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Proposed change in service delivery and stress among nursing staff

Department of Psychiatry, Charing Cross and Westminster Medical School, London

Correspondence: Dr A. Shah, Ward MW1, West Middlesex University Hospital, Twickenham Road, Isleworth, Middlesex TW7 6AF

Aims and method The impact of major organisational change in a psychogeriatric service was examined in a naturalistic and opportunistic study, which was prospectively conducted.

Results A positive association between the organisational change of the proposed closure and relocation of a psychogeriatric ward and stress among the nursing staff as measured by the General Health Questionnaire was demonstrated.

Clinical implications Policy-makers, purchasers and providers need to consider the implication of such stress and develop strategies to minimise stress prior to any major policy change.