the main measurement instrument the adult mental health benchmarking toolkit presents performance indicators in a scorecard format combining structural process and outcome indicators mildtomoderate disorders such as depression and anxiety are typically understood not to require highly specialised treatments delivered by psychiatrists or in inpatient settings in the vast majority of cases rather they require strong primary and community care even though primary care is overwhelmingly the first point of call for individuals experiencing mental distress pcps do not always have the right skills and treatment options to effectively respond to need