Raj Persaud in conversation - the podcasts ((4) headstarters - young psychiatrists confess to what it's like choosing this career)
Young Shrinks Speak Out. Headstarters Part 4 - young psychiatrists speak

Headstarters Part 4 - Raj Persaud in conversation with young psychiatrists

The research indicates that there are two kinds of medical student - those who know what they are going to specialise in before they start medical school and those who choose afterwards - is psychiatry as a medical speciality different in this regard? Raj Persaud chats to young psychiatrists in training about this issue and others.


Young Shrinks Speak Out. Headstarters Part 3 - Young Psychiatrists Speak

Headstarters Part 3 - Raj Persaud in conversation with young psychiatrists

Many medical students have chosen medicine because they were inspired by drama series on TV such as ER where the excitement and intensity of high stakes medicine is absorbing - is one of the reasons that psychiatry appears less popular, is because it seems less intense? Is this a correct appraisal of the discipline? Raj Persaud discusses these issues and others with some young psychiatrists starting out in their psychiatric career.


Young Shrinks Speak Out. Headstarters Part 2 Young Psychiatrists Speak Out

Despite playing the role of grumpy old man and attempting to discourage them from entering the field - do these young enthusiastic psychiatrists take the bait and run? Or do they argue with Raj that psychiatry has a lot going for it as a career choice for a young doctor?


Young Shrinks Speak Out. Headstarters Part 8! Young psychiatrists speak

Headstarters Part 8! Raj Persaud in conversation with young psychiatrists

Medical students seem to be put off choosing psychiatry as a career by their psychiatric attachment during medical school. Why is this and can anything be done about it? Raj Persaud Consultant Psychiatrist in Private Practice in Harley Street discusses the predicament with young psychiatrists in training.

 

http://www.amazon.co.uk/Dr-Raj-Persaud-Latest-Users/dp/B0082XNF40

 

 A related article from The Huffington Post which may be of interest:

 

Sir David Nicholson Resigns but if Many Bad Apples Remain, The NHS Might Be Rotten to the Core

 

http://www.huffingtonpost.co.uk/dr-raj-persaud/sir-david-nicholson-resigns_b_3318766.html

 

Raj Persaud and Peter Bruggen

 

Sir David Nicholson, head of the health authority that oversaw the Mid Staffordshire NHS Trust hospital for 10 months in 2005 and 2006, before becoming the head of the NHS in England, told a committee of MPs a couple of months ago, that he was "absolutely determined" to carry on leading the NHS. 

 

Before his appearance at the committee, he was reported to enjoy the support of Downing Street, but afterwards, it was said, such backing was on the wane. Now he has resigned, he's been quoted as admitting that the health service "can still sometimes fail patients, their families and carers".

 

It seems that you can oversee the unnecessary deaths and suffering of hundreds of patients yet be promoted in the NHS. However, should you embarrass the Prime Minister's office, before a parliamentary committee, then you're in real trouble. 

 

Charlotte Leslie, the Tory MP for Bristol North West, is quoted in the Daily Telegraph as being "absolutely sickened" that Sir David has been able to retire on his own terms. She is quoted as declaring:

"While whistle-blowers who raised serious concerns about patient safety were sacked, and had their careers ruined, a man who mislead Select Committees, did not intervene as promised in whistle-blowing cases, who implied those raising concerns about mid-staffs were simply 'lobbying' and who presided over the culture of fear and bulling in the NHS, walks away with a large public sector pension."

 
 

But scandals can get things going.

 

Professor Mary Dixon-Woods, Karen Yeung and Charles Bosk recently reviewed examples of scandals around the negligence of doctors from the mid-Nineties onwards, where they appear to have had particular impact: tougher regulation of the medical profession. 

 

In their paper entitled, 'Why is UK medicine no longer a self-regulating profession? The role of scandals involving "bad apple" doctors', the academics from the University of Leicester, King's College London and the University of Pennsylvania list examples of recent outrages which galvanised medical regulation. 

 

Professor Dixon-Woods and colleagues suggest in their study published in the academic journal 'Social Science and Medicine' that in part the power of scandals derives from the intensity around their reporting. Vivid, emotional rhetoric, provokes public alarm. They argue that to some extent the extreme nature of the transgressions, the innocence and dependency of the victims and the chasm between claims of virtue of the offenders and their actions, create momentum for change.

