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The Royal College of Psychiatrists Improving the lives of people with mental illness

OP75. Looking Ahead: Future Development of UK Mental Health Services

Price: £0.00

Published: Jun 2010

Status: current

Number of pages: 18

Download free PDF version

Recommendations from a Royal College of Psychiatrists’ enquiry.

In the 60 years of the National Health Service (NHS) there has probably never been unanimity of view on the design of mental health services. Every generation has brought its priorities, trends and pendulum swings; every crisis has brought its reactions – and sometimes its overreactions. The College identified that there exists not only a need, but also an opportunity, for service redesign in mental health.

This report draws on evidence given during hearings held in February 2010, a number of written responses submitted to the enquiry’s evidence committee, and presentations delivered at a one-day seminar held in March 2010. Although exhaustive neither in its scope nor in the breadth of those from whom it sought evidence, the enquiry nevertheless represents a serious effort to consider service redesign in mental healthcare and to give voice to the people who work at the heart of our mental health services. The document aims to identify areas for future service development that reflect the needs and aspirations of users of mental health services, those who care for them and also the people who deliver those services.

The document is a distillation of the views of a broad church, comprising more than 50 psychiatrists, psychologists, nurses, occupational therapists, social workers, commissioners, trust chief executives, academics, health economists, voluntary sector organisation chief executives, service users, carers, medical directors and national mental health programme leads.

The report then examines the following topics, giving recommendations on each:

  • Creating efficiencies and improving productivity through redesigned services and care pathways
  • Consultant expertise at the beginning of the pathway
  • Standardised outcomes
  • Investing to save through the development of family mental healthcare
  • Out-of-area treatments
  • Mental health of older people
  • In-patient care
  • Statutory and voluntary sector partnerships
  • Housing
  • Employment and mental health
  • Substance misuse
  • Relationship between physical and mental health
  • Psychological therapies
  • Peer support
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