The pledge
Four changes. One signature.
We’re asking NHS commissioners and providers, mental health professionals, service users and carers, campaigners, researchers and local councillors to commit to four concrete changes. Add your name and we’ll count you in — and keep you updated as this moves through consultation.
Instructive
01
Treat dropout as a scrutiny issue, not a footnote
Dropout and attrition rates in NHS Talking Therapies should be reported, scrutinised, and acted on locally — not absorbed as an unremarkable feature of the model.
02
Disclose the role of AI and automation in therapeutic settings
Where automated systems are part of someone’s route into or through therapy, that should be stated plainly and open to public and clinical scrutiny — not introduced quietly.
03
Protect compassion and relational care within the model
Efficiency changes should be tested against whether they preserve genuine human connection between practitioner and service user, not just against cost and throughput.
04
Support diversification and community-led alternatives
Where the current model isn’t working for someone, there should be a genuine, funded alternative — including community-led mental health projects — rather than a single standardised pathway.
