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Parity of esteem

What is the programme and its aims?

Parity of esteem values the equality of mental health with physical health.

Our aim is to support local providers and commissioners to achieve improved health outcomes for patients with serious mental illness and to reduce premature mortality. To this end we aim to help ensure that all people with serious mental illness, irrespective of where they live or their condition, have access to high quality services that are able to meet their physical health needs.

Why is the programme required?

Significant inequalities exist between physical and mental health care. People with poor mental health are more likely to have poor physical health. This relationship is stronger the more severe the mental illness.

People with a serious mental illness are known to die 15-20 years younger than the general population. They are at an increased risk of developing long term physical health conditions including obesity, diabetes, cardiovascular and respiratory disease.

We began work on a parity of esteem programme in April 2015 to ensure that patients get the same access to services, no matter where they live in the East Midlands.

Who are the partners?

• Clinical commissioning groups
• Mental health trusts
• Health and well-being boards
• Local authority organisations
• Health Education East Midlands
• East Midlands Academic Health Science Network
• East Midlands Clinical Research Network (NIHR)
• Public Health England East Midlands
• East Midlands Leadership Academy


How are we making a difference?


The East Midlands Parity of Esteem Network and Steering Group

We established an East Midlands wide network of GP leads in mental health, clinical commissioning groups, public health, health and well-being boards, secondary care clinical representatives, voluntary sector, local authorities, patient representatives and mental health commissioners. The network has allowed us to identify what is currently being commissioned and provided and to establish a network of expertise across the region.

Learning Exchange Events occur bimonthly and the venue rotates through each county of the region. Access the presentations via the below link.

Click here for further information on Parity of Esteem Steering Group


Parity of Esteem Innovation Pilots

In order to reduce the disparity in health outcomes for people with serious mental illness, we are supporting five innovation projects across the East Midlands where commissioners and providers are developing new models of care to improve access and engagement with services and providing ongoing support and monitoring of health needs. The projects were presented at a Innovation Conference in April 2016. These projects have been subject to a full evaluation by our Quality Improvement Lead.

Click here for further information on Innovation Projects


The East Midlands Parity of Esteem Conference in May 2016 brought together over 100 people. The guest speaker was Geraldine Strathdee, the National Clinical Director for Mental Health 2013-16. Best national and Regional Practice was shared as well as showcasing the region’s innovation project.

Click here for further information.


Parity of Esteem: Overview and Report; Improving the Physical Health of People with Serious Mental Illness in the East Midlands written by Dr Sohrab Panday; EMCN clinical lead for parity of esteem.

This comprehensive report provides an overview of the problem and the evolution of the drive to achieve Parity of Esteem. There is a detailed description of the disparity as well of the national drivers towards achieving parity of esteem.

The evidence base for effective interventions is explored supported with a literature review. It brings together a catalogue of both national and regional best practice exemplars.

The report addresses the challenges ahead within the system changes in health and social care as identified by the NHS England's 5 year forward view for mental health.

pdfParity of esteem report


Infographic Support for Commissioners

The network has worked hard to bring together key data and put it into infographic form to illustrate powerfully the key components of the challenge. The data is current verifiable and provided for each CCG, the East Midlands and England. It includes smoking, physical long term conditions prevalence, health checks in general practices and acute hospital admission rates.

Click here for CCG and East Midlands Infographics

pdfDefinitions and Data Sources for Severe Mental Illness Analysis


Additional Resources

Click here for Parity of esteem additional resources


Who to contact for further information?

This email address is being protected from spambots. You need JavaScript enabled to view it.,
Network Quality Improvement Coordinator

Sohrab Panday, Clinical Lead