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'No health without good mental health'

Mark Easton | 17:41 UK time, Thursday, 2 September 2010

Some years ago I interviewed David Cameron on . Did he think it was the government's job to make people happy? "It is the job of government not just to put money in people's pockets but to put joy in their hearts", he replied.

Paul Burstow

Today that principle may soon be reflected in policy. Writing in Community Care magazine he reveals that he is determined to give "mental health parity with physical health in the NHS".

Mr Burstow believes the key is the current proposal to replace process targets with "a new focus on patient outcomes".

"Over this summer, we are discussing with patients and clinicians which 'outcome' measures should be used to judge the Health Service in the future. I passionately believe a person's general wellbeing and overall mental health should form part of this assessment. There is no health without good mental health and certainly no well being."

These remarks will be music to the ears of many who work in the mental health sector and fear that they will be returned to Cinderella status within the NHS as the efficiency savings are announced.

The government is currently reshaping its mental health strategy amid concerns that treatment funding would be increasingly focused on services to deal with cancer and heart disease. But Mr Burstow seems keen to allay such worries.

"The fact is we can no longer accept that curing someone of cancer then leaving them to struggle with depression afterwards is a true mark of success. The NHS should deal with the full parameters of a patient's recovery; including helping them return to work and get their life back after illness. That's what the new outcomes framework should deliver."

The economic downturn and the implications of extensive public service cuts will themselves put pressure on the nation's mental health. In previous recessions there has been a spike in suicides. Mr Burstow, though, believes that "even in these tough circumstances, we can move forward in mental health - and, by doing so, we can land a major blow against poverty and deprivation."

There will be cynics who suggest that these are just empty promises from a politician whose role as care services minister requires him to utter such warm words. But if the prime minister is serious about putting "joy in people's hearts", his government will need to turn this kind of rhetoric into reality.

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