Public Health Priorities & CBRT Support

More than 4 million people in England with a long-term physical health condition also have mental health problems, and many of them experience significantly poorer health outcomes and reduced quality of life as a result. 

In terms of NHS spending, at least £1 in every £8 spent on long-term conditions is linked to poor mental health and wellbeing – between £8 billion and £13 billion in England each year.

Long-term conditions and mental health: The cost of co-morbidities, published jointly by The King’s Fund and the Centre for Mental Health, (February 2012) suggests that care for a large number of people with long-term conditions could be improved by:

  • integrating mental health support with primary care and chronic disease management programmes
  • improving the provision of liaison psychiatry services in acute hospitals
  • providing health professionals of all kinds with basic mental health knowledge and skills
  • removing policy barriers to integration, for example, through redesign of payment mechanisms.

The above paper suggests that developing more integrated support for people with mental and physical health problems could improve outcomes and play an important part in helping the NHS meet the quality, innovation, productivity and prevention challenge.

The authors conclude that the prevailing approach to supporting people with long-term conditions is at risk of failing unless we recognise the role of emotional and mental health problems in reducing people’s ability and motivation to manage their physical health.

In the NHS Confederation report “A primary care approach to mental health and wellbeing” case study based on Sandwell, it states:

“There is growing evidence that positive mental health and wellbeing at a population level can reduce health inequalities and

improve wider outcomes in relation to physical health, social cohesion and economic productivity. This case study report illustrates

the vital role that health commissioners can play in ensuring mental health and wellbeing services are accessible, meet local

needs and drive collaborative working.”

Another useful publication is The Kings Fund Future Trends Overview published November 2012.

This new web page section will soon include additional information on:

  • Community Development
  • Evaluation
  • Mental Health
  • Obesity
  • Smoking
  • Breastfeeding
  • Older People
  • Children and Young People
  • Learning Disabilities
  • Prisons

and how CBRT can be used to provide additional support to carers and support services.