Imagine you have the misfortune to be diagnosed with cancer. Perhaps you have already faced this devastating illness, experiencing first-hand the distress, fear and uncertainty that comes with it. A small comfort for many is that, under NHS waiting time standards, cancer patients have the right to fast access to the best possible evidence-based treatment – a right which is fiercely defended by politicians, the media and the public.
But now imagine you are told that you won’t be given the treatment you need. Services are under-funded and under-staffed to the point where the full package of care isn’t available. You are told that you will only receive a shortened chemotherapy cycle; that you can only have chemotherapy when what you need is a combined course of chemotherapy and radiotherapy; or even that you won’t receive the full package because you are over the age of 35.
In short, you won’t get the treatment that will dramatically improve your chances of recovery – the treatment that you should be guaranteed under standards of care enshrined in the NHS constitution.
This would never be tolerated in the NHS, and rightly so. Yet this is the reality for thousands of people with severe mental health problems, who are experiencing their first episode of psychosis but are being denied the standards of care they have the right to expect.
When the Liberal Democrats were in government, one of the most important steps we took towards achieving ‘parity of esteem’ in the NHS was the introduction of the first ever access and waiting time standards in mental health care. This included a guarantee that from April 2016, at least 50% of people with psychosis would receive a high-quality, NICE-approved approved package of care within two weeks of referral.