Psychiatrists and adult care directors pledge more joint care for people with mental health problems

Association of Directors of Adult Social Services (ADASS)
Royal College of Psychiatrists (RCPsych)
Date: Thursday 28th February 2013
Embargo: 00.01 hrs Friday 1st March 2013

Leaders of two major professions in England have come together to pledge to work in a closer, more integrated way for the benefit of people with mental health problems.

The Association of Directors of Adult Social Services (ADASS) and the Royal College of Psychiatrists are committed to facilitating the recovery of people with mental health problems through personalisation and support the use of Personal Budgets in social care and Personal Health Budgets in the NHS.

Personal Budgets and Personal Health Budgets give individuals and their carers greater say over the way in which their health and social care needs are met. They do this by giving greater control to individuals and allowing them to go beyond statutory services to pursue their own recovery. These budgets have the potential to bring together professional expertise with that of individuals lived experience to provide an important complement to clinical care.

  • The Association of Directors of Adult Social Services and the Royal College of Psychiatrists are committed to working together to develop and widen access to integrated individual budgets by building on the Department of Healths national Personal Health Budget pilots which ran from 2009 to 2012. These independent pilots found that [they] are cost effective for mental health.  They improve peoples health-related quality of life and psychological well being compared to traditional service delivery and reduce indirect NHS costs.
  • There is a need for integration between health and social care budgets as many individuals with mental health problems receive services from both the NHS and social care. In a joint statement released today from the ADASS and the Royal College of Psychiatrists, they said everyone who chooses to have a Personal Budget and a Personal Health Budget should have the right to have an integrated assessment across the NHS and social care. But the distinction between health care and social care is `not clear, creating duplication, fragmentation and waste at the boundary between the NHS and social care. This fragmentation is repeated in the context of Personal Budgets and Personal Health Budgets.
  • By tackling unnecessary bureaucracy and a lack of information-sharing between clinical staff, both organisations are also committed to increasing the low take-up of Personal Budgets for individuals with mental health problems. In 2010-11, only 9 percent of adults with mental health problems who were eligible for a Personal Budget received one compared to 41 percent of adults with a learning disability. 


For further information contact:
Terry Dafter, Joint Chair, ADASS Mental Health Network, 0161 474 4401
Drew Clode, ADASS Policy/Press Adviser, 020 8348 5023/07976
Liz Fox, RCPsych Press Office, 020 7235 2351 x6298

Editorial Notes

The Royal College of Psychiatrists is the leading medical authority on mental health in the United Kingdom and is the professional and educational organisation for doctors specialising in psychiatry.

The Association of Directors of Adult Social Services (ADASS) represents directors and senior managers of adult social services departments in English local authorities. Directors (DASSs) have statutory responsibilities for the social care of older people, adults with disabilities and adults with mental health needs.

In many authorities ADASS members will also share a number of responsibilities for the provision and/or commissioning of housing, leisure, libraries, culture, and community safety on behalf of their councils. Nearly a third of DASSs are also the statutory director of childrens services for their authority.

A personal budget is a clear, upfront amount of funding from adult social care which individuals can spend on the services and support they need to help them live more independently. It can be used to buy services from both the council and other providers, mixing and matching whats available from different organisations.

Anyone aged 18 or over who is eligible for social care support can have a personal budget - but it is down to individuals whether they manage their budget themselves or whether someone else does this on their behalf.

A Personal health budget at its simplest is an allocation of NHS resources intended to give people more control over the way money is spent on their health care and are a way of helping individuals access the services they require to achieve their health goals in a  way that best suits them. They aim to gives patients more choice, flexibility and control over health services and the care they receive. Personal health budgets are consistent with the principles of the NHS and provide care free at the point of use based on need, not ability to pay.