Abstract

A method for estimating the psychiatric manpower needs of a district has been described in the Bulletin (Watson, 1986), and while the data presented in that article were for general psychiatry the approach to this issue can be modified for specialist services.

Highlights

  • In this report estimates of time required for items of medical activity in the psychiatry of mental handi cap were gathered from 13 consultants, including members of the Mental Handicap Executive Com mittee

  • To gather this opinion a questionnaire was devised defining a number of medical activities. These fell broadly into: (a) activities springing directly from patient contact, e.g. in-patients, out-patients, day-patients (b) indirect clinical time, e.g. regular clinical discussion with other professionals, ward rounds and case conferences (c) time spent on non-clinical activity, e.g. administration, management, teaching

  • The activities around direct patient contact were split into face to face contact and work immediately generated by this, e.g. letters, phone calls, meeting direct care staff/parents

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Summary

Introduction

In this report estimates of time required for items of medical activity in the psychiatry of mental handi cap were gathered from 13 consultants, including members of the Mental Handicap Executive Com mittee. Total medical time: The data from Table II produce a median estimated service with a catchment population of 200,000, 120 in-patient beds, seven day-patients, five new out-patients and 23 old out-patients a month. The routine medical time required excluding admissions and emergencies is estimated as: Direct patient activity Indirect patient activity Non clinical activity

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