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A same-day open access model would mean that anyone seeking help can easily access a conversation with a professional who takes time to understand their individual needs and circumstances.
This initial conversation makes people feel seen and heard. It also makes it easier to find the best combination of support that will make the biggest difference to their mental health. That might be clinical support such as therapy or medication, peer support in their local community, or practical support such as help with housing or employment issues.
Properly identifying a person’s needs early on shortens waiting lists because it avoids people being bounced between services or being offered support that doesn’t actually work for them.
This isn’t a pipedream. In places where this approach has already been tested, mental health has improved and waiting times have fallen. Now we need to see same-day open access rolled out across the system, across England and for people with all different levels of need.
To start this shift, the UK government needs to take five key steps:
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Commit to a transition towards same-day open access in the upcoming 10-year mental health strategy for England
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Build on the implementation of same-day open access in Wales
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Start to measure what matters for high-quality mental health care
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Put in place the resources required to make the shift
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Position mental health within a wider model of neighbourhood health