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London's liaison psychiatry services: survey of service provision

  • Smitha Naidu (a1), Jim Bolton (a2) (a3) and Jared Smith (a3)
Abstract
Aims and method

To describe the liaison psychiatry services of all 30 general hospitals in Greater London and to determine whether services met national recommendations. The results were compared with a similar survey conducted 8 years previously to determine whether there had been significant service development.

Results

We identified wide variations in service provision across London. Fifteen hospitals (50%) had 24-hour services and one had no service. There had been a significant increase in services that assessed older adults. Increases in the size of teams and consultant psychiatry staff were not significant.

Clinical implications

Despite an increasing emphasis on the effectiveness of liaison psychiatry services, no London hospital had staffing levels consistent with national recommendations. Recent evidence for the cost-effectiveness of liaison psychiatry and an emphasis on parity between physical and mental health in National Health Service policy may provide further impetus for growth.

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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 Jim Bolton (jim.bolton@swlstg-tr.nhs.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Joint Commissioning Panel for Mental Health. Guidance for Commissioners of Liaison Mental Health Services to Acute Hospitals. JCPMH, 2012.
2 Royal College of Psychiatrists. Liaison Psychiatry for Every Acute Hospital: Integrated Mental and Physical Healthcare (College Report CR183). Royal College of Psychiatrists, 2013.
3 Sharpe, M. Psychological medicine and the future of psychiatry. Br J Psychiatry 2014; 204: 91–2.
4 NHS Confederation. Health Body, Healthy Mind: How Liaison Psychiatry Services can Transform Quality and Productivity in Acute Settings. NHS Confederation, 2009.
5 Parsonage, M, Fossey, M. Economic Evaluation of a Liaison Psychiatry Service. The Centre for Mental Health, 2011.
6 Academy of Medical Royal Colleges. No Health Without Mental Health: The ALERT Summary Report. Academy of Medical Royal Colleges, 2009.
7 Royal College of Psychiatrists. Who Cares Wins. Improving the Outcome for Older People Admitted to the General Hospital: Guidelines for the Development of Liaison Mental Health Services for Older People. Royal College of Psychiatrists, 2005.
8 Care Services Improvement Partnership. Everybody's Business. Integrated Mental Health Services for Older Adults: A Service Development Guide. CSIP, 2005.
9 Aitken, P. Mental Health Policy Implementation Guide: Liaison Psychiatry and Psychological Medicine in the General Hospital. Royal College of Psychiatrists, 2007.
10 Kewley, T, Bolton, J. A survey of liaison psychiatry services in general hospitals and accident and emergency departments: do we have the balance right? Psychiatr Bull 2006; 30: 260–3.
11 Howe, A, Hendry, J, Potokar, J. A survey of liaison psychiatry services in the south-west of England. Psychiatr Bull 2003: 27; 90–2.
12 Sakhuja, DIY, Bisson, JI. Liaison psychiatry services in Wales. Psychiatr Bull 2008; 32: 134–6.
13 Gordon, J, Wolf, S. Liaison psychiatry services in south England. Psychiatrist 2010; 34: 270–3.
14 Fagerland, MW, Lydersen, S, Laake, P. The McNemar test for binary matched-pairs data: mid-p and asymptotic are better than exact conditional. BMC Med Res Methodol 2013; 13: 91.
15 Royal College of Psychiatrists' Faculty of Liaison Psychiatry. Liaison Psychiatry and the Management of Long-Term Conditions and Medically Unexplained Symptoms (Faculty Report FR/LP/1). Royal College of Psychiatrists, 2012.
16 Parsonage, M, Fossey, M, Tutty, C. Liaison Psychiatry in the Modern NHS. Centre for Mental Health, 2012.
17 Department of Health. The Mandate. A Mandate from the Government to NHS England: April 2014 to March 2015. Department of Health, 2013.
18 Royal College of Psychiatrists. Whole-Person Care: From Rhetoric to Reality. Achieving Parity between Mental and Physical Health. Summary. Royal Cof Psychiatrists, 2013.
19 Aitken, P, Robens, S, Emmens, T. Guidance for Commissioning Liaison Psychiatry Services: A Summary for Commissioners. Strategic Clinical Network for Mental Health, Dementia and Neurological Conditions South West, 2013.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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London's liaison psychiatry services: survey of service provision

  • Smitha Naidu (a1), Jim Bolton (a2) (a3) and Jared Smith (a3)
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