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

OP88. Whole-person Care: from rhetoric to reality (Achieving parity between mental and physical health)

Price: £0.00

Published: Mar 2013

Status: current

Number of pages: 98

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Summary document - Whole-person care: from rhetoric to reality (Achieving parity between mental and physical health)

In our society mental health does not receive the same attention as physical health. People with mental health problems frequently experience stigma and discrimination, not only in the wider community but also from services. This is exemplified in part by lower treatment rates for mental health conditions and an underfunding of mental healthcare relative to the scale and impact of mental health problems.

There is an ambition for the NHS to put mental health on a par with physical health.  However, the concept of parity in this context is not always well understood. In this report, an expert working group defines ‘parity of esteem’ in detail, and examines why parity between mental and physical health does not currently exist and how it might be achieved in practice.


  • Foreword
  • Authors and acknowledgements
  • Membership of the parity of esteem working group
  • Key recommendations
  • Introduction
  • Terms of reference and methodology
  • Definition and vision for parity of esteem
  • The funding gap: disparity in funding for mental health
  • The treatment gap: disparity in access to treatment for mental health problems
  • NHS Outcomes Framework Domain 1: Preventing people from dying prematurely
  • NHS Outcomes Framework Domain 2: Enhancing quality of life for people with long-term
  • conditions
  • NHS Outcomes Framework Domain 3: Helping people to recover from episodes of ill health
  • or following injury
  • NHS Outcomes Framework Domain 4: Ensuring that people have a positive experience of
  • care
  • NHS Outcomes Framework Domain 5: Treating and caring for people in a safe environment
  • and protecting them from avoidable harm
  • A life-course approach: early intervention, children and young people and older people
  • Measurement and monitoring of parity: data, research, audit and inspection
  • A cross-government approach to parity
  • Annexe A1. Lester UK Adaptation: Positive Cardiometabolic Health Resource
  • Annexe A2. Programme for implementing the Lester UK Adaptation
  • Annexe B. Summary of recommendataions for parity
  • Annexe C. Parity commitments from working group member organisations, Royal Colleges
  • and others
  • References
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