Video: Old Problems, New Solutions - One Year On
This short animation marks the
anniversary of the publication of the Acute Adult Psychiatric Care
Commission report, "Old Problems, New Solutions: Improving acute
psychiatric care for adults in England". It contains a checklist of
actions psychiatrists can take to improve acute care in their
Last year, a ground-breaking report identified problems in acute
psychiatric care for adults in England.
‘Old Problems, New Solutions’ said patients with mental health
problems should have the same rapid access to high quality care as
patients with physical health problems.
The report - published by an independent Commission supported by
the Royal College of Psychiatrists - made 12 recommendations
including the need to introduce waiting time targets and to adopt
new approaches to quality, data management, innovation and
One year on, progress has been made.
The Government recognised that all adults should be able to
access acute mental health care as close to home as possible and
made plans to achieve this by 2021.
But a lot of work still needs to be done. And as a Psychiatrist
there’s a lot you can do in your area.
- You are well placed to encourage your Trust to work with
commissioners and Clinical Networks and undertake a service
This will help to ensure an appropriate number of beds and
sufficient resources in Crisis Resolution and Home Treatment teams
to meet the local demands in your area.
- You can also encourage your Trust to collect better quality
data, that can be easily understood by patients and carers and
allow the whole mental health system to be more efficient and
- Last but not least, you can prompt your Trust to:
- adopt a system-wide approach to quality improvement
- set up quality improvement training for all inpatient staff to
address leadership and cultural issues
- work with commissioners and Clinical Networks to share good
Trusts across England that have adopted these approaches have
had good outcomes. These steps can make a real difference. With
your help, we can make things better within acute inpatient
Join the discussion
To find out more, visit
where you will also find the Commission’s report for