title: Clinical management where medicine meets management. Feelings of anxiety.
abstract: The psychiatrist vacancy rate means job redesign is inevitable if the mental health national service framework is to be achieved. The issue of patient responsibility is causing concern among some clinicians. Avon and Wiltshire Mental Health Partnership trust is making progress in changing referral system.
authors.forename: Carol
authors.initials: C
authors.lastname: Lewis
mesh_terms: D001007:Anxiety; D001291:Attitude of Health Personnel; D006301:Health Services Needs and Demand; D006801:Humans; D017064:Process Assessment, Health Care; D011570:Psychiatry / Q000458:organization & administration*; D012017:Referral and Consultation / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom; D000078329:Workforce; D016526:Workload / Q000523:psychology