The King's Fund response to the New Horizons consultation.

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The emphasis given in New Horizons to the prevention of mental illness and the promotion of positive mental health is welcome, but this must not be allowed to compromise the availability or quality of acute care. Evidence on the cost-effectiveness of proposals is needed, particularly with regard to preventive approaches. The broad vision described in New Horizons would be strengthened by the inclusion of a smaller number of specific recommendations to support prioritisation at the local level. Stronger proposals are required for improving the quality of inpatient care and services for people with complex needs. The barriers to implementing the approach described in New Horizons are considerable, and include challenges in terms of the skills and attitudes of clinicians; commissioning competencies; and multi-agency working. Further detail on the strategies and levers that will be used to overcome these would be beneficial. The need for quality improvement in primary mental health care goes well beyond what will be achieved by the Improved Access to Psychological Therapies programme. Attention should be paid to the models of care used in general practice, as well as to the mental health skills, knowledge and attitudes of primary care professionals. [Summary]

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	000108033.pdf	2021-10-28	Public	Télécharger