Table 2.
Summary of mental health system performance measures pre, during, and post ‘lockdown’ within the first wave of the pandemic in the UK. Presented results are for the mean over the considered periods, with ‘Pre’ and ‘During’ estimated empirically and ‘Post’ forecast through the simulation model under the considered scenario. Performance is measured by queue size (the number of referrals awaiting commencement of treatment) and wait time (number of days spent in queue before entering service). Change is the percentage difference between ‘Pre’ and ‘Post’ periods.
| Service node | Measure (mean) | Baseline scenario |
Intervention one |
Intervention two |
|||||
|---|---|---|---|---|---|---|---|---|---|
| Pre | During | Post | Change | Post | Change | Post | Change | ||
| L2 social prescribing | Queue size | 273 | 150 | 482 | 77% | 470 | 72% | 475 | 74% |
| Wait time | 21 | 19 | 22 | 5% | 22 | 5% | 22 | 5% | |
| L2 IAPT assessment | Queue size | 3658 | 2740 | 6702 | 83% | 6384 | 75% | 6570 | 80% |
| Wait time | 59 | 60 | 59 | 0% | 58 | −2% | 59 | 0% | |
| L2 IAPT therapy | Queue size | 8 | 8 | 8 | 0% | 151 | 1788% | 8 | 0% |
| Wait time | 1 | 1 | 1 | 0% | 12 | 1100% | 1 | 0% | |
| L3 GP initial | Queue size | 152 | 77 | 166 | 9% | 167 | 10% | 172 | 13% |
| Wait time | 1 | 1 | 1 | 0% | 1 | 0% | 1 | 0% | |
| L3 GP long term low intensity | Queue size | 12 | 8 | 13 | 8% | 12 | 0% | 12 | 0% |
| Wait time | 1 | 1 | 1 | 0% | 1 | 0% | 1 | 0% | |
| L3 GP long term high intensity | Queue size | 42 | 25 | 46 | 10% | 36 | −14% | 37 | −12% |
| Wait time | 1 | 1 | 1 | 0% | 1 | 0% | 1 | 0% | |
| L4 MHP triage | Queue size | 100 | 58 | 109 | 9% | 114 | 14% | 118 | 18% |
| Wait time | 1 | 1 | 1 | 0% | 1 | 0% | 1 | 0% | |
| L4 MHP crisis | Queue size | 8 | 5 | 9 | 13% | 11 | 38% | 10 | 25% |
| Wait time | 1 | 1 | 1 | 0% | 1 | 0% | 1 | 0.0% | |
| L4 MHP community | Queue size | 519 | 431 | 600 | 16% | 36 | −93% | 1142 | 120% |
| Wait time | 34 | 34 | 35 | 3% | 1 | −97% | 38 | 12% | |
| L5 inpatient | Queue size | 3 | 3 | 31 | 933% | 43 | 1333% | 92 | 2967% |
| Wait time | 1 | 1 | 7 | 600% | 9 | 800% | 18 | 1700% | |