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Are psychiatrists only fools and horses to be open all hours?

  • Gary Wannan (a1) and M. E. Jan Wise (a1)
Summary

The UK government's proposal for 24-hour healthcare means effectively asking doctors to work more unsociable hours for relatively little financial gain. In our opinion, psychiatry is particularly vulnerable to deterioration owing to negotiations of the terms of the current Consultant Contract that ensures fewer antisocial hours, whereas without parallel appropriate internal team and intra-agency working, provisions for which are not included in the government's proposals to extend care, patient care is vulnerable. Clarification and a narrower redefinition of what constitutes a psychiatric emergency is called for.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Gary Wannan (gary.wannan@nhs.net)
Footnotes
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Declaration of interest

G.W. and M.E.J.W. are members of the BMA Consultants Committee, but the views expressed here are their own.

Footnotes
References
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1 National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. Annual Report 2014: England, Northern Ireland, Scotland and Wales. University of Manchester, 2014.
2 Wise, MEJ. Le novel état nounou [The new nanny state]. In Consentement et Contrainte dans le soin en Psychiatrie (eds Pascal, J-C, Hanon, C): 269–97. Doin, 2014.
3 Nicholson, D. The Year: NHS Chief Executive's Annual Report 2008/09. Department of Health, 2009.
4 Duggan, S, Edwards, J, Dalton, S, Farmer, P, Winstanley, M, Bailey, S. Risks of deep cuts in mental health funds (letter)? Guardian 2014, 12 March (http://www.theguardian.com/society/2014/mar/12/risksdeep-cuts-mental-health).
5 Templeton, S-K. Victory for Sunday Times on weekend NHS care? Sunday Times 2013, 15 December (http://www.thesundaytimes.co.uk/sto/news/uk_news/Health/article1352946.ece).
6 NHS Improving Quality, NHS England. NHS Services – Open Seven Days a Week: Every Day Counts. NHS Improving Quality, 2013.
7 Lindsay, R, O'Reilly, A, Varey, D. Managing NHS Hospital Consultants: Findings from the NAO Survey of NHS Consultants. National Audit Office, 2013 (http://www.nao.org.uk/wp-content/uploads/2013/03/survey_findings-hospital-consultants.pdf).
8 NHS Employers. Terms and Conditions – Consultants (England) 2003, version 9. NHS Employers, 2013.
9 Covey, S, Merrill, AR, Merrill, RR. First Things First: To Live, to Love, to Learn, to Leave a Legacy. Simon and Schuster, 1994.
10 General Medical Council. Good Medical Practice. GMC, 2013.
11 Bisgaard, P. Telepsychiatry: bringing experts to the bedside – the Greenland experience. Eur Psychiatry 2014; 29 (suppl 1): 1.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Are psychiatrists only fools and horses to be open all hours?

  • Gary Wannan (a1) and M. E. Jan Wise (a1)
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