Conclusion
The reference groups want to adopt an inclusive process to engage a full range of views. Any views or examples of good practice should be sent to our NSF Mailbox - nsfweb@doh.gov.uk. Although we take careful account of your ideas we are not able to respond individually.
The National Service Framework represents an ambitious agenda for change for health and social services in England, driving up quality and tackling variations and inconsistencies in present services.
It encompasses all aspects of mental health - from mental health promotion through to continuing care. The External Reference Group established an inclusive process, engaging a wide range of organisations that have a role in improving mental health and mental health services.
The National Service Framework's standards are clear. Its service models and examples of good practice indicate how the standards can best be achieved. Action on mental health must be integrated into all local delivery systems - health improvement programmes, the development of clinical governance, joint investment plans, and the establishment of long term service agreements, for example.
Performance will be assessed through a small number of national milestones and highlevel performance indicators. And local health and social care communities will also agree local milestones with their NHS Executive regional offices and social care regions.
Finally, the National Service Framework recognises the learning and development agenda organisational, professional and personal - and the need to build capacity and capability, and to share good practice. Regional support and national underpinning programmes will support local implementation, as mental health services tackle a demanding but exciting agenda of change.
