RCPsych2009

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Annal

Rviw2009

1 Prsidns wlcm

2 Highlighs f h yar 4 Excellence6 Leadership

8 Engagement10 Fair Dal and hr plicy

iniiaivs

12 RCPsych Awards

14 Prming qaliy inmnal halhcar

15 Hnrs and appinmns

15 Cllg rprs16 Nw bks17 Pblic dcain highlighs

18 Smmarisd accns22 Cmmi mmbrship

24 In mmriam

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1 Annual Review 2009 1Annual Review 2009

It has been a year of change in mentalhealth services, from the continuingimpact of the economic downturn tocontinuing uncertainty in workforceplanning. As ever, the College hasbeen ready to respond, continuing itstradition of promoting excellence within

mental healthcare and championingimprovements in the quality of servicesthroughout all sectors of society.

You may notice that we have changedthe format of this years AnnualReview. To keep pace with the trend fororganisations to deliver more of theirmaterial electronically, we have chosen topublish and circulate the Review online.

The Review has also been redesigned toshowcase the Colleges excellent workmore eectively, including three specialfeatures (pp. 49) proling some of theways in which the College is meeting itsthree core purposes (see below).

In October 2009 we held the rst everRCPsych Awards, designed to recognise

and reward excellence within psychiatry.The ceremony, held at the Royal Societyof Medicine, was a unique opportunityfor us to celebrate examples of theoutstanding work being carried out

by psychiatrists and other mental healthprofessionals every single day. Turn topages 12 and 13 to see the winners.

This Review provides just a avour ofthe huge volume and breadth of workcarried out bythe College

over the past12 months. Asever, my thanksgo to the hard-working staacross the UKwho have doneso much ofthis. But we are

also reliant onthe time givenfor free byour Membersand Fellows,and I thank allthose who havecontinued withtheir unstinting support of the Collegeduring 2009.

I look forward to a successful 2010.

Professor Dinesh BhugraPresident

Presidents WelcomeProfessor Dinesh Bhugra

The core purposes o the Royal College o Psychiatrists are to:

set standards and promote excellence in psychiatry and mental healthcarelead, represent and support psychiatristswork with service users, carers and their organisations

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2 Royal College of Psychiatrists

Cg mmbrship The number o College

members exceeded 15 000 in

September 2009. There are

2000 trainees, nearly 2700

overseas members and 1100

Student Associates (a newgrade or medical students).

HigHligHts of tHe year 2009

The College undertook a very wide range of activities to further its charitable aims in2009. The focus was, as always, on our strategic aims in the pursuit of public benet by

improving mental health.

Th RCPsch AwardsThe RCPsych Awards is a new national award

scheme set up to recognise excellence in

psychiatry. Over 300 people attended the

ceremony to acknowledge and reward the

best academic, the most talented trainees,

the hardest-working psychiatrists, the most

innovative teams and services, and themost inuential public educator o 2009.

The Lietime Achievement award went to

Proessor Sir David Goldberg. See pages

1213 o this review or photos o this years

ceremony.

Rcruitmt it pschiatr

We ran the national recruitment or coretrainee posts at CT1 grade and the online

assessments or Healthcare Assessment and

Training (HcAT; www.rcpsych.ac.uk/training/

nationalrecruitment.aspx).

We supported the frst summer school at the

Institute o Psychiatry and hosted a reception

or students. Stephen Fry, an Honorary

Fellow o the College, tweeted in support o

recruitment, which brought a surge in visits to

our website.

RvaidatiRevalidation is the most signifcant

change to medical regulation since1858. During 2009, we piloted case-

based discussion or consultants

as part o the assessment process.

In November, proposals or the

recertifcation o psychiatrists on the

specialist register were submitted

to the General Medical Council.

These are based on the Revalidation

Guidance for Psychiatrists (drat

available on the College website).


2009 Aua MtigThe 2009 Annual Meeting in Liverpool was a huge

success, attracting 1200 delegates rom all over

the world. The meeting provided opportunities to

hear about the latest developments in psychiatry,

to update existing skills and to network.

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collegePersPectiveProfessor Rob Howard,Dean

Psychiatry has neverbeen the most popular ofmedical specialties, but adisturbing diversion of UKmedical graduates awayfrom our specialty hasbeen apparent in the past5 years.

Although 6th-formerscontinue to rank psychiatrypositively as a potentialcareer option, the combin-

ation of uninspiringundergraduate teachingand a tiny representationof posts in the FoundationProgramme contribute tothe very small numberswho choose to join us incore specialty training.

The College has beenworking hard to reversethis. Dr Nisha Dograand colleagues scopedundergraduate psychiatrytraining in the UK andmade recommendations some of which are beingtaken forward by the

Academic Faculty to im-prove the undergraduatecurriculum and re-engage

excellence: recruiting PsycHiatristsof tHe future

Jude Harrison. Clare andJude, through their energyand determination, havehelped establish and linkup undergraduate psychia-try societies in almost allour medical schools.

Interested students are

encouraged to becomeStudent Associates of theCollege and the new gradehas over 1100 joiners.Student Associates getfree access to the Colleges

journals, their own web-pages and newsletter, andnews about events, prizes,

elective opportunities andour summer schools.

The rst medical studentsummer school was heldin July at the Institute ofPsychiatry. There was sticompetition for places andthe 27 attendees enjoyedbed and breakfast accom-modation with Maudsleyconsultants and trainees, aweek of talks, lab demon-strations and tours, andan evening at 17 BelgraveSquare. We showed thesestudents some of thefascination and fun that

comes with a career inpsychiatry an image weneed to recapture.

our university-based col-

leagues in teaching.

Weve also worked withthe UK Foundation Pro-gramme Oce to boostthe numbers of FoundationYear (FY)1 and FY2 postswith meaningful exposureto psychiatry.

The Colleges highlysuccessful NationalRecruitment to SpecialtyTraining in England ledby Dr Nick Brown matched the best availableapplicants with availablecore training posts andhelped hang on to those

precious trainees whoknow they want to join us.

The most immediatelyrewarding work has beenour direct engagementwith medical students,run by the PsychiatricTrainees Committee

(PTC) and ably led by PTCchair Dr Clare Oakley andDundee medical student

ProessorRob Howard

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5 Annual Review 2009

student

PersPectiveJude Harrison, Student

Associate representativeI becameinvolved withthe recruitmentinitiative afterattending thestudent sessionat the Colleges2008 Annual

Meeting. I canvassed theviews of the other studentspresent at the workshop andcontacted the PTC suggest-ing ways they could fosterour interest in psychiatry.

Changes to postgraduatetraining oblige doctors to

make career decisions earlier,and new immigration regula-tions are likely to reducethe number of psychiatristsrecruited from overseas.This, against a background ofchronic unpopularity, mean ithas never been more impor-tant to encourage students

to consider a career in thespecialty.

Just over a year since theinitiative began, a lot has been achieved.The Student Associateship, dedicatedundergraduate events, a growing numberof student interest groups and even a RoyalCollege of Psychiatrists Facebook groupare raising the prole of psychiatry amongstudents. The challenge now is to build onthese achievements.

scottisH PersPectiveProfessor John Eagles,Chair of theScottish Division Undergraduate

Student Teaching and RecruitmentGroup (S-DUSTARG)

Established in 2003, this group meetsthree times a year to discuss how toimprove the quality of undergrad-uate teaching and enhance recruitment.Weve contributed to Scottish academic meetings andpublished surveys of the membership on recruitmentand retention. As part of the 2007 Images of Psychiatrycampaign, we surveyed Foundation doctors to helpidentify what deters potential recruits from a career inpsychiatry and which factors make it more attractive.Among other ndings, the survey highlighted thatexposure to a psychiatric post during Foundation train-ing signicantly increases the likelihood that a doctorwould wish to pursue a career in psychiatry.

In 2006, S-DUSTARG produced a paper which helped

shape the Colleges curriculum on the acquisition ofteaching skills among trainees. Following that, wehave this year developed a course for psychiatric train-ees on how to improve teaching skills. This will run as apilot and the College has provided central funding witha view to rolling it out should it prove successful toother parts of the UK.

Finally, we are editing a College book on enhancingteaching and recruitment. A number of authors fromacross the UK have contributed chapters and the bookshould be published in 2010.

Proessor John

Eagles

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gradesinception

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6 Royal College of Psychiatrists 6 Royal College of Psychiatrists

tHe uK Parliament

Dr Ian Hall, Chair of the WestminsterParliamentary Liaison Committee

The College has an active programmeof parliamentary work overseen by theParliamentary Liaison Committee. In 2009,we have worked on the Welfare ReformBill, Equality Bill and the Coroners and

Justice Bill, providing MPs with briengdocuments and suggesting amendments.

We have achieved signicant governmentconcessions on the Welfare Reform Bill,ensuring there are safeguards againstdiscrimination towards people with mentalhealth problems in the welfare system.

We supported the governments measuresto ban age discrimination in mental

health services through the Equality Bill,highlighting the need for immediateaction. The Health Secretary announced inOctober that the legislation would comeinto force as early as possible in 2012.

In October, the College launched a positionstatement Age Discrimination in MentalHealth Services: Making Equality a Reality,

in Parliament. The issue attracted wideinterest from parliamentarians, with 18MPs and Peers attending.

We continue to provide secretarial supportto the All-Party Parliamentary Group onMental Health. We have followed up theGroups 2008 Mental Health in Parliamentreport, working with the charities Mind,Rethink and Stand to Reason to provide

mental health awareness training forMPs. We are also working with MPs onthe removal of Section 141 of the MentalHealth Act, under which MPs automatically

lose their seat if compulsorily detained for

more than 6 months.I led delegations to all three major politicalparty conferences this autumn. We spokewith ministers and shadow ministerscovering the range of policy areas thataect mental health, including work andpensions and public health. We also metwith backbenchers, addressing local andnational issues.

tHe nortHern ireland

assembly

Dr Philip McGarry, Chair of theNorthern Ireland Division

Reform of legislation has dominated theNorthern Ireland mental health politicalagenda in 2009. The Bamford Review ofMental Health and Learning Disabilityrecommended a single legislative frame-work for updated mental health law andthe introduction of capacity law. TheDepartment of Health initially proposed

separate consequential bills. After lobbyingfrom the College and others in the mentalhealth sector, this was revised to twosimultaneous bills and eventually to the

leadersHiP: rePresenting PsycHiatriststo Parliamentarians across tHe uK

Dr Phlp MGarry ad publ aars sula Lzm s, h h nh iP

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7 Annual Review 2009Annual Review 2009

single Mental Health and Mental CapacityBill. Bamfords four core principles ofautonomy, justice, benet and least harmwill be on the face of legislation.

Over the past year, our Division has

cemented relationships with Stormont,with health representatives from acrossthe political spectrum seeking our advice.We work closely with other professionalgroups and with the Mental Health andLearning Disability Alliance, representinga wide range of voluntary and professionalgroups active in the sector, to push for both

service improvements and prevention ofservice cuts.

tHe WelsH assembly

government

Dr Helen Matthews, Chair of the

Welsh Division

The Welsh Division has become increasinglyinvolved in the policy-making of the WelshAssembly Government and contributedto all its consultation documents relatedto mental health over the past 12months. Of particular importance wasthe re-structuring of the NHS in Wales(implemented on 1 October).

We are involved with the approved clinicianprocess in Wales, which was initiallymet with mixed views from members.Following dialogue with our ExecutiveCommittee, the Welsh government iscurrently reviewing the implementationof policy around the procedures of gainingapproval. These developments could leadto new guidance in early 2010.

We are also working alongside theWelsh government in seeking legislativecompetence in mental health. If successful,this competence would be used to bring

snP c, i. l h: d sg, m ch e y ai msP, m m Hp, da a

7

tHe scottisH government

Dr Peter Rice, Chair of the Scottish

Division

This year, our priority for political engage-

ment has been child and adolescentservices. In April, the Health Committeeof the Scottish Parliament held an inquiryinto child and adolescent services and weprovided written and oral evidence.

We held fringe meetings at three of thefour Scottish political party conferences,some co-hosted with Barnardos and theAberlour Trust. At the Scottish NationalParty conference, we highlighted the lackof specialist in-patient services for youngadults in Scotland with intellectual disabilityand mental illness. The session, chairedby Minister for Children and Early YearsAdam Ingram MSP, included speeches bypsychiatrists and carers and generatedconsiderable debate and interest among

attendees.The Cross-Party Group on Mental Healthhas met three times in 2009 to discussin-patient services for children and youngpeople, mental health in prisons andsuicide prevention.

forward a subsequent Assembly Measure(or Welsh Law) dealing with assessment,treatment and advocacy in mental health.

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RAyMonD BRookeS-CollInSRaymond is Co-Chair o the Carers Forum. His

background is in social care and he cared or his late

wie, who had a complexity o mental health issues,

or 11 years. He now distance cares or a 42-year-old

with bipolar disorder and a 13-year-old with attention-

defcit hyperactivity disorder and autism.

Q: What have you enjoyed about co-chairing the

Carers Forum?

A: It enables me to hear the enormous range o experiences and backgrounds o

ellow carers. The extra contact I have within the College and its Faculties gives me

insight into how the College and its members work and operate. I am treated with

dignity and respect, and enjoy the knowledge, experience and, yes, humour. It is a

privilege.Q: Do you think that the needs o carers are listened to in the College?

A: My eeling is that the College listens to what carers have to say about their

everyday lives, which is rereshing and welcome. However, there are many hard-to-

reach carers who remain unheard and isolated. I hope the College continues to seek

the views o all carers.

Q: What has been your personal highlight o the year?

A: My personal highlight was at the Colleges Annual Meeting in July. All o the carers

present elt able to contribute, and had their views heard and discussed. It was so

rewarding that each person elt confdent and energised to make it a memorable

meeting. I thank you all.

Q: What has been your personal

highlight o the year?

A: Surprisingly, I have several highlights:

I was asked to write a paper or the

Colleges seminar on recession; I am

involved in writing a leaet on debt; and

I am to record a podcast or the College

website. Above all, I believe, I have

earned the respect o other members o

SURF and members o the College.

Members o the Service Users

Recovery Forum

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Pressing for adequate health services forpeople with mental illness is one of thecore objectives of the Colleges 3-year FairDeal campaign, and has guided the PolicyUnits work this year.

With the 10-year National ServiceFramework for Mental Health in Englanddrawing to a close in November 2009,mental health charities have beendetermined that a new policy frameworkshould be there to replace it. The PolicyUnit joined the Future Vision Coalitionof mental health organisations to helpinuence New Horizons, the governmentsmental health strategy. Over the summer,the College hosted a series of seminars on

public mental health to gather proposalsfor protecting and enhancing the UKpopulations mental well-being.

The impact of the recession on peoplesmental health and on the NHS as a wholehas preoccupied us this year. One projecton debt and mental health was completedand another begun, and we hosted a joint

seminar with the NHS Confederationand the London School of Economicsto consider the impact of the economicdownturn on mental health services. Thishas led to further work with the CollegesDivisions to consider the issue at a locallevel.

The year also saw other new venturesin the Fair Deal campaign. An expertpanel reviewed standards set for in-patient facilities by the College Centrefor Quality Improvement to see whetherthey captured the specic needs of Blackand minority ethnic patients. The panels

recommendations have been taken up bythe relevant networks.

A project on self-harm and suicide isunderway, including a survey of Collegemembers to discover the main dicultiesthe mental health system has in treatingthose who self-harm. A nal report will beproduced in spring 2010.

fair deal and otHerPolicy initiativesProfessor Sue Bailey, Registrar

P s b

Discrimination and stigma

Engagement with service users and carers

Availability o services

Linking physical and mental health

The priority areas of Fair Deal

Funding

Access to services

In-patient services

Recovery and rehabilitation


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In April, Lord Bradley reported on diversionfrom the criminal justice system for peoplewith mental health problems. We haveset up a project to consider the problemof delays in the transfer from prison to

hospital of mentally ill prisoners. We trustthat through identifying some of thebarriers we will also nd solutions.

Discrimination againstolder people in mentalhealthcare has been raisedin the position statement

Age Discrimination in

Mental Health Services:Making Equality a Reality,which was launched inParliament in October.

d c c, pj h nh i-p w , -p

Each area of the Fair Deal campaignhas been addressed by members of thePolicy Unit over the year either throughlarge projects or smaller initiatives. Someof the latter include cost-eectiveness

analysis of out-of-area residential care,website toolkits on outcomes and onlinking physical and mental health, as wellas meetings with the newly formed CareQuality Commission.

nortHern ireland: Ward

survey

Dr Claire Coulter, project lead

When we launched Fair Deal in NorthernIreland, we committed to looking atthe state of in-patient wards. We sent asurvey to all our Division members, to themanager of each acute adult admissionward in Northern Ireland, and to users and

carers. The results surprised us the mainnding was that about a fth of beds weretaken up by people who were well enoughto be discharged but were kept in hospitalbecause they had no appropriate placeto live. We knew that wards were oftenovercrowded but had not put together theoverall picture before. The problem is notso much about the number of beds as about

the lack of supported accommodation forpeople with complex needs.

The College issued a press release aboutthe ndings that was widely reported

on in all media including radio stationsthat usually focus on music! I had myrst taste of talk radio and found a reallevel of concern among listeners. Mostbelieved that people should be supportedto rebuild their lives within the community

rather than being left in hospital too long.I am now working with the Departmentof Health to develop an audit tool for bedmanagement within Northern Ireland.


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Congratulations to the winnersof the 2009 RCPsych Awards

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Promoting Quality in mental HealtHcareth n c c m Hh (nccmH)

h c c Q ip (ccQi)

The NCCMH is hosted by the Royal College ofPsychiatrists and funded by the National Institutefor Health and Clinical Excellence (NICE) to develop

mental health clinical guidelines for the National Health Service (NHS). Half the team of 20are based in the College Research Unit in Aldgate and the other half at the British Psycho-logical Societys department at University College London.

clinical guidelinesThe NCCMH develops clinical guidelines with a methodologi-

cal rigour that has become the international gold standard in

guideline development. They are based on the best availableresearch evidence and set the standard on eective and cost-eective practice in the whole of the NHS.

service usersEvery guideline development group has full involvement from service users and carers.

PublicationsIn the past year we produced 15 articles for peer-reviewed journals, several guidance summaries inthe BMJ and a number of guided learning modules.

Publicityand educationOur work has attractedsignicant media interestand continued to feature ontelevision, radio, and in the

national and internationalpress. This helps raisepublic awareness of the

guidelines.

niceinternationalWe have worked as con-sultants for internationalorganisations, helping themto establish a programmeof clinical guidelines andsupporting international

psychiatry. Work this yearhas been with the Turkishgovernment and the Minis-try of Health in Georgia.

Dr Tim Kendall, Deputy Director,College Research Unit

Guidis pubishd i 2009

Borderline personality disorder

Antisocial personality disorder

Schizophrenia (update)Depression (update)

Depression in adults with a

chronic physical health problem

The CCQI works to promote excellence in mental healthcare. It builds

on the work o the NCCMH by setting standards or mental health

services and promoting quality improvement through national clinical

audits, peer-review networks and accreditation o clinical services.

More than 800 services, units and clinical teams across the UK

participated in the CCQIs quality improvement and accreditation

programmes over the past year, including 93 young peoples in-

patient units, 92 young peoples community teams, 88 therapeutic

communities, 64 medium secure units, 108 ECT clinics, 240

psychiatric wards, 34 memory services, 18 liaison psychiatry teamsand 13 mother and baby units. In the course o this work, the CCQI

coordinated hundreds o peer-review visits to these services by multi-

proessional teams that oten included service users.

Over the past year, the CCQI secured unding to establish a national

audit o schizophrenia to add to the existing audits o psychological

therapies or anxiety and depression and o the care o

people with dementia in general hospital wards. It was

also awarded a grant rom the Health Foundation to set

up a team that will support mental health services acrossthe country to make improvements by acting on the

fndings o service reviews coordinated by the CCQI.

Mr Adrian Worrall, Head, CCQI

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neW booKs 2009

JanuaryMindreadings: Literature and Psychiatry

Edited by Femi Oyebode

marcHDeveloping Mental Health Services for Children and Adolescents

with Learning Disabilities: A Toolkit for CliniciansEdited by Sarah Bernard and Jeremy Turk

Attention Decit Hyperactivity Disorder: The NICE Guideline onDiagnosis and Management of ADHD in Children, Young People

and AdultsIn collaboration with NCCMH and the British Psychological Society

Am I Going To Die?The latest in the Books Beyond Words Series edited by Sheila Hollins

aPrilModern Management of Perinatal Psychiatric DisordersBy Carol Henshaw, John Cox and Joanne Barton

JuneEmergency Department Handbook:

Children and Adolescents with Mental Health ProblemsEdited by Tony Kaplan

Spirituality and PsychiatryEdited by Chris Cook, Andrew Powell and Andrew Sims

Nidotherapy: Harmonising the Environment with the PatientBy Peter Tyrer

sePtemberBorderline Personality Disorder: The NICE Guideline on Treatmentand ManagementIn collaboration with NCCMH and the British Psychological Society

The Young Mind: An Essential Guide for Parents, Teachers andYoung AdultsCo-edited by Sue Bailey and Mike Shooter; co-published with Transworld

octoberPrimary Care Mental Health

Edited by Linda Gask, Helen Lester, Tony Kendrick and Robert Peveler

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Public education

editorial board

Dr Philip TimmsThe College continues to be one of the worldsmain providers of mental health information,producing 148 leaets on common mentalhealth problems and treatments, and morethan 100 translations of these materials into14 dierent languages from Arabic to Welsh.

New titles this year include Problem Gambling,Physical Activity and Mental Health, and De-pression in Older Adults. We receive genuinely

positive feedback from the public, who ndthe information comprehensive, unbiased andeasy to understand. Many of our mental healthinformation web-pages continue to rankamong the most popular in the world, withvisitors from over 200 countries.

I have beensupported in myrole as Chair of the

Public EducationEditorial Boardby a small groupof enthusiasticCollege membersand sta. I am particu-

larly grateful to Dr MartinBriscoe, Dr Jim Bolton, DrAshok Jainer and Dr Ros Ramsay, who have allbeen involved in the writing, editing and trans-

lation of the materials, as well as the importanttask of ensuring that the information is upto date and regularly reviewed. This is a trulymammoth task. Weve recently invited threeservice user representatives onto the Board,and their motivation and passion for public

education has reinvigorated our work.

Public education HigHligHts

Dr Phillip Timms, Chair

o the Public Education

Editorial Board

Press and mediaDeborah Hart, Director of Communicationsand Policy

The central Press Oce, and in particular ourpress ocer Liz Fox, has been busy this yearresponding to an increasing number of mediaenquiries and regularly issuing topical pressreleases. We are grateful to the hard-workingmembers of the Public Education Committee

and other psychiatrists who act as our mediaexperts.

This work has been complemented by our veryactive public aairs ocer in Northern Ireland,Liz Main, who works closely with the central

oce and has raised the prole of the NorthernIreland Division enormously.

Highlights of the year include widespreadmedia coverage of the Colleges Get well soon

cards for people who are unwell with mental illhealth, which were launched on 10 October tocoincide with World Mental Health Day.

New research presented at the 2009 AnnualMeeting in Liverpool made headlines around

the world, including one memorable story onhow eating curry every week could help preventdementia. The work the College has done ondebt and mental health, and age discrimina-tion in older peoples mental health services,received good coverage in the national pressand on TV and radio.

We also started using social media site Twitterto promote College initiatives and raise our pro-le (twitter.com/rcpsych). As one of only a fewmedical Royal Colleges with a Twitter prole, wehave gained over 500 followers in just 6 months.

The two

colourul

designs o

Get well

soon cards

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summarised accounts to 31 december 2008

t pIt is my pleasure to present my report as Honorary Treasurer for the nancial

year ending 31 December 2008.

At the end of 2008 income was 13,540k and expenditure was 13,494k resultingin a surplus of 46k. When an unrealised loss of 245k on investments is taken intoaccount an overall decit of 199k emerges.

This year has seen a return to an overall operating surplus owing to the economiesmade on expenditure, coupled with strong governance, planning and riskmanagement by the trustees and senior managers. Trustees and sta have reduced and containedexpenditure, despite inationary pressures to the contrary, including travel and accommodation

expenses, trustee away days and new sta recruitment. For example, 150k travel costs were

saved during 2008 before new activities are taken into account.Membership of the College has continued to grow, increasing in 2008 to 14,180 (2007 13,103).Increased membership has generated additional income of 149k. Trainee registration withthe College now stands at 1488. Uptake of the new UK Associate grade, however, has beendisappointing with only 48 psychiatrists joining the College in this capacity. This suggests a needto review the terms and benets of this grade of membership.

Other areas of increased income include College Centre for Quality Improvement subscriptions of395k; income from the College Education and Training Centre of 201k; and 110k funding fromNHS East Midlands to develop national selection (CT1) initiatives.

The international liquidity crisis has not had an adverse eect on the Colleges nances owing to thehigh level of liquidity of our assets. The economic recession has aected the Colleges investmentportfolio but it is anticipated that unrealised losses will be reversed as the economy improves.

Of more enduring concern is the diculty the College has had in meeting the requirements of itsfree reserves policy. This has arisen because the costs of supporting faculties, sections, divisions

(FSDs) and the College Research and Training Unit are allocated against the general fund, whereasthe surpluses generated by these departments are retained within their areas of activities and areclassied as designated funds.

During the period January 2005 to December 2008 the following develop ments have receivedsignicant additional funding from general funds to support activities of FSDs:

total support from divisional oces (total funding 2005 to 2008 2,229k; funding 2008 alone 764k; this compares with annual support costs of 263k prior to 2005)

total administrative support for faculties and sections (total funding 2005 to 2008 503k;funding 2008 alone 194k; this compares with annual support costs of 80k prior to 2005)

conference days supported by faculties and sections through the College Conference Unitnumbered 30 in 2008 (2005 26); this does not include study days which have also increased innumber.

Other areas of expenditure include the new Psychiatrists Support Service (funding 2007 to 2008 126k; funding 2008 alone 68k) and direct expenditure for the Board of International Aairs(funding excluding sta costs 2005 to 2008 223k; funding 2008 alone 58k). The new PolicyUnit had an expenditure of 142k before College overheads are allocated.

Professorgeoreikkos,

Honorarytreasurer

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19Annual Review 2009

Despite the above increases, relative growth of central College support departments has beenlimited. The graph below, for example, presents the numbers of central support services sta(including Facilities, Human Resources, Finance and IT) in the light of increase in overall numbersof sta and annual turnover over the years 1998 to 2008. The additional sta cost this yearamounted to 331k.

2008 was the rst year of full implementation of the new examinations system. In view of theenormous amount of work that has gone into the new examination and the funding of start-up and rst-year operating costs of Healthcare Assessment and Training (HcAT), the CentralExecutive Committee has agreed the introduction of a 15% contribution to the development

fund from examinations income. Introduction of the new examinations format has resulted in adecrease in net examinations income by 278k. Opportunities for new income generation mayinclude extending the MRCPsych examination to overseas centres. A rst pilot will be taking placein Hong Kong in 2009.

The relationship between the College as an institution and commercial organisations continuesto evolve. Income from exhibitors at the Annual Meeting held at Imperial College in 2008 was4k (2007 67k). The relationship between medicine and commercial interests in the UK is

currently being reviewed by the Academy of Medical Royal Colleges and the College anticipatesthe Academys report with interest.

Faculties, sections, divisions and special interest groups (FSDSIGs) have also contributed to incomegeneration through conference attendance fees and commercial sponsorship. The income generatedfrom commercial sponsorship of FSDSIG activities in 2008 was 75k (2007 98k). Although mostFSDSIGs contribute successfully to income generation, faculty and division conferences continue

to depend on membership fees and other general funds to meet the direct costs of the faculty andsection central administrative support, the Conference Unit and the divisional oces.

A major long-term challenge for the College continues to be that of securing premises beyond the

expiry of the lease in 17 Belgrave Square in 2034. Work to address this challenge continues activelyand will have major nancial implications for the future.

20 March 2009

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6000

8000

10000

12000

14000 Total incomingresources

College staff

Support staff

20082007200620052004200320022001200019991998

No.ofstaff

Totalinc

omingresources(000)

Increase in College staff in relation to incoming resources, 1998 to 2008

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StAtEMEnt of finAnciAL ActivitiES

year to 31 december 2008

Unrestricted Restricted t f Total Funds

Funds Funds 2008 2007000 000 000 000

i

i Voluntary income donations and gifts 28 28 1

Investment income and bank interest 360 360 383

i h Standard setting and research 1,410 2,346 3,756 3,349Education and training 4,841 4,841 4,915

Member services and support 3,980 2 3,982 3,784College campaign and public education 31 56 87 75Central College development 482 482 381Prize funds 4 4 12

t 11,132 2,408 13,540 12,900

r p

c

Activities for generating funds 23 23 21Investment management costs 7 7 10

ch Standard setting and research 2,055 2,395 4,450 4,506

Education and training 5,427 21 5,448 5,330

Member services and support 2,307 1 2,308 1,985College campaign and public education 906 20 926 752Prize funds 7 7 9

g 325 325 418

t p 11,050 2,444 13,494 13,031

n () 82 (36) 46 (131)

t w 31 (31)

n ()

h 113 (67) 46 (131)

oh

(Losses) gains on investment assets (245) (245) 44

n (132) (67) (199) (87)

r Total funds brought forward 6,112 479 6,591 6,678

t w 5,980 412 6,392 6,591

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21Annual Review 2009

balance sHeet as at 31 december 2008

2008 2007

000 000

f Tangible assets 2,070 2,042Listed investments 890 1,142

2,960 3,184c Stocks 117 177Debtors 1,829 1,620Short-term bank deposits 3,000 3,500

Cash at bank and in hand 1,577 467

6,523 5,764

c: amounts falling due within one year 3,091 2,357

n 3,432 3,407

t 6,392 6,591

rp :Funds and reservesIncome funds

Restricted funds 412 479Unrestricted funds

Designated funds 3,364 4,512

General funds 2,616 1,600

5,980 6,112

6,392 6,591

Summarised accounts

The Trustees confrm that the summarised accounts on pages 20 and 21 are a summary o the inormation extracted rom the ull Annual

Report and Accounts, which were approved on 20 March 2009. The summarised accounts may not contain sufcient inormation to allow a

ull understanding o the fnancial aairs o The Royal College o Psychiatrists. Copies o the ull accounts on which the auditors have reported

without qualifcation and which have been delivered to the Charity Commission may be obtained ree o charge upon written request to the

Finance Department, The Royal College o Psychiatrists, 17 Belgrave Square, London SW1X 8PG. Approved on behal o the Trustees and

signed on their behal by: Proessor D. Bhugra, President; Proessor G. Ikkos, Treasurer 20 March 2009Report of the independent auditors to the members of The Royal College of Psychiatrists

We have examined the annexed summarised accounts (comprising Statement o Financial Activities and Balance Sheet) o The Royal College

o Psychiatrists or the year ended 31 December 2008.

