title: Critical Analysis of Psychiatrists' Opinion in GP Referral letter.
abstract: BACKGROUND
  Primary and secondary care communication is the cornerstone of patient's care. Proper dialogue should be established. The shared care protocol was an attempt to try to fill gaps and build bridges.
  
  
  METHODS
  A special form was designed to collect information about psychiatrists' opinion on GPs' referral letter to psychiatric services. It contained 14 items, each item was marked as essential, can be included or irrelevant. This form was sent electronically to psychiatrists in South Essex University NHS Trust. They are 98 in total. It was inputted on Excel data sheet and was analysed.
  
  
  RESULTS
  44 psychiatrists responded. All respondents agreed that reason for referral is essential. Concise description of the condition, risks and current medication were rated as essential in more than 90%. Past medical history, past psychiatric history and current physical health were essential in 79%.
  
  
  CONCLUSIONS
  All professionals involved should participate in evaluating and refining communication. Psychiatrists' opinion in GPs letters is paramount as they are the recipients and their assessments and future management plan should be geared to address the GP's concerns. This is shown clearly by the psychiatrists agreeing that reason for referral should be included in all letters, followed by what the GP has already done and what risks the patient presents.
  
  
  CONCLUSIONS
  Improving communication between health professionals, improves patient's care, saves time and money, and in addition prevents duplication of investigation and procedures.
authors.affiliation: South Essex University Foundation NHS Trust, Basildon University Hospital, Basildon, Essex SS16 5NL, UK, hellme.najim@sept.nhs.uk.
authors.forename: Hellme
authors.initials: H
authors.lastname: Najim
authors.forename: Pranveer
authors.initials: P
authors.lastname: Singh
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D005260:Female; D058005:General Practitioners; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008501:Medical Records, Problem-Oriented; D011570:Psychiatry; D012017:Referral and Consultation; D011795:Surveys and Questionnaires