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Forensic Psychiatry in England: A System in Transition

Britain is having a very lean time economically, this has been so throughout the 1980’s and will probably to be so during the early part of the 1990’s. There are a variety of reasons, one of which being the world recession which was partly induced by severe political upheavals in Europe. One of the unfortunate consequences in Britain has been the increasing pressure from our government to reduce expenditure on the National Health Service. A paradoxical consequence of their efforts has been a sharp rise in bureaucracy within the health service, which has meant that the effects on patient care have been worse than they would otherwise have been. In spite of this, the small sub-specialty of forensic psychiatry, is healthier and stronger than ever and looks set for further expansion and development. It is difficult to explain this paradox. We can speculate about changing attitudes to crime, mental health, and the like, however, it is simpler to describe what has happened rather than try and explain it.