scholarly journals The Health and Social Care Act 2012: what will it mean for mental health services in England?

2012 ◽  
Vol 36 (11) ◽  
pp. 401-403 ◽  
Author(s):  
Frank Holloway

SummaryThe Health and Social Care Act 2012 brings in profound changes to the organisation of healthcare in England. These changes are briefly described and their implications for mental health services are explored. They occur as the National Health Service (NHS) and social care are experiencing significant financial cuts, the payment by results regime is being introduced for mental health and the NHS is pursuing the personalisation agenda. Psychiatrists have an opportunity to influence the commissioning of mental health services if they understand the organisational changes and work within the new commissioning structures.

Author(s):  
Anselm Eldergill

<p>The way in which mental health services are organised, delivered and regulated has been reorganised many times in recent years. The purpose of this article is to summarise the present position, and it is informative, rather than analytical. The service changes are dealt with in the following order:</p><p> <br />A The National Health Service<br />B The Provision of Social Care<br />C The Provision of Independent Healthcare<br />D Maintaining Quality Standards</p>


2014 ◽  
Vol 38 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Alex J. Mitchell ◽  
John Gill

Aims and methodTo examine research productivity of staff working across 57 National Health Service (NHS) mental health trusts in England. We examined research productivity between 2010 and 2012, including funded portfolio studies and all research (funded and unfunded).ResultsAcross 57 trusts there were 1297 National Institute for Health Research (NIHR) studies in 2011/2012, involving 46140 participants and in the same year staff in these trusts published 1334 articles (an average of only 23.4 per trust per annum). After correcting for trust size and budget, the South London and Maudsley NHS Foundation Trust was the most productive. In terms of funded portfolio studies, Manchester Mental Health and Social Care Trust as well as South London and Maudsley NHS Foundation Trust, Oxford Health NHS Foundation Trust and Cambridgeshire and Peterborough NHS Foundation Trust had the strongest performance in 2011/2012.Clinical implicationsTrusts should aim to capitalise on valuable staff resources and expertise and better support and encourage research in the NHS to help improve clinical services.


1986 ◽  
Vol 10 (9) ◽  
pp. 226-230
Author(s):  
J. W. Affleck

In times of pessimism when psychiatry is described as in decline, subject to public scepticism with the psychiatrist's role threatened by social workers, psychologists and community nurses, one's immediate reaction is to adopt a historical perspective. The advances achieved during the last 50 years which I recall are so impressive that it seems reasonable to see current legal and bureaucratic problems as resembling a ditch rather than a precipice! These advances have occurred in spite of adverse administrative situations. It is important to remember that in spite of its merits the National Health Service was not conceived with Mental Health Services in mind—nor were Social Work Services.


2020 ◽  
pp. 1-3 ◽  
Author(s):  
Derek Tracy ◽  
Anna Forrest ◽  
Benjamin R. Underwood

Summary For several decades, mental health services within the UK's National Health Service were provided by specialist mental health trusts. More recently many of these trusts have integrated community physical health services into their operations. We describe here how two integrated mental health trusts in England were able to make an enhanced response to the COVID-19 pandemic.


Author(s):  
Sophie Brown ◽  
Zaffer Iqbal ◽  
Frances Burbidge ◽  
Aamer Sajjad ◽  
Mike Reeve ◽  
...  

Despite the improved understanding of the determinants of suicide over recent decades, the mean suicide rate within the United Kingdom (UK) has remained at 10 per 100,000 per annum, with about 28% accessing mental health services in the 12 months prior to death. In this paper, we outlined a novel systems-level approach to tackling this problem through objectively differentiating the level of severity for each suicide risk presentation and providing fast-track pathways to care for all, including life-threatening cases. An additional operational challenge addressed within the proposed model was the saturation of local crisis mental health services with approximately 150 suicidality referrals per month, including non-mental health cases. This paper discussed a service improvement initiative undertaken within a National Health Service (NHS) secondary care mental health provider’s open-access 24/7 crisis and home treatment service. An organisation-wide bespoke “suicide risk triage” system utilising the Collaborative Assessment and Management of Suicidality (CAMS) was implemented across all services. The preliminary impacts on suicidality, suicide rates and service user outcomes were described.


1968 ◽  
Vol 114 (509) ◽  
pp. 509-515 ◽  
Author(s):  
J. D. Sutherland

To describe the role of the consultant psychotherapist in the mental health services, we must start from the situation in regard to psychotherapeutic needs in the community and the kinds of resources that can be mobilized to meet them. I should make it clear that when referring to consultant psychotherapists in the psychotherapeutic clinic I assume that optimally these specialists would be part of a comprehensive psychiatric service. For convenience I shall use the term “psychotherapeutic centre” to allow for the location of the psychotherapeutic services to vary according to circumstances in any one area. Also, although I shall speak often of the psychotherapist as though his was a rather separate contribution, I want to stress that this is partly a reflection of the present situation. Much of what I have to say about his role must become increasingly a part of the work of all psychiatrists.


Author(s):  
Hannah Hamad

This article maps the terrain of contemporary UK medical television (TV), paying particular attention to Call the Midwife as its centrepiece, and situating it in contextual relation to the current crisis in the National Health Service. It provides a historical overview of UK and US medical TV, illustrating how medical TV today has been shaped by noteworthy antecedents. It argues that crisis rhetoric surrounding healthcare leading up to the passing of the Health and Social Care Act 2012 has been accompanied by a renaissance in medical TV; and that issues, strands and clusters have emerged in forms, registers and modes with noticeable regularity, especially around the value of affective labour, the cultural politics of nostalgia and the neo-liberalization of healthcare.


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