Dr. Lise Hertel is the Mental Health Lead for Newham CCG. Her role includes overseeing the commissioning of mental health services, bringing a clinical perspective, designing new services, and liaising with providers and service users. Some of her key priorities are improving services for young people's mental health and using evidence-based practices. Important issues in mental health include parity of esteem with physical health, crisis care, neurodevelopmental disorders, dementia, and perinatal mental health. The future of outcomes-based care and payment by results models is uncertain.