It can be helpul to use financial incentives to encourage providers to achieve specific local targets. For example use CQUIN schemes and QIPP to reduce out-of-area treatments, length-of-stay and admission rates.
Incentives should reduce the number of people referred out-of-area to specialist services. They will also reduce length-of-stay and admission rates in acute mental health services by reducing the number of beds and re-investing in home treatment.
Develop ‘liaison psychiatry’ (the branch of psychiatry that specialises in the overlap between medicine and psychiatry) so that it assists with Medically Unexplained Symptoms (MUS) and co-morbidities (the presence of more than one condition in primary and community settings). It should also assist with psychiatric morbidity (more than one psychiatric condition) in acute hospital settings.
- NHS Institute for Innovation and Improvement CQUIN webpages http://www.institute.nhs.uk/world_class_commissioning/pct_portal/cquin.html
- Department of Health QIPP webpages http://www.dh.gov.uk/health/category/policy-areas/nhs/quality/qipp/
- Liaison mental health services