Abstract
The Audit Commission has drawn attention to local champions of change in mental health services. Good Practices in Mental Health (GPMH) (1985) has highlighted a district which has overcome some of the myths about the impossibility of transforming the service, and recently the Institute of Health Services Management (IHSM) Working Group (1991) has entered the debate with “good psychiatric services can be developed in areas where managers are determined to introduce improved services”. The Audit Commission singled out Torbay Health Authority, GPMH highlighted Exeter Health Authority, and the IHSM Working Group have listed 12 exemplary health authorities (including Torbay and Exeter) where good local services have been developed.
Highlights
In this survey, the measure used for improvement was invalid for non-violent patients, it demonstrates that these patients did not exhibit violent behaviour as a result of transfer
It is suggested that such behaviour should not be an a"frogru"metnrtanasgfaeirnstf,robmut sahowuladrdreitnofortchee thmeoarregu"mneonrt malised" environment of an adequately staffed house or hostel
I know that units costs may not be the only predictor to a successful outcome but I would put money on the fact that Plymouth, Southampton, Northampton, Cambridge and West Dorset are well ahead of the field in developing local psychiatric services and that many of the districts in the bottom quarter are having the greatest difficulty, unless the regional health authorities have made available substantial extra bridging funds
Summary
JOSHcNilMlyAHHeaOltNhEAYUu,tnhiot rGitye,neSratlLMawarneangceer',s MHoesnptaitlalH, eBalotdhmUinniPt,LC3o1rn2wQaTll and Isles of. The best predictors in assessing which authorities would be the most capable of developing good quality local psychiatric services are their existing staffing levels; their size; and their present level of unit costs. I know that units costs may not be the only predictor to a successful outcome but (looking at the survey) I would put money on the fact that Plymouth, Southampton, Northampton, Cambridge and West Dorset are well ahead of the field in developing local psychiatric services and that many of the districts in the bottom quarter are having the greatest difficulty, unless the regional health authorities have made available substantial extra bridging funds.
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