Early intervention in psychosis – State of the Nation 2026

This report examines access to Early Intervention in Psychosis (EIP) services across England and Wales using routinely collected data from more than 15,600 people receiving care. It highlights substantial variation in access to NICE-recommended interventions, showing that care continues to be influenced by where people live.

The report identifies persistent inequalities in access to care by ethnicity, age, gender and deprivation. People from Black and Black British backgrounds were less likely to receive several key interventions, while almost one-quarter of EIP teams had no under-18s on their caseload, raising concerns about whether some young people are accessing specialist support early enough. 

It also highlights gaps in routine data quality and completeness, which limit understanding of care delivery and inequalities. As such, the report calls for action to reduce variation, improve equity of access, strengthen data quality, and support personalised care that helps people make the most of available treatment and support.