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NHS psychiatry: the need for constructive debate. Invited commentary on … The trouble with NHS psychiatry in England

  • Chris Hawley (a1), Lynne Drummond (a2) and Jackie Knight (a3)
Summary

Two recent articles, ‘The trouble with NHS psychiatry in England’ and ‘Wake-up call for British psychiatry’ have levelled severe criticisms against the NHS provider systems for people with mental disorders. In response, we argue that such severe criticisms are not fully justified. We propose that there are six areas for debate: ideological matters, policy intentions, empirical questions, operational issues and professional activities. Under this simple six-point taxonomy it might be possible to have a more sophisticated debate about how all parties should work together to achieve the best outcomes for patients.

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Copyright
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.
References
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1 St John-Smith, P, McQueen, D, Michael, A, Ikkos, G, Denman, C, Maier, M, et al. The trouble with NHS psychiatry in England. Psychiatr Bull 2009; 33, 219–25.
2 Craddock, N, Antebi, D, Attenburrow, MJ, Bailey, A, Carson, A, Cowen, P, et al. Wake-up call for British psychiatry. Br J Psychiatry 2008; 193: 69.
3 Department of Health. NHS Hospital and Community Health Service Non-Medical Workforce Census, England, at 30 Sep 1997, 1999, 2004. Department of Health, 2007.
4 Department of Health. NHS Hospital, Public Health Medicine and Community Health Service Medical and Dental Workforce Census, England, at 30 Sep 1997, 1999, 2004. Department of Health, 2007.
5 Grub, J. Have targets done more harm than good in the English NHS? Yes. BMJ 2009; 338: a3130.
6 Bevan, G. Have targets done more harm than good in the English NHS? No. BMJ 2009; 338: a3129.
7 Department of Health. New Ways of Working for Psychiatrists: Enhancing Effective, Person-Centred Services through New Ways of Working in Multidisciplinary and Multi-agency Contexts. Department of Health, 2005 (http://www.dh.gov.uk/assetRoot/04/12/23/43/04122343.pdf).
8 Coulshed, V. Social Work Practice: An Introduction. Macmillan Education, 1998.
9 National Audit Office. Helping People through Mental Health Crisis: the Role of Crisis Resolution and Home Treatment Services. TSO (The Stationery Office), 2007.
10 British Medical Association. The Role of the Doctor: Building on the Past, Looking to the Future. BMA Health Policy and Economic Research Unit, 2008.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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NHS psychiatry: the need for constructive debate. Invited commentary on … The trouble with NHS psychiatry in England

  • Chris Hawley (a1), Lynne Drummond (a2) and Jackie Knight (a3)
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