'The NSF for mental health was launched in 1999, and is a comprehensive statement on how mental health services will be planned, delivered and monitored until 2009. The NSF lists seven standards that set targets for the mental health care of adults aged up to 65. These standards span five areas: health promotion and stigma, primary care and access to specialist services, needs of those with severe and enduring mental illness, carers' needs, and suicide reduction.
It sets out national standards; national service models; local action and national underpinning programmes for implementation; and a series of national milestones to assure progress, with performance indicators to support effective performance management. An organisational framework for providing integrated services and for commissioning services across the spectrum is also included.'http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009598
*It should be noted that with changes to the age discrimnation laws that the age limit of 65 has now been removed. Elderly patients with functioning mental health problems continue to be served under the adult mental health provisions whilst those with organic mental health problems are treated within the 'elderly' mental health services.
Standards four and five relate to effective services for people with severe mental illness (SMI).
Standard four related to people with SMI having care plans.
(For information on care plans see: http://www.nshn.co.uk/forum/index.php?topic=17332.0
All mental health service users on CPA should:
• receive care which optimises engagement, anticipates or prevents a crisis, and
• have a copy of a written care plan which:
- includes the action to be taken in a crisis by the service user, their carer,
and their care co-ordinator
- advises their GP how they should respond if the service user needs
- is regularly reviewed by their care co-ordinator
- be able to access services 24 hours a day, 365 days a year.
Standard five relates to care given away from home:
Each service user who is assessed as requiring a period of care away from their
home should have:
• timely access to an appropriate hospital bed or alternative bed or place, which is:
- in the least restrictive environment consistent with the need to protect them
and the public
- as close to home as possible
• a copy of a written after care plan agreed on discharge which sets out the care
and rehabilitation to be provided, identifies the care co-ordinator, and specifies
the action to be taken in a crisis.