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Service innovation: psychiatrists on call – the community at night

  • Laurence Mynors-Wallis (a1) and Denise Cope (a2)
Extract

There have been significant changes in the provision of medical care in hospitals at night. The initial catalyst for this was the New Deal for Junior Doctors but more recently the European Working Time Directive requiring doctors' hours to be reduced to 56 in 2002 and to 48 by 2009. The reduced availability of junior doctors in hospitals at night has had a range of implications, including the necessity to train other health professionals to do work previously undertaken by doctors and a reduction in the number of specialist doctors available out of hours. The expectation is that staff in the hospital at night will be equipped to deal appropriately and safely with emergency work across specialties, rather than each specialty covering their own 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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Department of Health (2001) Valuing People: A New Strategy for Learning Disability for the 21st Century. Department of Health.
Department of Health (2005a) The Implementation and Impact of Hospital at Night Pilot Projects: An Evaluation Report. Department of Health. http://www.dh.gov.uk/assetRoot/04/11/79/69/04117969.pdf
Department of Health (2005b) New Ways of Working for Psychiatrists: Enhancing Effective Person Centred Services Through New Ways of Working in Multidisciplinary and Multiagency Contexts. Department of Health. http://www.dh.gov.uk/assetRoot/04/12/23/43/04122343.pdf
Royal College of Psychiatrists (2004) Good Psychiatric Practice (2nd edn) (Council Report CR125). Royal College of Psychiatrists.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Service innovation: psychiatrists on call – the community at night

  • Laurence Mynors-Wallis (a1) and Denise Cope (a2)
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