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You have to raise your voice to get mental health issues on the agenda

It’s time to talk about mental health

Angela McNab, chief executive of one of England’s larger mental health trusts, explains how listening to patients has led to improvements

You have to raise your voice to get mental health issues on the agenda, says Angela McNab.

In government, as in society, attitudes tend to change gradually, so health minister Norman Lamb’s commitment to “prioritising mental health like never before, making sure that it sits on par with physical health” has come as a welcome step change to mental health professionals.

Although one in four people in the UK will have mental health problems at some point in their lives, mental health services suffer institutional disadvantage compared to physical health services; press coverage of mental health is scant; and jokes or insulting language about mental illness are common.

When the previous government introduced major policies on payment by results, waiting times and patient choice, it excluded mental health and, despite considerable investment in the NHS overall, in the early 1990s spending on mental health declined.

Because a lot of caring is done by family members, it’s assumed anyone can do it.

How carers are often left out in the cold

We should be taking care of carers

The Observer,

Elderly people sit on a bench by the seaside

‘Carers are, in terms of status, about where nursing was pre-Florence Nightingale: in a job that very few would choose above all other occupations’: Katharine Whitehorn on carers. Photograph: Eric Gaillard/Reuters

Carers come in all shapes and sizes, and as more and more of us fail to die on time, the demand for them is going to increase. But according to a survey, only a third of those working in the NHS believe they are properly supervised, and nine out of 10 want to be registered, as nurses are. Which might be a step in the right direction, but doesn’t address the basic trouble: that caring has no real status.

Some carers are little short of saints, but because a lot of caring is inevitably done by family members, it’s assumed anyone can do it, and too many are simply doing it because it’s the only job going, with no sense of vocation, precious little pay, and too often expected to fit half an hour’s care into 20 minutes. They are, in terms of status, about where nursing was pre-Florence Nightingale: in a job that very few would choose above all other occupations.

Does no one care what is happening to mental health services?

More than 40 mental health workers in Norfolk have been told they are being made redundant as part of a restructure of an NHS trust, it was announced today.

Norfolk and Suffolk NHS Foundation Trust said 41 members of staff, who work in Norwich and West Norfolk, had been issued with notices of redundancy following a consultation.

The mental health trust is planning to cut 502 out of 2,128 posts and 20pc of its inpatient beds by 2016 in order to balance its books.