The survey sample in 2000 comprised 64 managers in the most senior post responsible for mental health services in health authorities, local authority social services departments and NHS trusts in London.

The questionnaire was distributed to managers in July and follow-up interviews were held during August and October.Thirty managers,47 per cent of the sample, returned questionnaires in 2000 and 10 managers were interviewed.The median age was 46-55.

There was on average one person between the respondent and the chief executive of their organisation.Most respondents gave 70 per cent or more of their time to mental health.

Respondents were asked to rank the five most important policy drivers at national level, the five most important local influences and the top five priorities for implementation.

The survey also asked about managers'background, workload, length of tenure in their present job and relationships with other organisations.