Schizophrenia costs were approximately GBP 6.7 billion in England in 2004-05. For more details on IAPT, see section 4.1. The vast majority of mental health care and other health services, with the exception of fixed co-payments on prescriptions, is received free at the point of use and paid for by either the NHS or Local Authorities. The independent English health charity The King’s Fund has estimated the direct costs of mental illness across the population in England at GBP 22.5 billion a year (McCrone et al., Evidence shows that approximately 30% of people living with a long-term physical health condition also have co-morbid mental health problems (Cimpean and Drake 2011). International studies suggest that co-morbid mental health problems increase the cost of care for long-term conditions by at least 45% (OECD, 2014) and go uncounted in the estimation of the NHS mental health spending.