Abstract

This position paper focuses on the current tensions
and challenges of aligning inpatient care with
innovations in mental health services. It argues that a
cultural shift is required within inpatient services.
Obstacles to change including traditional perceptions
of the role and responsibilities of the psychiatrist are
discussed. The paper urges all staff working in acute
care to reflect on the service that they provide, and
to consider how the adoption of new ways of
working might revolutionise the organisational
culture. This cultural shift offers inpatient staff the
opportunity to fully utilise their expertise. New ways
of working may be perceived as a threat to existing
roles and responsibilities or as an exciting opportunity
for professional development with increased job
satisfaction. Above all, the move to new ways of
working, which is gathering pace throughout the UK,
could offer service users1 a quality of care that meets
their needs and expectations.