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dc.contributor.authorLaugharne, R
dc.contributor.authorThompson, M
dc.contributor.authorSrivastava, A
dc.contributor.authorMarlow, S
dc.contributor.authorShankar, R
dc.date.accessioned2021-05-23T10:49:48Z
dc.date.available2021-05-23T10:49:48Z
dc.date.issued2018-12
dc.identifier.issn2056-4694
dc.identifier.issn2056-4708
dc.identifier.urihttp://hdl.handle.net/10026.1/17193
dc.description.abstract

<jats:p>Mental health services in the UK National Health Service have evolved to include primary-care generalist, secondary-care generalist and secondary-care specialist services. We argue that there continues to be an important role for the secondary-care generalists as they minimise interfaces, can live with diagnostic uncertainty and support continuity of care. The lack of commissioning and clinical boundaries in secondary-care generalist services can undermine their feasibility, leading to difficulties recruiting and retaining staff. There is a risk of a polo-mint service, where the specialist services on the edge are well resourced, but the secondary-care generalist services taking the greatest burden struggle to recruit and retain clinicians. We need to establish equity in resources and expectations between generalist and specialist mental health services.</jats:p><jats:sec id="S2056469418000529_sec_a1"><jats:title>Declaration of interest</jats:title><jats:p>None.</jats:p></jats:sec>

dc.format.extent229-232
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoeng
dc.publisherRoyal College of Psychiatrists
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject4203 Health Services and Systems
dc.subject42 Health Sciences
dc.subjectHealth Services
dc.subjectClinical Research
dc.subjectMental Health
dc.subject8 Health and social care services research
dc.subject8.1 Organisation and delivery of services
dc.subjectMental health
dc.subject3 Good Health and Well Being
dc.titleGetting a balance between generalisation and specialisation in mental health services: a defence of general services
dc.typejournal-article
dc.typeEditorial Material
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/30012234
plymouth.issue6
plymouth.volume42
plymouth.publisher-urlhttp://dx.doi.org/10.1192/bjb.2018.52
plymouth.publication-statusPublished
plymouth.journalBJPsych Bulletin
dc.identifier.doi10.1192/bjb.2018.52
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Users by role
dc.publisher.placeEngland
dc.identifier.eissn2056-4708
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1192/bjb.2018.52
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.typeJournal Article/Review


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