scholarly journals A personal view

1987 ◽  
Vol 11 (5) ◽  
pp. 156-157
Author(s):  
Paul Dedman
Keyword(s):  
Interest Group ◽  
Royal College ◽  
Psychiatric Morbidity ◽  
District General Hospital ◽  
Full Time ◽  
Personal View ◽  
Liaison Psychiatry ◽  
Ample Evidence ◽  
High Prevalence ◽  
Set Up

There is currently considerable interest in liaison psychiatry and recently a Royal College Special Interest Group has been set up in this field. Although few psychiatrists are employed full-time in this sub-speciality, it appears that much time is spent by psychiatrists in doing liaison work and this is likely to become more important with the increasing movement of psychiatrists into the District General Hospital (DGH). There is ample evidence to suggest that there is a high prevalence of psychiatric morbidity in a DGH population which can be seen as representing potential for expansion. However, there is no consensus as to the scope of liaison psychiatry, whether expansion would indeed be desirable and whether psychiatrists possess suitable skills for the job.

scholarly journals Liaison psychiatry in Scotland: the present service

1989 ◽  
Vol 13 (11) ◽  
pp. 606-608 ◽  
Author(s):  
Helen M. Anderson
Keyword(s):  
Interest Group ◽  
Royal College ◽  
Special Interest ◽  
Service Provision ◽  
Clinical Impact ◽  
Level Of Service ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Ongoing Research ◽  
Set Up

The term ‘liaison psychiatry’ is becoming increasingly popular. Indeed, the Royal College of Psychiatrists has set up a special interest group, the Liaison Psychiatry Group, which has a growing membership. There appear to be developments in training and in service provision but it is difficult to assess their clinical impact. Ongoing research is required to quantify the actual level of service provided to general hospitals.

scholarly journals Liaison psychiatry services in south England

2010 ◽  
Vol 34 (7) ◽  
pp. 270-273 ◽  
Author(s):  
Jackie Gordon ◽  
Sonia Wolf
Keyword(s):  
Royal College ◽  
Full Time ◽  
The South ◽  
Liaison Psychiatry ◽  
Hospital Size ◽  
Staffing Levels ◽  
The Past ◽  
Patient Groups ◽  
The Uk ◽  
And Function

Aims and methodTo investigate liaison psychiatry services across 38 acute trusts in the south of England. We used a telephone survey and compared the results to service structure and function as recommended by the Royal College of Physicians and the Royal College of Psychiatrists.ResultsApproximately two-thirds of trusts surveyed had a dedicated liaison service and this was not significantly related to hospital size. Most liaison teams were understaffed in all disciplines and only a third had a full-time consultant. Services for specialist patient groups were generally well provided for; 37% of teams had been created in the past 5 years and 33% were planning to increase their staffing levels in future.Clinical implicationsLiaison services in the south of England are similar to those in other parts of the UK that have been surveyed. Although the services did not meet the Colleges' recommendations, our study shows some recent growth and development in this specialty.

scholarly journals Solo obstetric liaison service

1999 ◽  
Vol 23 (1) ◽  
pp. 37-40 ◽  
Author(s):  
Sue Smith
Keyword(s):  
Special Interest ◽  
Psychiatric Morbidity ◽  
Clinical Implications ◽  
Liaison Psychiatry ◽  
Senior Registrar ◽  
General Psychiatry ◽  
Set Up ◽  
Psychiatric Problems ◽  
Obstetric Department ◽  
Number Of Births

Aims and methodTo set up a liaison psychiatry service for an obstetric department and review how much of the work involved in such a service can be undertaken by a senior registrar in two special interest sessions.ResultsIt was clear there was a demand for a service for women with psychiatric problems associated with childbirth. Referrals from colleagues in general psychiatry meant that the available time was soon used up. This did therefore not allow time to develop efficient systems for referral and management or to then see the extra referrals this would have produced. The limited and temporary service was well received by other professionals and by patients. The number of referrals received fell far short of the expected morbidity.Clinical implicationsIn an area with this number of births and its consequent level of psychiatric morbidity, it would not seem possible, within two special interest sessions, to develop a more formalised or comprehensive system.

scholarly journals Why we should be worried about community care: a personal view of the Eighth Annual TAPS Conference

