Abstract

I was struck by Rebecca Mason's claim ( Psychiatric Bulletin , October 2003, 27 , 394-395) that, in 1981, she was involved in one of the first pre-registration house officer posts in psychiatry in this country. In fact, in 1960, at the Sefton General Hospital in Liverpool, I held the post of pre-

Highlights

  • The Royal College of Psychiatrists’ Scoping Group on the Roles and Values of Psychiatrists has initiated five main strands of exploration or ‘action research’

  • Harrison & Bruce-Jones sidestep key questions - who should pay for this? and who should be penalised if the targets are not met? Our experience in inner-London leads us to doubt that enhanced community psychiatry will impact greatly on these problems

  • We suggest that it is vital for psychiatry as a whole to respond to the fundamental issues raised by the imposition of the 4-hour wait in A&E

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Summary

Reforming emergency care

Harrison & Bruce-Jones (Psychiatric Bulletin, July 2003 correspondence, 27, 276) have misrepresented much of our editorial (Psychiatric Bulletin, March 2003, 27, 81). We did not advocate ‘resistance’ to the 4-hour target, nor did we suggest that there is a correlation between the length of an assessment and its quality. Advocate a thorough and sensitive assessment of the patients’ difficulties and there are times when this will conflict with the need for the patient to have left the department within 4 hours. Our experience in inner-London leads us to doubt that enhanced community psychiatry will impact greatly on these problems. We suggest that it is vital for psychiatry as a whole to respond to the fundamental issues raised by the imposition of the 4-hour wait in A&E.

Using DVLA guidelines
Columns The College columns
Remedies for work overload of consultant psychiatrists
Introduction
The purpose of this paper
Findings
The role of the College

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