The decline of suicide (except for the USA). No GP should avoid psychiatry training..

It is a worry to professionals who have an interest in “systems” that so much government time is spent getting advice from the USA. In mental health especially, but life expectancy as well, America does worse than most other countries. On Saturday the Economist (this week) publishes a report: Staying alive – why suicide is falling. 

It is socialised medicine, and especially universal care/cover which really addresses Mental Health, but it has to be properly funded. In the UK some 40% of what a GP sees has a psychiatric element, and yet not all GPs do psychiatry in their postgraduate training. Psychiatry is so unpopular that there have been “doctors” discovered practicing who are not trained…. This needs to change, and it is only by training all GPs in psychiatry, and with ongoing Balint support for these GPs, that psychiatry will get the professional backup it deserves.

“Around the world, suicide rates are falling as a result of urbanisation, greater freedom and some helpful policies. America is the notable exception: since 2000, its suicide rate has risen by 18%, compared with a 29% drop in the world as a whole. It could learn from the progress made elsewhere, and more lives could be saved globally with better health services, labour-market policies and curbs on booze, guns, pesticides and pills”

Jamie Ensor on Newshub 20th November 2018: Investigation into Kiwi woman’s fake psychiatry qualifications leads to 3000 doctors being inspected in the UK.

GPs on the press/media rack. The Balint approach.

Mental health still surviving on the crumbs

Lets train GPs properly in 6 week rotations. None should avoid psychiatry..

Image result for suicides cartoon



This entry was posted in A Personal View, General Practitioners, Medical Education, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

1 thought on “The decline of suicide (except for the USA). No GP should avoid psychiatry training..

  1. Pingback: A conflicting pair of views of the UK from across the pond.. | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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