title: Mental health. Barrier grief.
abstract: There is a belief in the mental health sector that poor commissioning is slowing modernisation. A problem has been identified in the balance of power, with large trusts providing services for several PCTs. The difficulty in measuring outcomes is key. Strong commissioning needs the involvement of carers and service users.
authors.forename: Emma
authors.initials: E
authors.lastname: Forrest
mesh_terms: D001291:Attitude of Health Personnel; D003284:Contract Services; D018166:Health Care Reform; D006286:Health Planning Councils; D006801:Humans; D007324:Institutional Management Teams; D007400:Interprofessional Relations; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D011320:Primary Health Care / Q000458:organization & administration* / Q000592:standards; D011785:Quality Assurance, Health Care; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom