This paper reports on a study in two NHS mental health trusts in England in 2008-2009. Data were collected from staff, service users and carers to inform service and workforce developments. The findings were reported relate to service users and carers and concur with staff views. They relate to modernisation of services, the challenges of a multiplicity of stakeholders and organisations, as well as the need to involve users and carers in developments. The findings resonate with national and local policy with a move away from traditional psychiatric care to integrated person-centred community care with a focus on recovery, rehabilitation and self care.