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<p>In general, mental health trusts use the Care Programme Approach (CPA), which is
a framework for people under the care of secondary mental health services at high
risk or with multiple, complex needs that require planning and co-ordination across
different services. Government guidance on the CPA published in 2008 recommends that
all patients placed on the CPA should receive a formal review at least every 12 months.
Many trusts operate a policy of at least six-monthly reviews.</p><p>In 2018/19, NHS
England is developing a new framework for adult non-specialist community mental health
services, which will set out updated recommendations on the co-ordination, planning
and reviewing of physical and mental health care.</p>
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