Letter

Stress and mental health

The NHS elephant in the room

BMJ 2009; 338 doi: 10.1136/bmj.b2099 (Published 27 May 2009)
Cite this as: BMJ 2009;338:b2099

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  1. John Sharkey, consultant psychiatrist in occupational health1
  1. 1Independent sector, Northern Ireland
  1. yekrahsj{at}gmail.com

    Iversen and colleagues cover the biological and psychological aspects of handling stress but not the social context where stress occurs.1 The elephant in the room is the NHS.

    The NHS has become a psychological toxin. Agendas are set centrally and doctors have become detached from the leadership of the organisation. Doctors feel out of …

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