mental health
Bringing-together-Kings-Fund-March-2016_1
Bringing-together-Kings-Fund-March-2016_1
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Bringing together physical and <strong>mental</strong> <strong>health</strong><br />
1 2 3 4<br />
5 6 7<br />
••<br />
at least 600,000 more adults each year with depression or anxiety should be<br />
able to access evidence-based psychological therapies by 2020/21, with a<br />
particular focus on helping people who are living with long-term physical<br />
<strong>health</strong> conditions.<br />
These are important goals and pursuing them should help to take the system in<br />
the right direction, as part of the wider changes described in this report. A further<br />
example of integration of physical and <strong>mental</strong> <strong>health</strong> beginning to gain momentum<br />
at the policy level is provided by the recent national service specification for diabetes<br />
transition services, which includes recommendations on <strong>mental</strong> <strong>health</strong> support for<br />
people with diabetes (NHS England 2016).<br />
These and other developments show the important role that national policy-makers<br />
and clinical leaders can play in enabling the development of integrated approaches<br />
to physical and <strong>mental</strong> <strong>health</strong>. What is needed now is for leadership and ownership<br />
of this agenda to move beyond the confines of ‘<strong>mental</strong> <strong>health</strong> strategy’ and become<br />
part of wider strategic thinking for the system as a whole.<br />
Conclusion<br />
There is a compelling case for seeking to support <strong>mental</strong> and physical <strong>health</strong> in<br />
a more integrated way. The scale of the problem has been clear for some time,<br />
manifested in the elevated mortality levels among people with <strong>mental</strong> illnesses, the<br />
scant regard often paid to the psychological dimensions of physical illness, and the<br />
costly and harmful mismanagement of medically unexplained symptoms. These<br />
issues cost the NHS in excess of £11 billion annually, and result in poor care for<br />
people and their families.<br />
What is starting to become clearer is that these are often solvable problems. In many<br />
cases, there are evidence-based interventions available that offer cost-effective ways<br />
of improving outcomes for people using the <strong>health</strong> and care system. The challenge<br />
lies in scaling up these approaches and embedding them in routine practice. The<br />
new models of care introduced by the Forward View have breathed new life into<br />
integrated care programmes in many parts of the country. These must be used to<br />
accelerate progress in the 10 priority areas outlined in this report. If integration of<br />
<strong>mental</strong> and physical <strong>health</strong> does not form a major component of these programmes,<br />
it would be a significant missed opportunity.<br />
Discussion71