%20new%20model.pdf
   - Dip into the Local Government Group’s Place Based Productivity Programme for
       inspiration around achieving best value for money
       http://local.gov.uk/lgv2/core/page.do?pageId=579930
   - “Commissioning Mental Wellbeing” helps make the economic case, the equalities
       case, the ethical case, and the evidence case for investing in mental health
       http://www.nmhdu.org.uk/news/commissioning-for-wellbeing-and-population-
       mental-health/. There’s also a very useful commissioning toolkit
       http://www.nmhdu.org.uk/news/commissioning-wellbeing-for-all-
       a-toolkit-for-commissioners/ with some of the key facts and figures
       set out in this associated presentation.
   - Watch out for the interim report of the Graham Allen review into early intervention
       which is due out in January. In the interim, you can find his original report co-
       authored with Iain Duncan Smith at

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       http://www.centreforsocialjustice.org.uk/client/downloads/EarlyInterventionpaperF
       INAL.pdf
   -   Check out the public health white paper “Healthy Lives, Healthy People” which
       makes a good deal of reference to mental as well as physical health
       http://www.dh.gov.uk/en/Publichealth/Healthyliveshealthypeople/index.htm
   -   The Frank Field review on child poverty calls for a shift of emphasis towards the
       Foundation Years, including maternal health, positive parenting and children’s social
       and emotional development
       http://povertyreview.independent.gov.uk/media/20254/poverty-report.pdf
   -   “No Health Without Public Mental Health: The Case for Action” published by the
       Royal College of Psychiatrists sets out the business case and makes clear
       recommendations for political action and policy change
       http://www.rcpsych.ac.uk/policy/policyandparliamentary/parliamentandpublicaffair
       s/neilspages/publicmentalhealth.aspx
   -   The Centre for Mental Health recently published a study into the costs of mental ill
       health
       http://www.centreformentalhealth.org.uk/news/2010_cost_of_mental_ill_health.as
       px
   -   Sir Ian Kennedy’s review of NHS children’s services made a number of
       recommendations, including for investment in health to be shifted towards children
       and young people’s services generally and towards early years, mental health,
       prevention and early intervention in particular
       http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicy
       AndGuidance/DH_119445

2. Local Evidence
   Don’t forget to use local evidence of both need and effectiveness, drawing on your
   TaMHS project as well as CAMHS. This may include:
   - feedback from children and young people, their families and frontline staff (often a
       good source of evidence of unmet need)
   - demand data / evidence of unmet need (eg you can use your ChiMat CAMHS needs
       assessment to demonstrate the numbers of children that should be accessing
       CAMHS at each tier and compare this to the numbers actually receiving support /
       services http://atlas.chimat.org.uk/IAS/profiles/profile?profileId=4&geoTypeId=15.
       Using data from your CAMHS partnership profile, you can conduct a similar exercise
       for vulnerable groups
       http://www.childrensmapping.org.uk/results/partnershipprofile.php )
   - forecasting data
   - evidence from your JSNA / CAMHS needs assessment
   - data from contract / performance monitoring
   - financial / spend analysis, including any work done on cost avoidance (see attached
       model developed in the South West)




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