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So that's why core work isn't defined

You reported a study by Dr Jed Boardman (News, October 11) that found one in four consulters with a GP had mental health problems. This concurs with other previous studies.

Only 28 per cent were receiving optimum treatment for their problem. This begs the question as to what that 'optimum' might exactly consist of, with depression and anxiety being 'by far the most common problems' and with no mechanism within the Q&O framework even to address them.

Apparently there was no evidence for what works. Mental health, as we all know, is defined as being synonymous with mental illness in nGMS and distils down into 'severe and enduring mental illnesses', which does not even include the most common and enduring mental ill-health problems in general practice.

What I want to know is when the hell are we going to see an end to the seemingly endless perturbatory pursuits of researching, scoping, mapping and defining of core competencies and some real money being made available to deliver evidence-based effective development and training to skill people up in the latest methods for dealing with the brain and the psychological agendas riven through nearly every consultation?

Dr Chris Manning, Chief Executive

Primary Care Mental

Health and Education

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