Most people know that there is significant pressure on local publically funded health and social care services. Those who depend on support from a range of services (such as welfare, housing, social care, NHS) may be amongst those hardest hit as system reforms are implemented.
There is no evidence that mental health services are being affected disproportionately, but it is essential to focus on the needs of those whose voices are traditionally unheard. For example, Improving Access to Psychological Therapies (IAPT) services continue to receive funds from government, but some currently argue that other psychological therapy services are being reduced.
The leading risk is that unpopular or less visible services are cut, rather than the services that are ineffective. However, if a service is cut or reduced there may also be an impact upon a less visible part of the system. For example reducing crisis support may result in more admissions to acute inpatient beds; reducing support to carers through respite breaks may reduce carer resilience and impact on their capacity to provide care and look after their own health