Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
Health is Health, and in an individual's life at different times they may need a changing balance of bio-psycho-social dimensions of healthcare.
NHS England and local clinical commissioners need to show "parity of esteem" across mental and physical health needs in terms of the way they value mental wellbeing. That means planning, funding and monitoring services across the lifecourse.
The under-valuing of good mental health is now most grave across childhood and adolescence. Urgent demands to address pervasive gaps are found in the REPORT OF THE CHILDREN AND YOUNG PEOPLE’S HEALTH OUTCOMES FORUM 2013/14:
"That the Forum receives a clear explanation about the accountability structures for Clinical Commissioning Groups – and how local concerns are identified and addressed. In mental health; the lack of joined up services and disinvestment in early help services is leading to an increasing gap in parity between physical and mental health services. A strategy leading on children’s mental health services is now urgently required."