1993 ◽  
Vol 17 (11) ◽  
pp. 681-682
Author(s):  
Paul Crichton
Keyword(s):  
Community Care ◽  
Annual Conference ◽  
Full Time ◽  
Regional Health ◽  
Personal View ◽  
North East ◽  
The North ◽  
Department Of Health ◽  
Health Economist ◽  
Set Up

In 1985, nearly two years after the announcement of the intended closure of Claybury and Friern Hospitals, the Team for the Assessment Psychiatric Services (TAPS) was set up to evaluate this policy. TAPS has now grown to a staff of six full-time researchers (three psychologists, a psychiatrist, a sociologist and a health economist) and is funded mainly by the North East Thames Regional Health Authority, but also by the Department of Health. This was the eighth annual conference, and the first since the closure of Friern Hospital in March 1993.

scholarly journals Does Medicine Need Liaison Psychiatry?

1985 ◽  
Vol 9 (8) ◽  
pp. 157-158 ◽  
Author(s):  
C. J. Thomas
Keyword(s):  
Interest Group ◽  
Royal College ◽  
Special Interest ◽  
Special Interest Group ◽  
Liaison Psychiatry ◽  
Charing Cross Hospital ◽  
Group I ◽  
Total Agreement ◽  
Recent Establishment

In February 1984 at the Quarterly Meeting of the Royal College of Psychiatrists, Professor A. Guz from the Department of Medicine, Charing Cross Hospital, presented a paper with the above title. In this paper he raised a number of points regarding the role of liaison psychiatry and of the psychiatrists involved in practising it. The paper collated the views of himself and other professors of medicine, and obviously it is important that we as psychiatrists take note of the opinions expressed by people with such an extensive knowledge of medicine. Many of the points which Professor Guz raised I found myself to be in total agreement with; however, there were one or two issues which I think perhaps deserve a reply and I would like to attempt to do this through the Bulletin. As many of the Bulletin readers will know, there is an increasing interest in liaison psychiatry and this has been recognized by the College in the recent establishment of a special interest group. I should perhaps point out, however, that the views expressed in this article are mine alone and do not necessarily represent those of any other liaison psychiatrist, or of the special interest group.

scholarly journals Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

2021 ◽  
Vol 18 (2) ◽  
pp. 749
Author(s):  
Mattia Marchi ◽  
Federica Maria Magarini ◽  
Giorgio Mattei ◽  
Luca Pingani ◽  
Maria Moscara ◽  
...  
Keyword(s):  
General Hospital ◽  
Depressive Disorders ◽  
Psychiatric Morbidity ◽  
Clinical Signs ◽  
Kappa Statistics ◽  
Comorbid Depression ◽  
Liaison Psychiatry ◽  
Consultation Liaison Psychiatry ◽  
Psychiatric Conditions ◽  
Diagnostic Concordance

Consultation–liaison psychiatry (CLP) manages psychiatric care for patients admitted to a general hospital (GH) for somatic reasons. We evaluated patterns in psychiatric morbidity, reasons for referral and diagnostic concordance between referring doctors and CL psychiatrists. Referrals over the course of 20 years (2000–2019) made by the CLP Service at Modena GH (Italy) were retrospectively analyzed. Cohen’s kappa statistics were used to estimate the agreement between the diagnoses made by CL psychiatrist and the diagnoses considered by the referring doctors. The analyses covered 18,888 referrals. The most common referral reason was suspicion of depression (n = 4937; 32.3%), followed by agitation (n = 1534; 10.0%). Psychiatric diagnoses were established for 13,883 (73.8%) referrals. Fair agreement was found for depressive disorders (kappa = 0.281) and for delirium (kappa = 0.342), which increased for anxiety comorbid depression (kappa = 0.305) and hyperkinetic delirium (kappa = 0.504). Moderate agreement was found for alcohol or substance abuse (kappa = 0.574). Referring doctors correctly recognized psychiatric conditions due to their exogenous etiology or clear clinical signs; in addition, the presence of positive symptoms (such as panic or agitation) increased diagnostic concordance. Close daily collaboration between CL psychiatrists and GH doctors lead to improvements in the ability to properly detect comorbid psychiatric conditions.

scholarly journals 892 Emergency General Surgical Practice at a District General Hospital during COVID-19 Pandemic: Implementing Royal College of Surgeons Guidance

