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. 2021 Aug 19;30:100311. doi: 10.1016/j.orhc.2021.100311

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%