BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39114.501725.801 (Published 08 February 2007) Cite this as: BMJ 2007;334:322

Dr Kildare has a lot to answer for, according to the editor of the Journal of the Royal Society of Medicine (2007;100:1 www.jrsm.org/cgi/content/full/100/1/1). The “romance” Kildare enjoyed and portrayed is fast disappearing from medicine. Doctors feel undervalued and overmanaged and don't want to become automatons, he says—but the health service would be a lot more efficient if it were run by automatons, rather than led by doctors who are busy asserting their right to clinical freedom.

A survey of rooms used to interview patients in the outpatient and inpatient units of one mental health trust found that safety was compromised in far too many of them. Of 112 rooms, 30 were overcrowded with furniture, 101 were cluttered with loose objects, and 82 were used for multiple purposes. In 46% of the rooms the layout compromised access to alarm systems, and 88% had exits that were obstructed. Further work will determine whether the rooms deemed unsafe were those where violent incidents had taken place (Psychiatric Bulletin 2007;31:10-3 http://pb.rcpsych.org/cgi/reprint/31/1/10).

For 200 years the …

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