Warning

This section covers what needs to be considered within local areas to align activity and priorities with strategies and change occurring within the health and care system.

What wider system interfaces exist?

Consider the below:

  • How does this work connect with local public health work programmes? Such as:
    • anti-stigma campaigns
    • social capital projects
    • place-based approaches

How does this work connect with other standards in your locality? 

Such as:

  • MAT Standards
  • Core Mental Health Standards
  • Other local priorities e.g. integrated care pathways for particular conditions

How does this work connect with other areas of improvement, redesign and transformation in your health and care systems?

Such as:

  • Quality Improvement projects
  • Service development through Significant Adverse Event Reviews processes

What commissioning processes exist to support this?

  • Have you incorporated Ethical Commissioning principles into the planning and commissioning of mental health and substance use services?
  • What shared accountability exists for outcomes across commissioning bodies?
  • What commissioning approaches and mechanisms will be used to support your local protocol?
  • Have you built engagement into commissioning practices to learn from those who deliver and use services?
Find out more about Whole system planning and delivery. You will find detailed examples of the above and how this could look in practice.

Editorial Information

Last reviewed: 28/11/2025

Next review date: 27/11/2026

Author(s): The Mental Health and Substance Use Protocol Programme Team.

Version: v1.0