 

Dangerous doctors appear to be a threat. Antagonistic Chief Executives and NHS bureaucrats do not appear as dangerous, although administrators might be more hazardous than individual clinicians. 

 

Historically faceless bureaucracies have killed many more individuals than even the most dangerous doctor, but it's the 'bad apple' physician who seems most capture the public imagination. But does this distract those who should be paying more attention, allowing a 'Mid-Staffordshire' crisis to occur under their noses? 

 

The Royal Colleges have been mysteriously quiet about NHS scandals, seeming blind to them until they erupt into the press, along with the GMC, Monitor, Care Quality Commission, Health Care Commission and the Nursing and Midwifery Council. The preoccupation on what went wrong at Mid-Staffordshire, as exemplified by the questions Sir David faced in parliament, has side-tracked commentators from asking a more fundamental question, namely where was everyone else? Where were the GMC and the Royal Colleges? They were meant to be upholding standards as well.

 

 

Doctors are now surely one of the most regulated professions in the UK?

 

 

Bodies like these are often not as independent as they would like to be seen. They all may have become too dependent on government discretion and support. There seem to be many ways in which senior clinicians move over 'to the other side', appearing keen to court the ear of the 'establishment'. They don't rock the boat as much as their primary allegiance to patient and medical science should provoke them to.

 

 

If the public cannot rely on the host of regulators all of whom failed, then patients and the population of the UK are going to have to become a key part of future regulation, perhaps just as lay members now play a much greater role at the GMC, following the scandals of the 1990s. This means taking much more interest in their NHS, looking after it, protecting the good doctors and nurses they find there. 

 

The public will have to question their local trusts and other health care organisations, using the Freedom of Information Act if necessary. Lobbying whenever experiencing an example of good care, as well as bad, means trust will be restored in the system because of confidence in regulation by patient. 

 

Doctors are going to have to be much more honest with patients when the care being provided is sub-standard medically, particularly if they are administrative and bureaucratic reasons.

 

 

Recent events reveal we can't complacently leave the NHS in the hands of the bureaucrats and the politicians. Our experience is they have created a culture of fear and bullying whereby good clinicians are persecuted for standing up for patients or medical science. We have seen officials who endeavoured to discourage whistle-blowing promoted and, at very worse, paid off handsomely.

 

 

There has been little interest shown by regulators in pursuing those in management who colluded with gagging clauses in clinician's leaving agreements - emblematic of the culture of bullying in the NHS - stopping doctors speaking out about poor care. These agreements are now supposed to be illegal - but what is being done about those who implemented them, and who are still in post in senior positions in the NHS?

 

 

We therefore need to re-centre the whole organisation around the sacredness of the encounter between clinician and patient.

 

 

Because, the failure to root out the true rotten core at the heart of the NHS, means more scandals will inevitably follow, even after this latest resignation.

 

 

 

 

 

 

http://www.amazon.co.uk/Edge-Couch-Raj-Persaud/dp/0857501674/ref=sr_1_2?s=books&ie=UTF8&qid=1411994261&sr=1-2&keywords=from+the+edge+of+the+couch

 

Raj Persaud

 

Dr Raj Persaud is a Consultant Psychiatrist who has worked as a
Consultant at the Bethlem Royal and Maudsley NHS Hospitals in London
from 1994-2008, and as an Honorary Senior Lecturer at the Institute of
Psychiatry, University of London. These are the premiere research and
training institutions for Psychiatry in Europe.

 

 

He was also Research Fellow at Johns Hopkins Hospital in the USA
and Institute of Neurology at Queens Square. His training in psychiatry
since leaving UCH medical school in1986 was entirely at the
Institute of Psychiatry and the Bethlem Royal and Maudsley Hospitals.

 

 

Unusually for a psychiatrist, he also holds a degree in psychology,
obtained with First Class Honours, and 8 other degrees and diplomas
including a Masters in Statistics.  He was awarded the Royal College
of Psychiatrists’ Research Prize and Medal as well as The Maudsley
Hospital's own Denis Hill Prize, and The Osler Medal.  The Royal
College of Psychiatrists' recently also awarded him the Morris Markowe
Prize.