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
K Hashmi ◽  
S Khalid ◽  
K Raja ◽  
A Zaka ◽  
J Easterbrook
Keyword(s):  
Informed Consent ◽  
Royal College ◽  
Mortality Risk ◽  
General Surgery ◽  
Surgical Care ◽  
District General Hospital ◽  
Emergency General Surgery ◽  
Surgical Practice ◽  
Full Compliance ◽  
Type Of Surgery

Abstract Introduction COVID-19 pandemic had a significant impact on surgical practice across NHS. RCS released guidance on altering surgical practise during the pandemic to deliver safe surgical care in March, 2020. We present an audit conducted at a DGH comparing practice of emergency general surgery (EGS) with RCS guidance at the peak of COVID-19 pandemic. Method Consecutive patients undergoing EGS from 1st April to 15th May,2020. Data of demographics, ASA grade, comorbidities, type of surgery, hospital stay, informed COVID-19 pneumonia consent, complications and 30-day mortality were collected. Pre- and post-operative COVID-19 status was determined. Results Forty-four (n = 44) patients, mean age 47.5 and IQR (26-69). Male (55.8%) and females (44.2%). Preoperative COVID19 status was confirmed in around 79.1% patients. All (100%) patients who underwent CT imaging preoperatively had CT chest performed. Informed consent for COVID19 pneumonia was taken in 4.7% patients. 30-day mortality risk was 7% and complications risk was 4.7%. RR of 30-day mortality in preoperative COVID19 status positive patients was RR = 0.92 (CI 0.85-1.01) and for complications was RR = 0.95 (CI 0.88-1.02). Conclusions RCS guidance on managing and altering practice in EGS during COVID-19 pandemic is reliable, implementable, and measurable in a DGH setting. Simple improvements in consent process can achieve full compliance with RCS guidelines.

Madeleine Dring

2020 ◽  
Author(s):  
Wanda Brister ◽  
Jay Rosenblatt
Keyword(s):  
World War Ii ◽  
Royal College ◽  
Personal Experience ◽  
Art Songs ◽  
Early Years ◽  
Full Time ◽  
World War ◽  
Musical Style ◽  
Piano Students ◽  
Television Shows

This book is the first scholarly biography of Madeleine Dring (1923–1977). Using diaries, letters, and extensive archival research, the narrative examines her career and explores her music. The story of Dring’s life begins with her formal training at the Royal College of Music, first in the Junior Department and then as a full-time student, a period that also covers her personal experience of events both leading up to and during the early years of World War II. Her career is traced in detail through radio and television shows and West End revues, all productions for which she wrote music, as well as her work as an actor. Dring’s most important contemporaries are briefly discussed in relation to her life, including her teachers at the Royal College of Music, professional connections such as Felicity Gray and Laurier Lister, and her husband Roger Lord. Her musical compositions are surveyed, from the earliest works she wrote as a student to the art songs she wrote in her last years, along with various popular numbers for revues and numerous piano pieces for beginning piano students as well as those suitable for the concert hall. Each chapter singles out one or more of these works for detailed description and analysis, with attention to the qualities that characterize her distinctive musical style.

Arthur Conan Doyle and Medical London: Reading the Topography of Round the Red Lamp

2021 ◽  
Vol 11 (3) ◽  
pp. 295-313
Author(s):  
Roger Luckhurst
Keyword(s):  
General Practitioner ◽  
Full Time ◽  
Medical Institutions ◽  
Short Period ◽  
Arthur Conan Doyle ◽  
Set Up

This essay explores the short period of time that Arthur Conan Doyle spent between March and June 1891 when he moved his family into rooms in Bloomsbury and took a consulting room near Harley Street in an attempt to set up as an eye specialist. This last attempt to move up the professional hierarchy from general practitioner to specialist tends to be seen as a final impulsive move before Conan Doyle decided to become a full-time writer in June 1891. The essay aims to elaborate a little on the medical contexts for Conan Doyle’s brief spell in London, and particularly to track the medical topography in which he placed himself, situated between the radical, reformist Bloomsbury medical institutions and the fame and riches of the society doctors of Harley Street. These ambivalences are tracked in the medical fiction he published in Round the Red Lamp, his peculiar collection of medical tales and doctoring in 1894.

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