It is important to consider how to involve service users and carers in monitoring and measuring the effectiveness of mental health services.
Use Patient Recorded Outcome Measures (PROMS) or similar systems for service users to audit local service delivery and development (within primary, secondary and tertiary settings).
For example, out of hours services, which are especially significant for mental health service users, being contracted out to private companies (see http://www.guardian.co.uk/society/2012/nov/09/healthcare-sell-off-gps?INTCMP=SRCH).
Being accountable to commissioners via a system such as local HealthWatch but more focussed on mental health and perhaps within the commissioning team itself.
Use the National Involvement Partnership involvement standards (www.nsun.org.uk/get-involved/survivor_involvement) to monitor and measure the integrated and meaningful role of service users and carers.