a focus on health outcomes started in with the government strategy health of the nation department of health a which built on the earlier who document health for all by the year mental illness was included as a key part of this strategy which set targets to reduce morbidity and mortality due to mental illness and was followed by implementation strategies in the mental illness key area handbooks department of health department of health see also jenkins building bridges department of health set out the vision for intersector liaison around mental health and the spectrum of care department of health set out the range of services and interventions envisaged as part of local services for mentally ill people the quality outcomes framework qof was introduced in alongside pbr as a performance management and incentive payment scheme for general practitioners gps in england and includes mental health care indicators see section