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Service innovations

a neuropsychiatry outreach clinic

Department of Neuropsychiatry, The Maudsley Hospital, Denmark Hill, London SE5 8AZ

Shahid Majid, Senior House Officer

Gatland House, Kent

Kandiah Sivakumar, Consultant Psychiatrist

Priority House, Kent

Brian Toone, Consultant Neuropsychiatrist

The Maudsley Hospital

Abstract

AIMS AND METHOD

We describe the neuropsychiatry outreach clinic in west Kent and review referrals to the clinic over a 4-year period. By comparing the referral pattern of west Kent with adjacent health authorities we show how an outreach clinic can influence the number of neuropsychiatric referrals.

RESULTS

Referrals from west Kent increased from 87 in the 4-year period prior to the outreach clinic to 255 in the 4-year period that the clinic has been in existence. Forty-nine of these patients were first assessed in the outreach clinic. The number of referrals from east Surrey and east Sussex remained low in the same period.

CLINICAL IMPLICATIONS

An outreach clinic provides access to specialist expertise and increases local awareness of specialist services. Similar outreach clinics in other areas may enhance the clinical care of patients who are currently not being referred to neuropsychiatry.

This article has been cited by other articles:

				K. Barrett and S. Sudharsan Service innovations: is there a market for neuropsychiatry? A year in the life of a district-based neuropsychiatry service Psychiatr. Bull., December 1, 2005; 29(12): 465 - 467. [Abstract] [Full Text] [PDF]