Notes to editors
1. For further information, or to request an interview, please contact: Cara Phillips, Senior Press and Public Affairs Officer, at The King’s Fund on 020 7307 2632 or email firstname.lastname@example.org
Main Press Office number: 020 7307 2585 / Out of hours assistance: 07584 146035
Andy Bell, Centre for Mental Health, on 07810 5023638 or email email@example.com
2. Long-term conditions and mental health: the cost of co-morbidities by Chris Naylor, Michael Parsonage, David McDaid, Martin Knapp, Matt Fossey and Amy Galea. This report is a joint publication by The King’s Fund and Centre for Mental Health and has contributors from the London School of Economics. The report is available free to download from The King's Fund's website or can be purchased for £5.
3. A substantial proportion of the £8-£13 billion spend could be saved by investing in improved models of integrated mental health care. Research shows that by reducing costs for physical care, interventions, such as enhanced psychiatric liaison, can deliver savings which significantly outweigh the costs of providing them.
4. The benefits of a more integrated approach should not be underestimated. They can be far reaching for patients, the NHS and the economy. One five-year study of patients with diabetes and co-morbid depression in the United States saw a 14 per cent reduction in total costs. At Hillingdon Hospital including a psychological component in a breathlessness clinic led to savings of £837 per person. In terms of outcomes, multiple studies show that integrating the management of mental health and long-term conditions has positive results. For example, in one study, tailored cognitive behavioural therapy packages reduced anxiety in chronic obstructive pulmonary disease, improved self-management and reduced exacerbations and unnecessary admissions.
5. Policy context.
The government’s mental health outcomes strategy, No health without mental health (Department of Health 2011), places considerable emphasis on the connections between mental and physical health, and gives new responsibilities to Improving Access to Psychological Therapy (IAPT) services for supporting the psychological needs of people with physical long-term conditions or medically unexplained physical symptoms.
Under the government’s reform programme clinical commissioners have a duty to promote integrated services, as do other bodies such as Monitor and the NHS Commissioning Board. A number of clinical commissioning groups are known to have identified mental health as an early priority for service improvement.
As a result of the Transforming Community Services programme, many mental health trusts have taken on new responsibilities for providing community services for people with physical health problems which will cost about £2 billion. This creates opportunities for developing more integrated ways of working.
The formation of Academic Health Sciences Centres, spanning mental health and acute trusts, creates an infrastructure for integrative research.
The Quality, Innovation, Productivity and Prevention (QIPP) challenge creates an imperative to develop innovative ways of providing health services which deliver better outcomes and more value to patients within constrained resources.