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10 High Impact Changes for Mental Health Services

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NIMHE launched the 10 High Impact Changes for Mental Health Services on 20 June 2006, underpinned by a complete publication (and executive summary) with case study evidence for the changes.

This follows the launch of the NHS Modernisation Agency’s ‘10 High Impact Changes for Service Improvement and Delivery’ in 2004.

The high impact changes are the 10 areas of service improvement in mental health that have the greatest positive impact on service user and carer experience, service delivery, outcomes, staff and organisations. They can be used to guide any service improvement activity through 2006 and beyond.

The 10 High Impact Changes for Mental Health Services are:

  1. Treat home based care and support as the norm for the delivery of mental health services.
  2. Improve flow of service users and carers across health and social care by improving access to screening and assessment.
  3. Manage variation in service user discharge processes.
  4. Manage variation in access to all mental health services.
  5. Avoid unnecessary contact for service users and provide necessary contact in the right setting.
  6. Increase the reliability of interventions by designing care around what is known to work and that service users and carers inform and influence.
  7. Apply a systematic approach to enable the recovery of people with long term conditions.
  8. Improve service user flow by removing queues.
  9. Optimise service user and carer flow through the service using an integrated care pathway approach.
  10. Redesign and extend roles in line with efficient service user and carer pathways to attract and retain an effective workforce.

Click here to access the:

NIMHE is continuing to develop and expand the case study evidence for the 10 High Impact Changes for mental health services through its ongoing work programme.

We have also developed 'Supplementary Guidance for Older People's Mental Health Services', with the National Older People's Mental Health Programme.

Click on the links on the left-hand side to find out more information.