A damning report examining mental health services run by Highlands primary care trust says a 'constant demand for change has paradoxically led to a stagnation of the services'. The Scottish Health Advisory Service report highlights 'a significant lack of shared vision' which has hindered the implementation of the local framework for mental health guidelines. It suggests that the current situation is rooted in 'longstanding problems in service organisation and management'. Highland PCT was created in April 1999, bringing together services previously run by Highland Community trust and community services from Caithness and Sutherland. A spokesperson for the trust said it had been through a very 'complex period of change' but was looking forward to the future.

Highland Mental Health Services. Scottish Health Advisory Service, Elliott House, 8-10 Hillside Crescent, Edinburgh, EH7 5EA. Free.