Integrated solutions should not be provided at the expense of reduced participation of statutory sector

EDITOR—An overview by experts in the field reasoning for and recommending the better quality and delivery of care to a substantial population is greatly to be welcomed.1 We need a person centred, whole system approach, with medical management being but a part of the best practice “prescription.” Early intervention and active management work for every other condition known to man and prevent the long term complications of potentially recurrent or chronic ill health, whether it be asthma, diabetes, hypertension, or depression. The cerebral dysfunction associated with depression (which is far more than a mood disorder) produces lost quality of life, disability, comorbidity, and somatisation—all of which cost the health, social, and employers' budgets billions of pounds a year and place a huge burden of work on practitioners of primary healthcare and social care.

The …