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Mental health care in London

Published online by Cambridge University Press:  16 April 2020

P. De Ponte  and
G. Hughes
P. De Ponte
Affiliation:
London Health Observatory and London Development Centre for Mental Health, 11-13 Cavendish Square, London, WIG OAN, United Kingdom
G. Hughes*
Affiliation:
London Health Observatory and London Development Centre for Mental Health, 11-13 Cavendish Square, London, WIG OAN, United Kingdom
*
*Corresponding author. E-mail address: [email protected]
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Abstract

Aim

To describe principles and characteristics of mental health care in London.

Method

Based on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.

Results

London experiences high levels of need and use of mental health services compared to England as a whole. Inpatient andcompulsory admissions are considerably higher than the national average. Despite having more psychiatric beds and mental health staff, London has higher bed occupancy rates and staffing shortages. At the same time there is a trend away from institutionalised care to care in the community.

Conclusion

Mental health services in the UK are undergoing considerable reform. These changes will not remove the greater need formental health services in the capital, but national policy and funding lends support to cross-agency and pan-London work to tackle some of the problems characteristic of mental health in London. Whilst various issues of mental health care in London overlap with those in other European capitals, there also are some specific problems and features.

Keywords

Mental health careLondonService provisionPathwaysFunding
Type
Research Article
Information
European Psychiatry , Volume 20 , Issue S2 , October 2005 , pp. s274 - s278
Copyright
Copyright © Elsevier SAS 2005

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References

Appleby, LThe National Service Framework for Mental health—5 years on. London: DH; 2004.CrossRefGoogle Scholar
Aziz, F, McCone, P, Boyle, S, Knapp, MFinancing Mental Health Services in London: Central funding and local expenditure. London: King's Fund; 2003.Google Scholar
Department of Health Effective care co-ordination in mental health services: A Policy Booklet. London: DH; 1999.Google Scholar
Department of Health. Hospital Activity Statistics. Analysed by London Health Observatory.Google Scholar
Department of Health. Hospital Episode Statistics. Analysed by London Health Observatory. Admission rates calculated on admission specialty.Google Scholar
Department of Health. NHS Hospital and Community Health Services non-medical staff in England: 1994-2004. London: DH.Google Scholar
Department of Health Offender Mental Health Care Pathway. London: DH; 2005.Google Scholar
Department of Health Shifting the Balance of Power within the NHS: Securing Delivery. London: DH; 2001.Google Scholar
Department of Health. Statistical Bulletin. Hospital, Public Health Medicine and Community Health Services medical and dental staff in England: 1994-2004. London: DH.Google Scholar
Department of Health. Statistical Bulletin. Personal Social Services staff of Social Services Department at 30 September 2003 England. London: DH.Google Scholar
Department of Health The Mental Health Policy Implementation Guide. London: DH; 2001.Google Scholar
Department of Health The National Service Framework for Mental Health: Modern Standards and Service Models. London: DH; 1999.Google Scholar
Department of Health The NHS Plan: A Plan for Investment, A Plan for Reform. London: DH; 2000.Google Scholar
Dr Foster, Availability of mental health services in London: A report for the Major of London. London: Greater London Authority; 2003.Google Scholar
Geenkeer, L, Gough, P, Finlayson, BLondon's Mental Health Workforce: A review of recent developments. London: King's Fund; 2003.Google Scholar
Glover, G, Barnes, DMental Health Service Provision for Working Age Adults in England March 2004. Durham: University of Durham; 2004.Google Scholar
Goldberg, D, Huxley, PCommon mental disorders: a biosocial model. London: Routledge; 1992.Google Scholar
Greater London Authority Population Projections. 2003Google Scholar
Healthcare Commission. Key Targets and Performance Indicators or Mental Health Trusts and providers of Mental Health Services 2003/04. London: HCC.Google Scholar
Information and data about London's population and the health of the capital can be found on the London Health Observatory's website. lho.org.uk.Google Scholar
London Health Commission, Health in London: Review of the London Health Strategy high-level indicators. London: LHC; 2004.Google Scholar
Major of London Getting a move on: Addressing the housing and support issues facing Londoners with mental health needs. London: Greater London Authority; 2003.Google Scholar
Office for National Statistics. 2001 Census. UK: ONS.Google Scholar
Office for National Statistics. 2003 mid-year population estimates. UK: ONS.Google Scholar
Office of the Deputy Prime Minister Mental health and social exclusion. Social Exclusion Unit Report. London: ODPM; 2004.Google Scholar
Shelter, House Keeping: Preventing homelessness through tackling rent arrears in social housing. 2003. In: Office of the Deputy Prime Minister. Mental health and social exclusion. Social Exclusion Unit Report. London: ODPM; 2004.Google Scholar
Wilkins, J, Armstrong, A, Guite, H, Jones, AForensic Mental Health in London: A strategy for action 2004–2006. London: North West London Strategic Health Authority; 2004.Google Scholar
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