Psychiatric Bulletin (2009) 33: 329-332. doi: 10.1192/pb.bp.108.022897
© 2009 The Royal College of Psychiatrists
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From a sector-based service model to a functional one: qualitative study of staff perceptions

Golam Khandaker, CT2 Specialty Registrar in Adult Psychiatry

*Avon and Wiltshire Mental Health Partnership NHS Trust, Grove Road Day Hospital, 12 Grove Road, Redland, Bristol BS6 6UJ, email: golam24{at}gmail.com

Srinivasarao Cherukuru, Staff Grade in Adult Psychiatry, Claire Dibben, Specialist Registrar in Adult Psychiatry and Manaan Kar Ray, Consultant in Adult Psychiatry

Cambridge and Peterborough NHS Foundation Trust, Peterborough

Declaration of interest

None.

AIMS AND METHOD

An increasing number of mental health trusts in the UK are replacing the geographically sectorised model of service delivery with a functional one. We conducted a qualitative study of staff perception concerning this reorganisation in ourTrust, to inform effective change management locally and elsewhere.

RESULTS

Perceived benefits were quick decision-making, positive risk management and improvement in clinical leadership. Dedicated consultant time would lead to improvements in junior doctor training. Concerns included lack of continuity of care, disagreement between teams and de-skilling of staff. Communication was seen as the key to overcoming these difficulties.

CLINICAL IMPLICATIONS

Detailed communication from management about the practicalities and reasons for change could facilitate effective transition.