Abstract
Many westernised countries have introduced Quality Assurance (QA) into their process of health care. The UK has lagged behind other countries and psychiatry has lagged behind other specialities.
Highlights
This survey was designed to have direct relevance to the local service
A number of GPs appeared to regard the previous system with nostalgia, presumably because patients were more readily admitted, less often dis charged, and caused fewer problems
The consistency of each judgement must be borne in mind both in terms of the survey itself and in comparison with other formal and informal mechanisms of feedback
Summary
Other districts with similar objectives may find the specific areas of difficulty of relevance. Most appear to be acceptable to GPs, responsiveness and full, clear collaboration may be hard to achieve. One principle which may need more thought is the un-hiearchical use of staff in a multidisciplinary team. It is unclear whether suspicion of non-medical disciplines results from uthnefaGmPil'siarviiteywpoorintr.efIlfecthtse rfeoarml edri,satdhvenanittagisesa pufrbolmic relations problem but if the latter, many services will need to re-evaluate their systems
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