This interactive workshop will invite participants to consider the focus and modes of actions that might result in optimal physical health outcomes for people living with mental illness. Based on his experiences and leadership of local, state and national reform initiatives, John will reflect on mental health reforms in the past that have shown the “best return on investment” and skills or success factors required. This workshop will then develop focus areas for reform such as education, consumer empowerment, health service standards, and service development. The groups will then workshop action areas most likely represent best value for money for improving the physical health of people living with mental illness, both in the short-term and long-term. The participants will also consider how these action insights might be applied to their current role and context.