 

 

In 2004 he was appointed Visiting Professor for Public Understanding
of Psychiatry at Gresham College, and he was asked by the Royal
College of Psychiatrists to edit its first book aimed at educating the
public on psychology and psychiatry.  'The Mind:  A Users Guide’ was
published in 2007 and reached the top ten best-seller list. All of his 5
previous books have been top ten  best-sellers.

 

 

His writing is in several established textbooks, including the Oxford
Companion to the Mind and he has contributed a chapter in the latest
comprehensive textbook of psychiatry for trainees: Psychiatry – An
Evidence Based Text. He has approaching 100 publications in Journals
such as The British Journal of Psychiatry, British Medical Journal and
The  Lancet.

 

 

Recently he was elected Fellow of University College London and the
Royal College of Psychiatrists.  He is patron or supporter of numerous
mental health charities including OCD-UK, The Manic Depression
Fellowship, Association of Post-Natal Illness, Childline, Action
Aid and The Samaritans.

 

 

The Independent on Sunday Newspaper conducted a
poll amongst members of the Royal College of Psychiatrists and the
Institute of Psychiatry to discover who were the top ten psychiatrists
in the UK as rated by fellow psychiatrists. Dr Raj Persaud was the
youngest doctor to make it into this esteemed list. The Times Newspaper 
also  recently placed him as one of the Top Twenty
Mental Health Gurus in the world.


Headstarters Part 1 - Young Psychiatrists speak out.

Headstarters Part 1 - Dr Raj Persaud in conversation with young psychiatrists

Consultant Psychiatrist Dr Raj Persaud in conversation with young psychiatrists on what its like to choose this speciality as a career in medicine.


Headstarters Part 6 - Young psychiatrists speak

Headstarters Part 6 Young psychiatrists speak out

Raj Persaud in conversation with young psychiatrists

Dr Raj Persaud talks to young psychiatrists about the ups and downs of pursing this kind of training in medicine.

Raj Persaud

Dr Raj Persaud is a Consultant Psychiatrist who has worked as a
Consultant at the Bethlem Royal and Maudsley NHS Hospitals in London
from 1994-2008, and as an Honorary Senior Lecturer at the Institute of
Psychiatry, University of London. These are the premiere research and
training institutions for Psychiatry in Europe.

He was also Research Fellow at Johns Hopkins Hospital in the USA
and Institute of Neurology at Queens Square. His training in psychiatry
since leaving UCH medical school in1986 was entirely at the
Institute of Psychiatry and the Bethlem Royal and Maudsley Hospitals.

Unusually for a psychiatrist, he also holds a degree in psychology,
obtained with First Class Honours, and 8 other degrees and diplomas
including a Masters in Statistics.  He was awarded the Royal College
of Psychiatrists’ Research Prize and Medal as well as The Maudsley
Hospital's own Denis Hill Prize, and The Osler Medal.  The Royal
College of Psychiatrists' recently also awarded him the Morris Markowe
Prize.

In 2004 he was appointed Visiting Professor for Public Understanding
of Psychiatry at Gresham College, and he was asked by the Royal
College of Psychiatrists to edit its first book aimed at educating the
public on psychology and psychiatry.  'The Mind:  A Users Guide’ was
published in 2007 and reached the top ten best-seller list. All of his 5
previous books have been top ten  best-sellers.

His writing is in several established textbooks, including the Oxford
Companion to the Mind and he has contributed a chapter in the latest
comprehensive textbook of psychiatry for trainees: Psychiatry – An
Evidence Based Text. He has approaching 100 publications in Journals
such as The British Journal of Psychiatry, British Medical Journal and
The  Lancet.

Recently he was elected Fellow of University College London and the
Royal College of Psychiatrists.  He is patron or supporter of numerous
mental health charities including OCD-UK, The Manic Depression
Fellowship, Association of Post-Natal Illness, Childline, Action
Aid and The Samaritans.

The Independent on Sunday Newspaper conducted a
poll amongst members of the Royal College of Psychiatrists and the
Institute of Psychiatry to discover who were the top ten psychiatrists
in the UK as rated by fellow psychiatrists. Dr Raj Persaud was the
youngest doctor to make it into this esteemed list. The Times Newspaper 
also  recently placed him as one of the Top Twenty
Mental Health Gurus in the world.


