8 March 2016

Bringing together physical and mental health: A new frontier for integrated care

Bringing together physical and mental health: A new frontier for integrated care
Kings Fund 8 March 2016
  • Integrated care initiatives in England and elsewhere have paid insufficient attention to the relationship between physical and mental health. 
  • The report identifies 10 areas where there is particular scope for improvement. These span the full range of health system activities, illustrating that change is needed across the system. Commissioners and providers can use these 10 areas as a guide to identify where some of the most significant opportunities for quality improvement and cost control lie.
  • Priorities
    • Priority 1: Incorporating mental health into public health programmes
    • Priority 2: Promoting health among people with severe mental illnesses
    • Priority 3: Improving management of medically unexplained symptoms in primary care
    • Priority 4: Strengthening primary care for the physical health needs of people with severe mental illnesses
    • Priority 5: Supporting the mental health of people with long-term conditions
    • Priority 6: Supporting the mental health and wellbeing of carers
    • Priority 7: Supporting mental health in acute hospitals
    • Priority 8: Addressing physical health in mental health inpatient facilities
    • Priority 9: Providing integrated support for perinatal mental health
    • Priority 10: Supporting the mental health needs of people in residential homes
  • Appendices: case study site profiles
    • Appendix A: 3 Dimensions of care for Diabetes (3DfD)
    • Appendix B: Integrated persistent pain pathway in Oldham
    • Appendix C: City and Hackney Primary Care Psychotherapy Consultation Service
    • Appendix D: Oxford Psychological Medicine Service
    • Appendix E: Psychological medicine services in Hull
    • Appendix F: LIFT Psychology in Swindon
    • Appendix G: Physical health check protocol for patients with mental health problems in Bradford and Airedale
    • Appendix H: Primary care for secure inpatient units in west London
    • Appendix I: Physical health liaison service in Highgate mental health unit
    • Appendix J: Integrated perinatal mental health service in Devon