Impact of service pressures survey

The increasing pressures on medical services in the UK have had a profound impact on the psychiatric profession, where demand often outstrips capacity. Mental health services are grappling with unprecedented levels of need, exacerbated by factors such as societal stressors, economic uncertainty, and after shocks of the pandemic.

With @Jonathan’s permission I provide Impact of service pressures survey. This is meant to be National Survey of all doctors. For this forum’s members, I think the questions will make for good reflective practice, even if you’re not a doctor. Interleaved below are snapshots from the survey. Let’s reflect together on some of the issues arising.

Psychiatrists find themselves stretched thin, managing overwhelming caseloads while trying to provide high-quality care within an overburdened system.

Systemic challenges carry significant implications for both mental health outcomes and workforce sustainability within psychiatry. The situation is particularly dire for vulnerable populations, including those with severe mental illnesses or socioeconomic disadvantages, who rely heavily on publicly funded services.

Meanwhile, psychiatrists themselves face moral distress as they struggle to reconcile their professional duty with the constraints imposed by limited resources and administrative burdens.

High attrition rates and difficulties recruiting new talent into the field further compound these issues, creating a vicious cycle where fewer professionals are left to manage a growing number of cases.


Psychiatry is on its knees. Mental health services are have been shaved to the bone. What are we going to do about it? This is a call for action.

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