Headstarters Part 5 - young psychiatrists speak

Raj Persaud in conversation with young psychiatrists on whether certain media portrayals of psychiatry and psychiatrists influenced them into choosing psychiatry as a career - or did it put them off?

Raj Persaud

photography by Raj Persaud 

http://www.amazon.co.uk/Dr-Raj-Persaud-Latest-Users/dp/B0082XNF40

 

Dr Raj Persaud is a Consultant Psychiatrist who has worked as a
Consultant at the Bethlem Royal and Maudsley NHS Hospitals in London
from 1994-2008, and as an Honorary Senior Lecturer at the Institute of
Psychiatry, University of London. These are the premiere research and
training institutions for Psychiatry in Europe.

He was also Research Fellow at Johns Hopkins Hospital in the USA
and Institute of Neurology at Queens Square. His training in psychiatry
since leaving UCH medical school in1986 was entirely at the
Institute of Psychiatry and the Bethlem Royal and Maudsley Hospitals.

Unusually for a psychiatrist, he also holds a degree in psychology,
obtained with First Class Honours, and 8 other degrees and diplomas
including a Masters in Statistics.  He was awarded the Royal College
of Psychiatrists’ Research Prize and Medal as well as The Maudsley
Hospital's own Denis Hill Prize, and The Osler Medal.  The Royal
College of Psychiatrists' recently also awarded him the Morris Markowe
Prize.

In 2004 he was appointed Visiting Professor for Public Understanding
of Psychiatry at Gresham College, and he was asked by the Royal
College of Psychiatrists to edit its first book aimed at educating the
public on psychology and psychiatry.  'The Mind:  A Users Guide’ was
published in 2007 and reached the top ten best-seller list. All of his 5
previous books have been top ten  best-sellers.

His writing is in several established textbooks, including the Oxford
Companion to the Mind and he has contributed a chapter in the latest
comprehensive textbook of psychiatry for trainees: Psychiatry – An
Evidence Based Text. He has approaching 100 publications in Journals
such as The British Journal of Psychiatry, British Medical Journal and
The  Lancet.

Recently he was elected Fellow of University College London and the
Royal College of Psychiatrists.  He is patron or supporter of numerous
mental health charities including OCD-UK, The Manic Depression
Fellowship, Association of Post-Natal Illness, Childline, Action
Aid and The Samaritans.

The Independent on Sunday Newspaper conducted a
poll amongst members of the Royal College of Psychiatrists and the
Institute of Psychiatry to discover who were the top ten psychiatrists
in the UK as rated by fellow psychiatrists. Dr Raj Persaud was the
youngest doctor to make it into this esteemed list. The Times Newspaper 
also  recently placed him as one of the Top Twenty
Mental Health Gurus in the world.


Headstarters Part 11 - Raj Persaud talks to young psychiatrists about suicide

Is the risk of suicide by patients putting doctors off choosing psychiatry?

Is one of the reason young doctors might be put off choosing psychiatry as a career the thorny issue of suicide? Are psychiatrists automatically blamed too much when a suicide occurs? Why is it Cardiologists can lose a patient from a heart attack, and no immediate investigation into their clinical practice results, whereas when a suicide occurs, which might be the psychiatric equivalent of a heart attack, the doctors in this case are often blamed? Do we as a society have a strange view of suicide and psychiatrists bear the brunt of this?

 

A recent article which was originally published in The Huffington Post and which may be of interest:

 

How NHS Mental Health Care was failing, as patient Nicola Edgington killed again

 

 

Dr Raj Persaud and Dr David James

 

 

 

The media coverage over the savage killing of Sally Hodkin by psychiatric patient Nicola Edgington has, yet again, failed to uncover the real collapse in NHS mental health services.

 

 Edgington walked out of hospital in the early hours of October 10th, where she had gone seeking help, apparently explaining that she was hearing voices. Later that day she slit the throat of Sally Hodkin with a meat cleaver and nearly decapitated her, after earlier pinning Kerry Clark down with a knife.

 

Oddly enough, because cases such as these grab headlines - which is understandable given the scale of the tragedy - the suffering of those who are not a danger to others, gets ignored. But in neglecting the mental health care of the vast majority, the conditions are created where rare fatalities become more likely.

