His intention is that, from next April, specialist services will start routinely to collect standardised information on every adult they treat. "We need a new system where we measure things that are relevant to the lives of people in mental health care."Īppleby wants more meaningful data covering four areas: mortality, morbidity, quality of life, and users' and carers' satisfaction with services. "Currently, we measure throughput - how many people pass through the system, how many beds are used," he says. Far from being a mundane administrative exercise, he claims this will be truly revolutionary. Louis Appleby, the national director for mental health, who is better known as the government's mental health "tsar", is planning to introduce outcome measures throughout England's NHS mental health services. How good are mental health services? How well are people with mental health problems faring in the care system? The short answer to these questions is that we do not know, but we may do soon because of a quiet revolution being organised from a small corner of Whitehall.
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