Breaking Down Barriers

The featured paper is a Department of Health publication ‘Breaking down Barriers‘. This is a report by Professor Louis Appleby, National Director for Mental Health.  In the introduction there are a number of statistics about prevalence of mental illness in the UK and the costs of mental illness are estimated at 77 billion pounds each year in loss of earnings. There follows a personal account of the transition from hospital based care to care in the community and some of the early difficulties that were identified. There is then a second phase  where specialised service development supports the community care model and this is supported with clinical vignettes. The subsequent phase described as breaking down barriers – alluded to in the title – is then explained including the role of community development workers. The concept here is to create a more fluid interface between primary and secondary care so that people can more easily access the services that they need. There is then a discussion of the benefits that new technology has brought and the New Ways of Working Model is also discussed together with some very interesting comments from Psychiatrist Dr Michael Phelan. The document finishes with improvements in patient safety before the final conclusions which include a look at social changes which may impact upon mental health. The document is in an accessible language and easy to understand for lay readers. At the same time the document does an impressive job of summarising many of the complex changes that have taken place concisely and it is interesting to see personal experiences of a changing system.



The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog.


  1. My name is Piter Jankovich. oOnly want to tell, that your blog is really cool
    And want to ask you: is this blog your hobby?
    P.S. Sorry for my bad english


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s