The article reviewed here is a Department of Health document – reference 14088 – which consists of a circular to strategic health authorities and some details on New Horizons and Quality and Productivity and freely available here. While there is a brief letter from David Behan (there is a video of Behan speaking at a conference in Leeds here) which outlines issues clearly, I thought the accompanying material is quite complex.
Regarding this material, I thought figure 1 was quite useful for navigation. This diagram is effective, clearly outlining themes in regulating quality and illustrating how these are being achieved. Returning to the body of the text – the material is divided into a brief section on mental health reform 2010 and lengthier sections on New Horizons and reform milestones in 2010. At the start of the New Horizons section it is stated that
‘New Horizons – a shared vision for mental health (12/2009) is moving into implementation‘
After some discussion of New Horizons, the intended system reform is described and I particularly liked this quote
‘At the core of System Reform is the delivery of better health for all, better care for all, and better value for money through a self-improving NHS‘
However the section on New Horizons is also relatively brief and it is the section on mental health reform in 2010 that takes up the bulk of the document. In this section there is an outline of some of the reforms that are taking place and there is a particular focus on world class commissioning with examples. The themes of personalised care and payment by results (PBR) are expanded upon.
While this is a brief document, I thought it was quite complex and this reflects the structure of the NHS. The themes that I thought it useful to make a note of here were improving mental health and well-being, improving accessibility to those with ‘poor mental health’ and particularly relevant in the current economic climate is the efficient delivery of high quality healthcare.
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