Select committee: Health and Social Care Committee
Recommendation 9
4th Report - Community Mental Health Services
Published 2 Dec 2025
Addressed to Department of Health and Social Care
Health and Social Care Committee Community Mental Health Services All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Recommendation (the committee's words)
Delivering real change and achieving parity of esteem in mental health care requires dismantling the current fragmented system and reimagining service design and delivery. The 24/7 Neighbourhood Mental Health Centre 75 pilots seem to be genuinely transformative. The experience from Trieste, and early evidence from Barnsley Street, show that radically different, individualised, community-based care gets results. We also heard that the model shows possible cost savings for the wider system. Realising large- scale reform will depend on sustained and ringfenced investment to enable stretched Integrated Care Boards to take the action needed. This must be matched by a profound cultural shift across the system from clinicians to commissioners to government. (Conclusion, Paragraph 91)
From: Health and Social Care Committee, 4th Report - Community Mental Health Services (HC 566), 2 December 2025
Government response
The government responded to the whole report on 11 March 2026 (deadline 2 February 2026).
Summary written by Accountability Index from the government's response. It is not the government's own words.The government's response to the committee's report accepts some recommendations, partially accepts others and does not accept others, and sets out a wider programme of mental health reform.
- On a 24/7 neighbourhood centre in every community, the government "partially accepts", saying it "will look at the outcome of the pilots carefully" and will make available capital funding of £473 million over 4 years for new models.
- It does not accept the call for an independent evaluation of the Community Mental Health Framework, pointing to learning already shared by NHS England and to monitoring through the national mental health services dataset.
- It accepts the recommendation on the Modern Service Framework for severe mental illness, saying "we will confirm timelines for publication in due course".
- On legislating for the Mental Health Investment Standard, it partially accepts but says "We will not be making further legislative changes in relation to mental health spending at this time."