ABSTRACT
Service Framework for Mental Health
(Department of Health, 1999) was partly
underpinned by concerns about cost-
effectiveness.
Over time, of course, such awareness has
continued to grow, although so too has the
realization that it should not be cost that
drives macro or micro decision-making, but
cost-effectiveness. That is, the health-care
system needs to achieve a good balance
between the resources it uses (the costs) and
the outcomes it achieves (the effectiveness).