clear leadership from central authorities to provide a national consistent approach towards measuring quality in mental health was a key enabling factor in england patient level mental health data are collected in primary community and secondary care settings including process and outcomes measures for the service user these include for example data on hospital admissions for mental illness patient experiences with community mental health services access to psychological therapies and recovery rates and waiting times by contrast a national strategic approach to measuring quality in mental health care is still lacking in japan and korea oecd b f