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Diversity and choice in mental healthcare: Commentary on … Cooperation or competition?

  • Philip Sugarman (a1)
Summary

Independent sector psychiatrists believe that they work hard for the benefit of vulnerable people. Differences between them and National Health Service colleagues are not clear cut in terms of motivation or quality of care. However, unfair generalisations are made about the diverse ‘private sector’, with selective comparison such as with the worst of US healthcare. Although there are many examples of excellence in the UK state, commercial and charity sectors, global economic changes are bringing risk of care failures from which no area can be immune. We should all be working together to protect our patients from the mistakes of others.

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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.
Corresponding author
Philip Sugarman (psugarman@standrew.co.uk)
Footnotes
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*

See Editorial, pp. 441–443, this issue.

Declaration of interest

St Andrew's Healthcare is a charity providing specialist services to the National Health Service.

Footnotes
References
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1 Stewart, AG. The NHS, the private sector and the future. Psychiatrist 2011; 35: 354.
2 Royal College of General Practitioners. The Government Health Reforms: An Analysis of the Need for Clarification and Change. RCGP, 2011.
3 Santry, C. Lansley's ‘over-managed’ NHS claim undermined by analysis. Health Serv J 2011; 21 July.
4 Sugarman, P, Kakabadse, A. Governance, choice and the global market for mental health. Int Psychiatry 2011; 8: 53–4.
5 Bernadt, M. The English market model is not fit for export. Int Psychiatry 2011; 8: 55–6.
6 World Health Organization. The World Health Report. Health Systems Financing: The Path to Universal Coverage. WHO, 2010.
7 World Health Organization. The World Health Report 2000. Health Systems: Improving Performance. WHO, 2000.
8 Sugarman, P, Walker, L, Dickens, G. Managing outcome performance in mental health using HoNOS: experience at St Andrew's Healthcare. Psychiatr Bull 2009; 33: 285–8.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Diversity and choice in mental healthcare: Commentary on … Cooperation or competition?

  • Philip Sugarman (a1)
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