The proportion of the national population meeting the criteria for one common mental health disorder has increased from 15.5% in 1993 to 17.6% in 2007. In terms of future spend, it is estimated that because of changing patterns of morbidity (e.g. rise in depression and anxiety-related problems) projected spending overall for services will rise extensively. In 2009 the Department of Health published a document called New Horizons which detailed the potential for reducing the burden and long‐term consequences of mental health problems by setting out a framework for early intervention and promoting well‐being across society.
The Operating Framework is a document published by the Government each year which details of national standards which all commissioners should focus on adopting within their budgets. The 2010/11 framework, and associated revision, reinforced such a vision for mental health and provides clear descriptions of the characteristics for NHS commissioners for the forthcoming year as QIPP is progressed. It includes care close to home, fewer acute beds, reduced variations, standardisation of pathways and early Intervention.