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Some PCTs are also providing mental health services, at odds with the policy of being commissioners only. PCTs are trying different models for mental health services, raising provision and care pathway issues. One compromise could be to put the provider at arm's length within the organisation.

一些初级保健信托机构也在提供心理健康服务，这与仅作为委托方的政策相悖。初级保健信托机构正在尝试不同的心理健康服务模式，引发了服务提供和护理路径方面的问题。一种折中的办法可能是让提供者在组织内部保持一定距离。