 

 

A recent report and survey by MIND the mental health charity found four in ten mental health trusts have staffing levels well below established benchmarks and only a third (33%) of respondents who came into contact with NHS services when in crisis were assessed within four hours, as recommended by the National Institute for Health and Clinical Excellence (NICE) . Only 14% of people said that, overall, they felt they had all the support they needed when in crisis

 

Because the media only become interested in mental health care when fatalities grab the headlines, this drives Government policy. As a result of over-emphasising the link between mental illness and dangerousness, there is a concentration on treating a small number of offenders in secure hospitals. This costs £1 billion per year - 15% of the total NHS investment in the mental health of working-age adults.

 

The number of NHS psychiatric beds has gone down by 60% in the last two decades, while the number of involuntary admissions has gone up by 60%. In other words, it is increasingly difficult to gain access to psychiatric care when acutely unwell.

 

 

There is hushed talk in the corridors of NHS power that certain psychiatric hospitals in our inner cities will shortly become 'sectioned only' institutions - in other words soon no one in them will be voluntary.

 

Psychiatrists Patrick Keown, Scott Weich, Kamaldeep Bhui and Jan Scott found in a study entitled 'Association between provision of mental illness beds and rate of involuntary admissions in the NHS in England 1988-2008: ecological study' that any reduction in NHS psychiatric bed numbers was strongly correlated with a parallel increase in involuntary or 'sectioned' patients the following year.

 

The terrible irony at the heart of the Nicola Edgington case is that she was in fact a voluntary patient - she apparently wanted to be admitted. This may explain why she found it so easy to walk out of the unit during the admission process.

 

As psychiatrists with experience of this kind of case in the NHS we believe the opportunity to treat someone early in their illness is no longer there, and they have to become a risk to themselves or someone else, before they can now get a psychiatric bed.

 

As psychiatrists used to dealing with similar patients, we wonder if Nicola Edgington had had the same symptoms, but if their digitised records were not that she had previously killed her mother - even if she was equivalently dangerous and with the same psychotic symptoms - we wonder if the system would have the capacity to admit her. The lack of NHS mental health care provision means it's often impossible to get proper attention if you are merely suffering - but not an immediate danger to anyone.

 

The search for psychiatric beds, in our experience of trying to admit patients in London, may extend across the whole of the South East of England. Even when a bed is eventually located - because someone will have to be discharged (or sent on emergency leave) in order to liberate that bed - usually you are merely bringing someone in who is a danger to themselves or others and sending someone else out who has only marginally recovered from that self-same predicament.

 

 

Community Psychiatrist Professor Peter Tyer from Imperial College London, quoted data in an article in the British Medical Journal in 2011, that the suicide rate in the first 28 days after discharge from psychiatric hospitals is over 200 times greater for men and over 100 times greater for women than that for the general population. Suicide rates are meant to be declining in the general population but the rate after discharge from a psychiatric unit still remains too high. Precipitate discharging from NHS units probably contributes to this, Professor Tyer argues.

 

Doctors are also marginalised in care of patients - occupational therapists, nurses, social workers - there are any number of different 'case workers' you will be allocated to in your hazardous expedition into NHS mental health care, but encountering someone who went to medical school gaining scientific expertise in psychological problems, is becoming impossible.

 

The media seems to believe that doctors hold all the power in the NHS, and therefore hunt for a physician to blame when tragedies such as the Edgington case hit the headlines.

 

A large team of psychiatrists recently wrote an article entitled 'Wake-up call for British psychiatry' in the British Journal of Psychiatry, where they referred to the 'downgrading of medical aspects of care' in the NHS.

 

We believe they are agreeing with us; even if you are becoming severely unwell, you get at best in the modern NHS what is referred to as 'non-specific' psychological support (ie tea and sympathy) rather than proper medical care.

 

Doctors have not been in charge of NHS psychiatric care for some time now. Bureaucrats and managers, who never seem to be in the firing line despite scandal after scandal in NHS care, need to be held more accountable.

 

 

Because in terms of the poor management we witness, the lunatics have taken over the asylum. 

 

How NHS Mental Health Care was failing, as patient Nicola Edgington killed again

 

 

Dr Raj Persaud and Dr David James

 

 

 

The media coverage over the savage killing of Sally Hodkin by psychiatric patient Nicola Edgington has, yet again, failed to uncover the real collapse in NHS mental health services.

