Abstract
The College has described the White Paper, Working for Patients (Department of Health, 1989a), as “an artist's impression” (Royal College of Psychiatrists, 1989) with the lack of detail obscuring the full implications of the proposals. Some of this detail is now available in the form of a series of working papers. In fact these papers may raise more questions than they answer, and in some cases would seem to be inconsistent with pre-existing Government policy – especially that concerned with the care of the mentally ill in the community.
Highlights
In one of only two specific references to mental imllennetsasl.lyWiolrlkpienogpfoler Pisatoiennetsofsttahtees"th'caot rteh'esseerrvviicceesfotor which patients need guaranteed local access"
Far from clear to what extent this model can be extended to psychiatric services where acute care is inseparable from continuing care, where hospital based care is being transferred to the community and where the emphasis is on services that are both proxi mal and accessible to the local population (Royal College of Psychiatrists, 1988)
The problems that may arise in providing services for the local resident population are increased for that large group of psychiatric patients who drift from one area to another
Summary
In one of only two specific references to mental imllennetsasl.lyWiolrlkpienogpfoler Pisatoiennetsofsttahtees"th'caot rteh'esseerrvviicceesfotor which patients need guaranteed local access". For the psychiatric services this is a particular prob lem for hospitals in areas that attract the mentally ill from beyond their resident population. The problems that may arise in providing services for the local resident population are increased for that large group of psychiatric patients who drift from one area to another.
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