7 Accepted in Part

Significant gaps persist between Community Mental Health Framework ambitions and implementation

Recommendation
We believe the Community Mental Health Framework sets out the right vision for Community Mental Health Services. However, evidence submitted to this inquiry reveals significant gaps between its ambitions and its implementation across England. We want to see a renewed commitment by the Government to realise the Framework’s ambitions. As the Government seeks to further transform services, it must avoid repeating past mistakes and ensure lessons from previous reforms are fully learned. We believe that refusing to evaluate progress in the round is at best complacent and at worst irresponsible. (Conclusion, Paragraph 73)
Government Response Summary
The government accepts the recommendation, committing to develop the Modern Service Framework (MSF) for SMI through genuine co-production with lived experience experts and engaging relevant sectors. However, it shifts focus from the Community Mental Health Framework's implementation gaps and the need for evaluation, to the development of the MSF.
Government Response
Accepted in Part
HM Government Accepted in Part
The government accepts this recommendation. The government is committed to ensuring that the MSF for SMI is developed through genuine co-production with people with lived experience. That is why we have recruited a third co-chair for the MSF, Jo Lomani, who is a national mental health co- production lead and expert by lived and living experience. Jo will support the implementation of our lived-experience involvement and co-production strategy to ensure that people who use mental health services stay at the centre of everything we do. So far, Jo has played a critical role in ensuring our approach to engagement is accessible for people with lived experience and effective in facilitating their input. We recognise that partnership working with VCSFE organisations, local authorities and other organisations is important to the delivery of holistic and equitable mental health care. To ensure that the MSF accounts for this, we will be engaging with relevant representatives from these sectors. As mentioned, we also plan to take forward insights from the community based mental health centre pilots, which we expect will provide important learning in this regard. Creating the foundations for high-quality community-based care
Addressee Bodies
Department of Health and Social Care
Timeline
Recommendation age 0.7 yr
Report published 02 Dec 2025