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Tasked with delivering real change – Paul Farmer

Image of Paul FarmerIt’s a sign of the changing times that the NHS has set up a mental health taskforce, and I am really pleased to be its independent chair.

As we get towards the end of this Parliament, there can be no doubt that awareness of mental health as an issue has grown in visibility and significance. Part of this is due to the stronger voice of people with mental health problems and part of it is linked to the growing evidence of the need – in every family, classroom and workplace.

If the past five years have been a period for awareness, the next five will surely be a period for action. The NHS Five Year Forward View sets out a destination for mental health services by 2021, which is about getting the right support for the right people at the right time.

Our task is to set out a route map for the next five years, with an eye to the following five as well. We need to have recommendations ready for a new Government to consider seriously before the next spending review so we can make a cohesive case for additional investment in mental health.

In making that case we need to look across wider society as well as the NHS. We know the huge impact that poor mental health can have on people, families, workplaces, and on wider society. After many years of bringing mental health out of the shadows, it has become apparent that this is one of society’s most pressing issues. It’s crucially important the NHS is there with the right services at the right time, but it’s also important that we look at the wider benefits of getting this right and the consequences of getting it wrong.

If I’ve learnt something from the last few years in mental health, it’s that the taskforce needs to be able to co-produce the work with input from people with lived experience – families, clinicians, voluntary organisations and providers – so we can work together to find the best solutions.

We will also need to ask some difficult questions of ourselves: Are we currently spending money and time on the right things? What is the role of primary care and acute hospitals in mental health? How can mental health be truly embedded in the rest of the Five Year Forward View so that it becomes the first thought rather than an afterthought?

As a starting point, we are looking at three areas: what are the biggest barriers to improving services; what examples of good practice exist that we could learn from and replicate; and what three things would make the biggest difference to mental health services?

We won’t have all the answers so we are looking for suggestions. If you have ideas and thoughts to contribute, contact england.mhtaskforce@nhs.net.

There is a sense of urgency around this work. Too many people are taking their lives, having their life chances damaged or losing hope because the right support hasn’t been there for them. We need to get this right.


Paul Farmer

Paul Farmer has been Chief Executive of Mind, the leading mental health charity working in England and Wales since May 2006.

Paul is Chair of the NHS England Mental Health Patient Safety Board, he is an advisor to the Catholic Bishops on mental health and was on the Metropolitan Police commission on policing and mental health.

He is a trustee at the Mental Health Providers Forum, an umbrella body for voluntary organisations supporting people with mental distress. Paul is also trustee at Lloyds Banking Foundation and Chair of the ACEVO board.

In November 2012 he received an Honorary Doctorate of Science from the University of East London in recognition for achievements in promoting the understanding and support of mental health.

Nominated by sector experts and voted by chief executives, Paul was selected most admired charity chief executive in the Third Sector Most Admired Charities Awards 2013.

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