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As with last year’s report, to provide an overall indication of how each CCG compares to the rest of England in terms of children’s access to mental health services, we created a summary score for each CCG based on five key indicators of CYPMHS performance. These indicators are:
For each indicator, CCGs are ranked from best to worst (e.g. shortest waiting time to longest) and assigned to 5 quintiles. Scores ranging from 1 to 5 are given to the CCG based on their quintile group. Best performing CCGs are given a score of 5 while the worst performers are given a score of 1. We then add these quintile scores together to form an overall score ranging from 5 to 25 for each CCG. An overall score of 5 would indicate being in the bottom quintile across all 5 measures while a score of 25 would indicate being in the top quintile across all measures.
Overall CCG scores
According to these scoring criteria, NHS Wakefield, NHS Tees Valley and NHS Heywood, Middleton and Rochdale were the best performers this year with overall scores of 25, 24 and 23 respectively.
Conversely, NHS West Sussex and NHS Coventry and Rugby received the lowest overall scores of eight out of 25.
Table 1. Top 20 best performing CCGs in 2020/21
| Clinical Commissioning Group (CCG) | 2020/21 % CCG budget (allocation) spent on CYP MH | 2020/21 spend per child | Proportion of CYP population (under 18) receiving CAMHS treatment during 2020/21 | Average Waiting Time (for People with Two Contacts, Days) 2020/21 | % Referral Closed Before Treatment 2020/21 | CCG overall score 2020/21 |
|---|---|---|---|---|---|---|
| NHS WAKEFIELD CCG | 1.63% | £123 | 5.7% | 17 | 17% | 25 |
| NHS TEES VALLEY CCG | 1.53% | £114 | 6.2% | 17 | 21% | 24 |
| NHS HEYWOOD, MIDDLETON AND ROCHDALE CCG | 1.50% | £99 | 5.4% | 21 | 18% | 23 |
| NHS WOLVERHAMPTON CCG | 1.50% | £95 | 4.7% | 36 | 16% | 22 |
| NHS NORTH EAST LINCOLNSHIRE CCG | 1.28% | £93 | 4.4% | 26 | 22% | 22 |
| NHS CITY AND HACKNEY CCG | 1.92% | £129 | 4.6% | 29 | 21% | 21 |
| NHS LIVERPOOL CCG | 0.96% | £88 | 6.2% | 25 | 8% | 21 |
| NHS ROTHERHAM CCG | 0.96% | £67 | 5.1% | 20 | 17% | 21 |
| NHS BERKSHIRE WEST CCG | 1.43% | £80 | 4.3% | 27 | 19% | 20 |
| NHS WIRRAL CCG | 0.91% | £76 | 6.2% | 24 | 11% | 20 |
| NHS SOUTH TYNESIDE CCG | 1.49% | £136 | 8.5% | 57 | 18% | 20 |
| NHS BEDFORDSHIRE CCG | 1.17% | £70 | 6.1% | 26 | 22% | 20 |
| NHS LUTON CCG | 1.54% | £83 | 3.6% | 27 | 16% | 20 |
| NHS TOWER HAMLETS CCG | 1.50% | £84 | 2.3% | 12 | 12% | 20 |
| NHS COUNTY DURHAM CCG | 1.00% | £88 | 5.9% | 27 | 18% | 20 |
| NHS IPSWICH AND EAST SUFFOLK CCG | 1.12% | £72 | 5.1% | 24 | 22% | 20 |
| NHS ISLE OF WIGHT CCG | 1.76% | £165 | 5.8% | 56 | 18% | 20 |
| NHS CENTRAL LONDON (WESTMINSTER) CCG | 1.30% | £107 | 2.3% | 28 | 16% | 19 |
| NHS BRIGHTON AND HOVE CCG | 1.42% | £116 | 4.4% | 40 | 23% | 19 |
| NHS NORTH CENTRAL LONDON CCG | 1.73% | £113 | 3.2% | 32 | 13% | 19 |
Table 2. Bottom 20 CCGs with the lowest overall scores in 2020/21.
| Clinical Commissioning Group (CCG) | 2020/21 % CCG budget (allocation) spent on CYP MH | 2020/21 spend per child | Proportion of CYP population (under 18) receiving CAMHS treatment during 2020/21 | Average Waiting Time (for People with Two Contacts, Days) 2020/21 | % Referral Closed Before Treatment 2020/21 | CCG overall score 2020/21 |
|---|---|---|---|---|---|---|
| NHS WEST SUSSEX CCG | 0.77% | £56 | 3.5% | 38 | 28% | 8 |
| NHS COVENTRY AND RUGBY CCG | 0.84% | £54 | 3.7% | 47 | 25% | 8 |
| NHS OXFORDSHIRE CCG | 0.86% | £51 | 4.2% | 52 | 31% | 9 |
| NHS MID ESSEX CCG | 0.76% | £47 | 3.1% | 9 | 35% | 9 |
| NHS GLOUCESTERSHIRE CCG | 0.81% | £53 | 4.3% | 41 | 27% | 9 |
| NHS STOCKPORT CCG | 0.67% | £48 | 4.4% | 38 | 33% | 9 |
| NHS EAST RIDING OF YORKSHIRE CCG | 0.87% | £63 | 3.7% | 41 | 41% | 9 |
| NHS BRENT CCG | 0.97% | £59 | 2.3% | 43 | 30% | 10 |
| NHS GREATER PRESTON CCG | 0.88% | £57 | 3.6% | 50 | 25% | 10 |
| NHS SURREY HEARTLANDS CCG | 0.90% | £55 | 4.3% | 47 | 23% | 10 |
| NHS PORTSMOUTH CCG | 0.87% | £61 | 3.8% | 55 | 27% | 10 |
| NHS SOUTH WARWICKSHIRE CCG | 0.74% | £52 | 3.8% | 54 | 22% | 10 |
| NHS CALDERDALE CCG | 0.75% | £51 | 4.9% | 22 | 34% | 11 |
| NHS THURROCK CCG | 0.88% | £46 | 3.2% | 14 | 28% | 11 |
| NHS KNOWSLEY CCG | 0.78% | £68 | 3.8% | 30 | 30% | 11 |
| NHS SOMERSET CCG | 0.85% | £62 | 3.4% | 15 | 35% | 11 |
| NHS DORSET CCG | 0.88% | £71 | 3.2% | 36 | 30% | 11 |
| NHS HARROW CCG | 1.05% | £58 | 2.6% | 41 | 24% | 11 |
| NHS BASSETLAW CCG | 0.89% | £66 | 3.4% | 41 | 29% | 11 |
| NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG | 0.92% | £53 | 4.6% | 34 | 33% | 11 |