No Voice, No Choice Report
This Healthcare Commission report looked at specialist community mental healthcare services for adults of working age in 2005/06. Service users were asked what they thought about the care they receive and they also looked at whether the services were helping people to recover and become part of their local communities again.

All 174 Local Implementation Teams (LITs) in England were assessed. These teams represent all those involved in local mental health services; they are responsible or planning and commissioning community mental health services for a defined area.

Quote:
A further concern was raised about the inconsistency of implementation of the CPA, which is a key finding of our review. We found considerable variation in the implementation of the CPA across the 174 LITs that we assessed. (No voice, no choice — page 7)

Below is a summary of the scored assessment framework: