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Mental health care costs (FOI)

Mental health care costs (FOI)

Produced by the Freedom of Information office
Authored by Government of Jersey and published on 10 October 2019.
Prepared internally, no external costs.

​Request

A

What is the Average cost to the Government for mental health care per person each year for the last five years?

B

How much does the states spend on mental health care per person each year for the last five years?

C

How much is spent on mental health related proscriptions each year for the last five years?

D

How much is spent by the states on antidepressants each year for the last five years?

Response

A

Based on the services within the structure of the newly-formed Mental Health Care Group configuration within Health and Community Services, the following has been spent over the last five years (this does not include Child and Adolescent Mental Health Services, long-stay Mental Health wards, and any services which sit outside of Health and Community Services (eg at the prison)):

2014: £11.14m

2015: £11.65m

2016: £15.50m

2017: £18.04m

2018: £19.07m

As at the end of 2017, there were 740 individuals registered by primary care as having a mental health condition. Dividing the above expenditure figures by 740 gives the following figure spent per person per year.

2014: £15,054

2015: £15,750

2016: £20,952

2017: £24,382

2018: £25,766

B

Based on the above expenditure information from point 1, and the Jersey population statistics shown in brackets for each year below, this is the expenditure per head of Jersey resident population by year.

2014: £110 (population 100,900)

2015: £113 (population 102,700)

2016: £149 (population 104,200)

2017: £171 (population 105,600)

2018: £179 (population 106,800)

C and D

​Value of prescriptions issued by Mental Health clinicians

​Value of antidepressants

​2014​£328,743​£20,691
​2015​£309,314£30,822​
​2016​£342,714 ​£53,820
​2017£373,386​​£41,393
​2018​£368,991​£35,460


Note that for the value of all prescriptions issued by mental health clinicians, this would include those items for both mental and physical health.

The Table below shows the cost of medicines prescribed by primary care practitioners such as GPs and dispensed by community pharmacy where the cost is met by the Health Insurance Fund. Not all of these prescriptions will be for the treatment of Mental Health as some antidepressants are used in the treatment of conditions other than depression, for example in the treatment of chronic nerve pain. Information regarding the diagnosis associated with these prescriptions is not held.

​ ​Table 1: Total expenditure – medicines dispensed in the community for mental health ​ ​ ​ ​

​2014

​2015

2016​

2017​

2018​

Antidepressant drugs

£510,473   ​£540,417 ​£556,994​£432,920​£357,736

​Dementia

​£135,795£86,355​​£77,025 ​£80,907​£85,663
​Drugs used in Psychoses & related disorders​£60,561​£62,359​£44,842 ​£119,426 ​£108,721
​Drugs used in Substance dependence​£17,880   ​£18,938 ​£32,004​£23,765 ​£21,931

​Hypnotics and Anxiolytics 

​£152,818​£106,350 ​£67,157​£75,366​£64,870

​Total expenditure on medicines used in mental health

​£877,527

​£814,419

​£778,022

​£732,384

​£638,921

     

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