Values and principles

We protect and support carers with the values and principles adopted in our implementation of the CPA and LPC for mental health services.

We abide by the following values and principles in our implementation of the Care Programme Approach (CPA) and Lead Professional Care (LPC) for mental health services:


Work must aim to maximise safety and wellbeing (mental and physical), promote recovery and minimise harm. People must be supported to decide what recovery means for them and to work towards it.

Personalisation and respect

People must be seen as persons first and patients/service users second. Diversity must be valued, promoting equalities, independence, control, self-directed care and social inclusion. 


Service users and carers must be supported to work in partnership wherever practicable, promoting involvement, participation, engagement and continuity of care.

Proportionality and least restriction

Types and levels of support offered must be proportionate to identified needs and must follow the least restrictive option practicable in the circumstances


Staff, service users and carers must work to maintain safety, balanced by positive risk taking to achieve goals and promote independence.

Therapeutic focus

The CPA process must be based on day-to-day working relationships, not periodic formal meetings.

Carer support

Carers’ contributions must be recognised, they must be involved wherever practicable and their own needs as carers must be supported.


Consideration must be given to the needs of any family, carers, dependents and/or children involved, including children the service user may be in contact with outside their immediate family.

Mental capacity

Service users and carers must have any support they need to understand their situations and make their own care and support decisions, including using advocates and interpreters (where needed). If Mental Capacity Act best interests arrangements are needed they must be fully incorporated in the CPA process.

Teamworking and continuity

A teamwork approach, building care teams across professional and agency boundaries, must be a central part of the CPA process. If service users move between levels of care or service lines there must be continuity of support.

Outcome focus

Progress and the effectiveness of interventions and services must be monitored and evaluated.


Urgent action must not be obstructed or delayed where it is necessary to ensure safety or the effective provision of services. These must take priority if there is any conflict with procedural arrangements.

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