Care programme cuts under attack

Plans to reduce the number of people in the mental health system subject to the care programme approach have been criticised by a leading charity.

The Sainsbury Centre for Mental Health said the suggested abolition of standard level CPA was more about “how to parcel out resources” than meeting needs.

It added that proposals to allow local decisions to be made about the need for CPA could lead to a “postcode lottery”.

The charity was responding to a government consultation on the future of the CPA, which was introduced in 1990. It sets out arrangements for planning the needs of people accepted into specialist mental health services.

The Department of Health suggested reducing the two levels of the CPA to one, removing formal planning for those more able to manage their own problems.



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