They are not good enough for a country of our size and wealth.
If you spoke to anyone who has any experience of working in mental health services, or anyone who has used them, they usually say that this is not news and has been like this for many many years. Certainly, I was keenly aware of all the problems when I was a Jobbing Doctor, so much so that we tried to treat as much in house as we could, as the opinions and back-up for our mental health patients were patchy, mostly bad.
As an example, I used to use a treatment called Lithium to help with patients with severe bipolar disease: these I started and monitored in primary care, as I felt I had the experience and knowledge to do so. I would have preferred to have these done in secondary care, but the resources were not there to give a good service to my patients.
Who is responsible for the poor quality of mental health services? Is it the public (with their blinkered attitude to mental health)? Is it the front line workers (who are not good enough or plentiful enough)? Or is it the politicians (with their squeeze on funding, and pointless reorganisations)?
I know who I blame: but no-one will take any responsibility for this.
So I give this piece of advice: fund the front line properly, treat the professionals as professionals, and allow them to do the job they want to do.
Is that so hard?