 

 Edgington walked out of hospital in the early hours of October 10th, where she had gone seeking help, apparently explaining that she was hearing voices. Later that day she slit the throat of Sally Hodkin with a meat cleaver and nearly decapitated her, after earlier pinning Kerry Clark down with a knife.

 

Oddly enough, because cases such as these grab headlines - which is understandable given the scale of the tragedy - the suffering of those who are not a danger to others, gets ignored. But in neglecting the mental health care of the vast majority, the conditions are created where rare fatalities become more likely.

 

 

A recent report and survey by MIND the mental health charity found four in ten mental health trusts have staffing levels well below established benchmarks and only a third (33%) of respondents who came into contact with NHS services when in crisis were assessed within four hours, as recommended by the National Institute for Health and Clinical Excellence (NICE) . Only 14% of people said that, overall, they felt they had all the support they needed when in crisis

 

Because the media only become interested in mental health care when fatalities grab the headlines, this drives Government policy. As a result of over-emphasising the link between mental illness and dangerousness, there is a concentration on treating a small number of offenders in secure hospitals. This costs £1 billion per year - 15% of the total NHS investment in the mental health of working-age adults.

 

The number of NHS psychiatric beds has gone down by 60% in the last two decades, while the number of involuntary admissions has gone up by 60%. In other words, it is increasingly difficult to gain access to psychiatric care when acutely unwell.

 

 

There is hushed talk in the corridors of NHS power that certain psychiatric hospitals in our inner cities will shortly become 'sectioned only' institutions - in other words soon no one in them will be voluntary.

 

Psychiatrists Patrick Keown, Scott Weich, Kamaldeep Bhui and Jan Scott found in a study entitled 'Association between provision of mental illness beds and rate of involuntary admissions in the NHS in England 1988-2008: ecological study' that any reduction in NHS psychiatric bed numbers was strongly correlated with a parallel increase in involuntary or 'sectioned' patients the following year.

 

The terrible irony at the heart of the Nicola Edgington case is that she was in fact a voluntary patient - she apparently wanted to be admitted. This may explain why she found it so easy to walk out of the unit during the admission process.

 

As psychiatrists with experience of this kind of case in the NHS we believe the opportunity to treat someone early in their illness is no longer there, and they have to become a risk to themselves or someone else, before they can now get a psychiatric bed.

 

As psychiatrists used to dealing with similar patients, we wonder if Nicola Edgington had had the same symptoms, but if their digitised records were not that she had previously killed her mother - even if she was equivalently dangerous and with the same psychotic symptoms - we wonder if the system would have the capacity to admit her. The lack of NHS mental health care provision means it's often impossible to get proper attention if you are merely suffering - but not an immediate danger to anyone.

 

The search for psychiatric beds, in our experience of trying to admit patients in London, may extend across the whole of the South East of England. Even when a bed is eventually located - because someone will have to be discharged (or sent on emergency leave) in order to liberate that bed - usually you are merely bringing someone in who is a danger to themselves or others and sending someone else out who has only marginally recovered from that self-same predicament.

 

 

Community Psychiatrist Professor Peter Tyer from Imperial College London, quoted data in an article in the British Medical Journal in 2011, that the suicide rate in the first 28 days after discharge from psychiatric hospitals is over 200 times greater for men and over 100 times greater for women than that for the general population. Suicide rates are meant to be declining in the general population but the rate after discharge from a psychiatric unit still remains too high. Precipitate discharging from NHS units probably contributes to this, Professor Tyer argues.

 

Doctors are also marginalised in care of patients - occupational therapists, nurses, social workers - there are any number of different 'case workers' you will be allocated to in your hazardous expedition into NHS mental health care, but encountering someone who went to medical school gaining scientific expertise in psychological problems, is becoming impossible.

 

The media seems to believe that doctors hold all the power in the NHS, and therefore hunt for a physician to blame when tragedies such as the Edgington case hit the headlines.

 

A large team of psychiatrists recently wrote an article entitled 'Wake-up call for British psychiatry' in the British Journal of Psychiatry, where they referred to the 'downgrading of medical aspects of care' in the NHS.

 

We believe they are agreeing with us; even if you are becoming severely unwell, you get at best in the modern NHS what is referred to as 'non-specific' psychological support (ie tea and sympathy) rather than proper medical care.

