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Invited commentary on… Continuity of care in the community for people with severe mental illness: does it matter?

  • Frank Holloway
Summary

In this issue, MacDonald et al have used data from the South London and Maudsley NHS Foundation Trust electronic patient record to investigate the relationship between service change, routine outcome data and ‘continuity of care’. The period they have looked at was one of huge change in the configuration of services and the background to this is explored here.

Declaration of interest

F.H. was a clinical director of South London and Maudsley NHS Foundation Trust and its predecessor organisations from 1991 to 2010.

Copyright
Corresponding author
Frank Holloway, FRCPsych, correspondence c/o British Journal of Psychiatry, 21 Prescot Street, London E1 8BB, UK. Email: bjp@rcpsych.ac.uk
Footnotes
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See https://doi.org/10.1192/bjp.2018.261.

Footnotes
References
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1MacDonald, A, Adamis, D, Craig, T, Murray, R. Continuity of care for people with severe mental illness: does it matter? Br J Psychiatry 2018 (https://doi.org/10.1192/bjp.2018.261).
2Perera, G, Broadbent, M, Callard, F, Chang, CK, Downs, J, Dutta, R, et al. Cohort profile of the South London and Maudsley NHS Foundation Trust Biomedical Research Centre (SLaM BRC) Case Register: current status and recent enhancement of an electronic mental health record-derived data resource. BMJ Open 2016; 6: e008721.
3Wing, J, Beevor, A, Curtis, R, Park, S, Hadden, S, Burns, A. Health of the Nation Outcome Scales (HoNOS). Br J Psychiatry 1998; 172: 11–8.
4Magill, MK, Senf, J. A new method for measuring continuity of care in family practice residencies. J Fam Pract 1987; 24: 165–8.
5Burns, T, Catty, J, White, S, Clement, S, Ellis, G, Jones IR, et al. Continuity of care in mental health: understanding and measuring a complex phenomenon. Psychol Med 2009; 39: 313–23.
6O'Hara, M. No country has it all as England has. The Guardian 2006; 25 October.
7Department of Health and Social Care. Mental Health Strategies 2011/12 National Survey of Investment in Adult Mental Health Services. Department of Health and Social Care, 2012.
8Gilburt, H. Funding and Staffing of NHS Mental Health Providers: Still Waiting for Parity. Kings Fund, 2018 (https://www.kingsfund.org.uk/publications/funding-staffing-mental-health-providers).
9Mental Health Taskforce. The Five Year Forward View for Mental Health. NHS England, 2016 (https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf).
10NHS England. NHS Five Year Forward View for Mental Health: One Year On. NHS England, 2017 (https://www.england.nhs.uk/wp-content/uploads/2017/03/fyfv-mh-one-year-on.pdf).
11Foot, C, Sonola, L, Maybin, J, Naylor, C. Service-Line Management. Can it Improve Quality and Efficiency. Kings Fund, 2012 (https://www.kingsfund.org.uk/sites/default/files/service-line-management-quality-efficiency-kings-fund-january2011.pdf).
12Tulloch, AD, Soper, B, Pettit, S, Koeser, L, Polling, C, Watson, A, et al. Management by geographical area or management specialised by disorder? A mixed-methods evaluation of the effects of an organisational intervention on secondary mental health care for common mental disorder. Health Serv Delivery Res 2016; 4: 92.
13South London and Maudsley NHS Foundation Trust. Psychological Medicine and Integrated Care Clinical Academic Group. South London and Maudsley NHS Foundation Trust, 2016 (http://www.slam.nhs.uk/media/452893/psychological_medicine.pdf).
14South London and Maudsley NHS Foundation Trust. Clinical Academic Groups. South London and Maudsley NHS Foundation Trust, no date (http://www.slam.nhs.uk/about-us/clinical-academic-groups).
15Rohricht, F, Waddon, GK, Binfield, P, England, R, Fradgley, R, Hertel, L, et al. Implementation of a novel primary care pathway for patients with severe and enduring mental illness. BJPsych Bull 2017; 41: 314–9.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Invited commentary on… Continuity of care in the community for people with severe mental illness: does it matter?

  • Frank Holloway
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