Adult Care Market and Demand - Adult Care, Housing and Public Health Market Position Statement

Demographics

Nationally, 1 in 4 people will experience a mental health problem of some kind each year in England. 50% of mental health problems are established by the age of 14, and 75% by the age of 25.

Adult Prevalence: Around 20-22% of adults in England are living with a common mental health condition. Young People: In 2023, 20.3% of 8-16 year olds and 23.3% of 17-19 year olds had a probable mental disorder. Gender Gap: Women (24.2%) are more likely to experience common mental health problems than men (15.4%). (mind.org)

Wellbeing is a key factor for the Government and due to this the ONS has new measures which look across 10 domains; personal wellbeing, relationships, health, what we do, where we live, personal finance, education and skills, economy, governance and the environment.

12% of residents in Rotherham reported a long-term mental health problem (higher than England 9.9%). The prevalence of CMHD (Common Mental Health Disorders) in Rotherham for aged 65+ is 11.6% and aged 16+ is 18.6%. The national average in England for aged 65+ is 10.2%, for aged 16+ is 16.9%. (Rotherham Data Hub)

Depression in Rotherham is 17.3% with a UK average of 13.2%. In 2022/23, the recorded prevalence of depression (aged 18+) in Rotherham was 17.3% (36,892 people). This remains significantly higher than the England average (13.2%) and continues a long-term upward trend since 2013/14. [moderngov....ham.gov.uk]

Self-harm hospital admission data is typically directly standardised and expressed as a rate per 100,000 population (with England used as a benchmark). In some local analyses, indices are standardised with England = 100, where values above 100 indicate worse outcomes. In Rotherham, areas with higher rates of self-harm admissions closely align with the most deprived communities.

The suicide rate in England is approximately 10.7 deaths per 100,000 population, compared to 12.6 per 100,000 in Rotherham, although this represents a reduction compared to 2017–2019 figures. The Suicide Prevention Strategy for England (2023–2028) sets out ambitions to reduce the suicide rate over the next five years, improve support for people who have self-harmed, and strengthen support for those bereaved by suicide. The Rotherham Suicide Action Plan (2025–2028) aligns with national priorities by:

• promoting suicide prevention as everyone’s responsibility
• supporting those bereaved, affected or exposed to suicide
• focusing on high-risk groups, reaching people where they live and work
• using data and intelligence to inform targeted local delivery

Rotherham shows significantly higher deprivation, which is strongly linked to poorer mental health outcomes. [moderngov....ham.gov.uk] .The Cost of Living can be a key driver and impact on Mental Health and Wellbeing as managing money and mental health is a two-way relationship. On average 1 in 4 people are worried about finances. This proportion was lowest at 55 and over and highest for those aged 25-44.

Drug misuse mortality -The most recent locally cited comparator (2018–20) remains: 6.4 per 100,000 (Rotherham) vs 5.0 per 100,000 (England)

Local figures (2019/20) showed 60 per 100,000 people subject to the Mental Health Act and 815 people supported by secondary mental health services. National data indicates that demand for mental health services and use of the Mental Health Act have continued to increase since this time. National data shows continued increases in detentions and service demand [digital.nhs.uk].

Additional factors to consider

Anyone can be affected by a mental health problem. But we know that some groups are more likely to be affected than others (Mind data). These include, but not limited to:

• LGBTQIA+ people experience substantially higher rates of depression, anxiety and suicidality, driven by discrimination and stigma. [mentalheal...urse.co.uk]
• Black or Black British people face persistent inequalities in access, experience and outcomes, and are more likely to experience severe mental health pathways (e.g. detention). [cqc.org.uk]
• Young people (especially women aged 16–24) show rapidly increasing prevalence, with national rates reaching ~25.8% in 2023–24. [centreform...lth.org.uk]
• People experiencing multiple disadvantage (homelessness, substance misuse, criminal justice contact) continue to have very high levels of mental ill health.

People receiving support

The Council provides a range of services that directly support wellbeing and therefore the populations’ mental health. We continue to work with partner agencies and communities to address the social overlapping issues that contribute to mental ill health, e.g., housing and homelessness, substance misuse, social isolation and poverty. In May 2025, the Council supported 475 adults who have a primary need of mental health, 320 of which are aged 18-64.  This indicates an approximate 15% increase since October 2024.  A review of the care and support provision for adults experiencing mental ill health in Rotherham was undertaken in 2020 and this indicated that the local market was underdeveloped and there was a reliance on residential care. There is therefore a requirement to create a quality care and support market which is responsive to individual needs to achieve the best possible outcomes.

The types of services adults experiencing mental ill health require may include:

• Community outreach to enable adults with mental ill health to live independently in their own home.
• Supported living, designed specifically to enable adults to live as independently as possible.
• Crisis intervention support
• Residential and nursing care home provision.

Key messages for the market

• Mental health conditions (both primary and secondary) are treated via a range of community and hospital based services by Rotherham Doncaster and South Humber NHS Foundation Trust (RDaSH). These range from talking therapies for common mental health conditions to community mental health teams and hospital wards for secondary conditions.
• In 2023 a Mental Health Recovery – Flexible Purchasing System (FPS) was established.  The FPS will develop a number of separate lots.  Each lot will specify a community service with the principle of mental health recovery at its core. The community services in scope include supported living, day opportunities and preventative services.  Lot 1 of the FPS specifies supported living accommodation based services has been established and there are currently 3 providers appointed.  The Mental Health Recovery – Flexible Purchasing System Lot 1 remains open to applications from suitably qualified providers.
• The Council seeks more suitable provision in the Borough. A programme of commissioning and procurement activity is underway to create a high standard care and support market which has the relevant capacity and capability to meet the needs of adults with mental ill health. The services being developed have a strong focus on mental health recovery, enabling and independent living.
• The Council invites domiciliary care providers with a mental health specialism to join Lot 4 of the Home Care and Support Service FPS.
• The Council intends to continue to promote the use of personal budgets for specialist mental health provision and increase the support from personal assistants.
• There is a requirement for cost-effective alternatives to traditional forms of support for adults who require mental health recovery support i.e., long and short term supported living (24-hour services), floating support services.
• The Council is keen to expand specific mental ill-health provision for long term dispersed accommodation to ensure move on from temporary short-term accommodation is facilitated.

Mental Health Accommodation Based Services

Mental Health Community Care Services