The concept of 'choice' in mental health still has some way to go, commentators have warned.

Acting director of health and social care at the Office for Public Management Dr Sarah Harvey said that work she had done recently with mental health and learning disability service users showed they did not often realise what choice could mean for them.

'One user told me that choice to them meant being able to get two pieces of toast at breakfast in the morning, ' she said.

Speaking at a session at the NHS Confederation annual conference, Dr Harvey said that lack of resources for 'talking therapies' was a concern.

Director of healthcare services at the Priory Group Professor Chris Thompson said mental health was often left out of initiatives such as choose and book because it was often seen as a 'special service'.