You can’t buy me love but can you buy me integration? The example of English Mental Health Services

Introduction:Integration is a recognised as a key element in providing patient-centred care for people with mental health problems.This includes vertical integration between secondary and primary care, horizontal integration between public sector bodies responsible for health, housing and social care, and broader integration with community employment, advocacy and leisure services.In England primary responsibility for overseeing the local mental health system now lies with public sector commissioners, who are expected to use their power as purchasers to shape the local market and ensure that it delivers more integrated care.Commissioning cycles vary between different public sector areas, but all have the similar elements of understanding need, prioritising spend, developing models and using competition and user choice to improve efficiency and quality

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