 

Doctors have not been in charge of NHS psychiatric care for some time now. Bureaucrats and managers, who never seem to be in the firing line despite scandal after scandal in NHS care, need to be held more accountable.

 

 

Because in terms of the poor management we witness, the lunatics have taken over the asylum. 

 

END

 

http://www.amazon.co.uk/Mind-Users-Guide-Raj-Persaud/dp/0593056353/ref=sr_1_1?ie=UTF8&qid=1416470825&sr=8-1&keywords=raj+persaud

 

http://www.amazon.co.uk/Staying-Sane-Make-Your-Mind/dp/1900512041/ref=sr_1_2?ie=UTF8&qid=1416470825&sr=8-2&keywords=raj+persaud

 

http://www.amazon.co.uk/Simply-Irresistible-Psychology-Seduction-Perfect/dp/0553817779/ref=sr_1_3?ie=UTF8&qid=1416470825&sr=8-3&keywords=raj+persaud

 

http://www.amazon.co.uk/Motivated-Mind-Raj-Persaud/dp/0553813455/ref=sr_1_4?ie=UTF8&qid=1416470825&sr=8-4&keywords=raj+persaud

 

http://www.amazon.co.uk/Edge-Couch-Raj-Persaud/dp/0857501674/ref=sr_1_5?ie=UTF8&qid=1416470825&sr=8-5&keywords=raj+persaud

 

biog of Raj Persaud follows below which may be of interest and a web link to his kindle blog and his huff post column.

http://www.amazon.co.uk/Dr-Raj-Persaud-Latest-Users/dp/B0082XNF40

http://www.huffingtonpost.co.uk/dr-raj-persaud/

http://www.youtube.com/watch?v=ltwpdHg0evU

http://www.youtube.com/watch?v=Hec3I_NI3FU

Dr Raj Persaud Biography

Dr Raj Persaud is a Consultant Psychiatrist who has worked as a
Consultant at the Bethlem Royal and Maudsley NHS Hospitals in London
from 1994-2008, and as an Honorary Senior Lecturer at the Institute of
Psychiatry, University of London. These are the premiere research and
training institutions for Psychiatry in Europe.

 

He was also Research Fellow at Johns Hopkins Hospital in the USA
and Institute of Neurology at Queens Square. His training in psychiatry
since leaving UCH medical school in1986 was entirely at the
Institute of Psychiatry and the Bethlem Royal and Maudsley Hospitals.

 

Unusually for a psychiatrist, he also holds a degree in psychology,
obtained with First Class Honours, and 8 other degrees and diplomas
including a Masters in Statistics.  He was awarded the Royal College
of Psychiatrists’ Research Prize and Medal as well as The Maudsley
Hospital's own Denis Hill Prize, and The Osler Medal.  The Royal
College of Psychiatrists' recently also awarded him the Morris Markowe
Prize.

 

In 2004 he was appointed Visiting Professor for Public Understanding
of Psychiatry at Gresham College, and he was asked by the Royal
College of Psychiatrists to edit its first book aimed at educating the
public on psychology and psychiatry.  'The Mind:  A Users Guide’ was
published in 2007 and reached the top ten best-seller list. All of his 5
previous books have been top ten  best-sellers.

 

His writing is in several established textbooks, including the Oxford
Companion to the Mind and he has contributed a chapter in the latest
comprehensive textbook of psychiatry for trainees: Psychiatry – An
Evidence Based Text. He has approaching 100 publications in Journals
such as The British Journal of Psychiatry, British Medical Journal and
The  Lancet.

 

Recently he was elected Fellow of University College London and the
Royal College of Psychiatrists.  He is patron or supporter of numerous
mental health charities including OCD-UK, The Manic Depression
Fellowship, Association of Post-Natal Illness, Childline, Action
Aid and The Samaritans.

 

The Independent on Sunday Newspaper conducted a
poll amongst members of the Royal College of Psychiatrists and the
Institute of Psychiatry to discover who were the top ten psychiatrists
in the UK as rated by fellow psychiatrists. Dr Raj Persaud was the
youngest doctor to make it into this esteemed list. The Times Newspaper 
also  recently placed him as one of the Top Twenty
Mental Health Gurus in the world.

 

Raj Persaud is now joint podcast editor for the Royal College of Psychiatrists and also now has a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8

 

 


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