M ental I llness C oncerns A ll	A too premature closure is given to what was required for a full account of the illness story, the family situation, the general context and the pattern of behaviour prior to this mental illness. A quick acceptance of an amphetamine induced paranoia illness leads to satisfaction that it is now all over. The independent story of the strength of the family experience is never obtained on the ward, nor obtained by family social work, or put to the final review before discharge, and there is no chance for it to be a decisive influence in the conclusions of the admission observation. No time is given for a proper conclusion as to the degree of risk and nature of their exposure. Pressure on 'beds' is denied by the Report and by those in the professional service - yet the admission ward is 95% occupied and worse than this, because of occupied 'leave beds.' The discharge arrangements are closed off by the initial curtailed conclusion, led by a locum appointment, and confirmed by the returning Consultant without her giving herself the time to review all the circumstances for herself. The family cannot gain admission for their anxious reservations Neither the Care Programme Approach directives [ CPA :- needs assessment, care plan,key worker,review process ] nor a well known succesful risk assesment procedure present in the Trust , was in place where it mattered. A previous violent dangerous and recent attack on the spouse went without being sufficient weight. Seven years after its instigation from central NHS Executive the Care Programme Approach has not received its full multi-disciplinary practice. One year previously a previous local Homicide Inquiry ( Adams;Stemp December 1997 ) into the commission and delivery of these Leicester local mental health services had been heavily critical of its implementation. That Inquiry had thought, from the reply of the Leicester Health Authority, that its recommendations for at once putting those directives properly in place had been accepted as in process of urgent implementation. Homicide by those with mental illness is uncommon and comparitively unchanged in frequency. Management cannot be brought to account. And indifference does the rest. A mental health budget is around ten per cent of a Health Aurhority budget, and it often seems that this is the proportion of importance given to it. Inquiry Nolan;Hundleby Home Page	E-mail reaction is welcome mica@didgy.freeserve.co.uk