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Are they in or out? Commentary on … The College and the independent sector

  • Sheila Hollins (a1)
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Sugarman, P. & Nimmagadda, S. R. (2007) The College and the independent sector. Psychiatric Bulletin, 31, 404406.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Are they in or out? Commentary on … The College and the independent sector

  • Sheila Hollins (a1)
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eLetters

The Royal College and the Independent sector

Joseph El-Khoury, ST4 in General Adult Psychiatry
09 November 2007

Dear Sir,

We read with interest the debate on the turbulent relationship between the independent sector and the College (Sugarman & Nimmagadda 2007) (Hollins 2007). We recently attended a seminar organised by one of the leading independent providers and strongly recommend the experience toother senior Psychiatric trainees. We learned facts and numbers which confirm that this sector has grown tremendously since the 1980s and currently plays a significant role in providing specialist care in areas such as Forensic services and Psychiatry of Learning disabilities. The trend appears set to continue and include more mainstream services with the blessing of Her Majesty’s government. Prof Hollins is correct to pointout that in the near future many CCT holders might turn to the independentsector for job satisfaction, while for others this move might be compulsory. In practice, their professional environment might be similar to their current one since many foundations Trusts are adopting managementstyles and policies associated with private institutions. The NHS will need to shift from the mentality of a monopoly state employer and provide better incentives in order to compete for highly motivated and skilled individuals. Future consultants choosing other paths for self-fulfilment should not be viewed as a betrayal or a dereliction of duty. Since the trend appears irreversible, the College should be more proactive in embracing, monitoring and guiding independent practitioners. It should also help trainees gain exposure to the reality of working in this sector through expanding already available training opportunities in private hospitals.

References

SUGARMAN, P. &NIMMAGADDA, S.R. (2007) The College and the Independentsector. Psychiatric Bulletin, 31,404-406

HOLLINS, S. (2007) Are they in or out? Commentary on…the College and the Independent sector Psychiatric Bulletin, 31,407

Dr Joseph E-Khoury Specialist Trainee in Psychiatry (4) Berkshire Healthcare Foundation NHS Trust, Mental Health Unit, Heatherwood Hospital,Ascot SL5 8AA, email: Joelkhoury@yahoo.com

Dr Bhanu Gupta Specialist Registrar in Psychiatry Leeds Partnerships NHS foundation Trust, ,Newsam Centre Seecroft Hospital Leeds LS14 6WB

Declaration of Interest: None
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Conflict of interest: None Declared

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