Community mental health care reviews

Anyone experiencing mental health problems is entitled to an assessment of their needs with a mental health care professional, and to have a care plan if needed. Here, we look at how often people on a 'Care Programme Approach' (CPA) meet with a professional to discuss their care.

Do people with a mental health condition have regular care review meetings?

The term 'CPA' stands for ‘Care Programme Approach’ and describes a framework introduced in 1990 to support and coordinate effective mental health care for people with mental health problems in secondary mental health services. The CPA is used to coordinate care for people who have more severe or complex mental health needs. Because their needs are generally more severe and/or complex it is likely the experience and services they get will differ from people not on a CPA.
Department of Health.

People on a CPA are more likely to have at least one formal meeting to discuss their care in a year. In 2016, 82% of people on a CPA had a meeting to review their care, compared with 69% of people not on a CPA. Since 2014, service users have been asked whether they have had a formal meeting with someone from NHS mental health services to discuss how their care is working in the past 12 months. Prior to that, people had been asked whether they had had a care review meeting to discuss their care, and fewer reported that they had.

Updated November 2016

How involved do people feel in discussions about how their care is working?

Evidence from academic research suggests that when people are involved in their own care, decisions are made more effectively and health outcomes improve. In 2016, 91% of people felt that decisions had been made together with the NHS mental health services worker in the formal meeting to discuss how their care is working. This was a slight decrease from 92% in 2015. Meanwhile, 92% felt they were involved as much as they wanted to be in discussing how their care was working in 2016 (data not shown).

Updated November 2016

About this data

The community mental health survey looked at a sample of people from each trust who used NHS mental health services. Use of a mental health service could include contact with psychiatrists or psychiatric nurses, mental health support workers, occupational therapists, psychologists, psychotherapists or other mental health as well as social care workers, including those helping people with dementia, depression or other types of mental health problem. The survey asked people their views of the service to see how well it worked and whether it could be improved.

These questions were answered by all respondents who saw someone from NHS mental health services. Respondents who had been in touch with mental health services for less than a year have been excluded from the base for this question.

Note: respondents who stated that they did not know/could not remember have been excluded. Results are based on unweighted data.


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