We heard that, given the breadth of factors that affect good mental health, an effective preventive programme requires actions from across government.52 In April 2022, the government, led by the Department, consulted on plans for a new 10-year cross- government strategy on mental health and wellbeing. This has since been replaced by a planned major conditions strategy from the Department, aimed at tackling the six major conditions which contribute to ill health, including mental ill health, for the next five years.53 The Department explained that “people often have more than one condition at the same time” and “working in disease and condition silos is not always the best way forward”. The major conditions strategy will focus on service integration for six major conditions, including between mental health conditions and physical health conditions. The Department confirmed that interim conclusions on the strategy will be available from the summer.54 While we agree that the major conditions strategy offers opportunities to join up mental health care for patients, many stakeholders have expressed their disappointment that the new strategy, covering mental health as one of a number of conditions, represents a “downgrading” from a dedicated 10-year cross-government plan, and risks the loss of focus on addressing the wider social determinants for mental health.55 48 C&AG’s Report, para 1.18 49 Qq 6–7, 36–39,45,57,63, 132; PMS0026, pages 5–6; PMS0013, pages 2–3; PMS0011, pages 3–4; PMS0014, pages 4,9–10; PMS0025, pages 1 and 5 50 C&AG’s Report, paras 1.18–1.19; PMS0026, pages 5–6; PMS0025, page 5 51 Qq 132, 174,182–183 52 Qq 6–7, 45, 60; PMS0006, page 2; PMS0011, pages 2–3; PMS0014, pages 9–10; PMS0015, pages 2- 3; PMS0025, page 6; PMS0026, pages 1,2 and 8; PMS012, page 1 and 5 53 Q 94; C&AG’s Report, para 1.20 54 Qq 118, 170–172, 175 55 Qq 7,35, 63,171; PMS0009, page 2; PMS0026, pages 8–9; PMS0011, pages 1–3; PMS0014, pages 2 and 11; PMS0025, page 1; PMS0024, page 5; PMS0