Respective responsibilities of Trustees and auditors

The Trustees o the College are responsible or the preparation o the summarised accounts in accordance with applicable law and the

recommendations o the charities SORP. Our responsibility is to report to you our opinion on the consistency o the summarised accounts

with the ull Annual Report and Accounts.

Basis of opinion

We conducted our work in accordance with the Bulletin 1999/6 The auditors statement on the summary fnancial statements issued by the

Auditing Practices Board or use in the United Kingdom.

Opinion

In our opinion the summarised accounts are consistent with the ull Annual Report and Accounts o The Royal College o Psychiatrists orthe year ended 31 December 2008.

Buzzacott LLP, Chartered Accountants and Registered Auditors, 12 New Fetter Lane, London EC4A 1AG 23 March 2009

These summarised accounts were circulated to the membership o the College and were approved at the Royal College o Psychiatrists

AGM, 4 June 2009.

7%

Incoming resources 2008: 13.5 m

28%

29%

36%

Resources expended 2008: 13.5 m

33%

41%

17%

7%

2%

y Standard setting and research

y Education and training

y Member support and services

y Other

y Governance

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central executive committee membersHiP

Information reects committeemembership as at 8 December2009. Further enquiries should

be sent in writing to theRegistrar.

*term of oce ends 31December 2009

member ex ocio; F, Fellow;

M, member

President Vice-Presidents

Professor D K M L Bhugra Dr D A Coia*Treasurer Associate Deans

Professor G Ikkos Dr A D BrittlebankDean Dr B S LunnProfessor R J M W Howard Dr L M Mynors-WallisRegistrar Professor G P OBrienProfessor S M Bailey Dr G T PinnerEditor Deputy Registrars

Professor P J Tyrer Dr P ByrneDr O Junaid

Dr N H DeucharDr P R SnowdenElected membersProfessor S M Benbow (F)Professor R N Chithiramohan (F)Dr S R Nimmagadda (M)Dr P A Sugarman (M)

Chairs of Faculties

Academic Professor N CraddockAddictions Dr M P FarrellChild and Adolescent Dr M A C MurphyForensic Dr J M ParrottGeneral and Community Dr M E HampsonLearning Disability Dr S BhaumikLiaison Dr P V GillOld Age Dr D N AndersonPsychotherapy Dr C J MaceRehabilitation and Social Dr H T Killaspy

Chairs of Sections

Eating Disorders Dr U SchmidtNeuropsychiatry Dr J M Bird

Perinatal Dr R Cantwell

Chairs of Divisions

Eastern Dr D GirlingLondon Dr M MaierNorthern & Yorkshire Dr R D AdamsNorthern Ireland Dr P McGarryNorth West Dr J HollowayScottish Dr P RiceSouth East Dr P S DavisonSouth West Dr A James

Trent Dr D KhoosalWelsh Dr S H M MatthewsWest Midlands Dr S Edwards

Co-opted membersDr H Griths (for the NationalDirector of Mental Health)

Dr J S Bamrah (Chair, BMA CCSC

Psychiatry Sub-Committee)Dr P Lelliott (Director, CollegeResearch Unit)

Chair of Professional Governance& Ethics Committee

Dr E Fellow-Smith

Director of Conferences

Dr H Miller

Director of Public EducationDr P Byrne

Aliate RepresentativeDr I Ahmad

Chair of the Psychiatric TraineesCommittee

Dr J J Van Niekerk

Patients and Carers

RepresentativesMr R Brooks-CollinsMrs C Young

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OFFICERS OF SPECIAL INTEREST GROUPSGroup Chair SecretaryAdolescent Forensic Dr P CollinsForesnic Psychotherapy Dr C Minne Dr D ReissGay and Lesbian Professor M King Dr H KillaspyMental Health Informatics Dr J Marley Dr P KukkadapuManagement Dr V MajjigaPhilosophy Dr M Broom Professor B FulfordPrivate and IndependentPractice

Dr P T S Milln Dr S McKeown

Psychopharmacology Dr D Baldwin Dr K Aitchison

Spirituality and Psychiatry Professor C Cook Dr S DeinTranscultural Dr R AminWomen Dr F Mason

OFFICERS OF FACULTIES AND SECTIONS

Faculty Chair SecretaryAcademic Professor N J Craddock Professor P W R WoodruAddictions Dr M P Farrell Dr E Finch/Dr F KeaneyChild and Adolescent Dr M A C Murphy Dr C LambForensic Dr J Parrott Dr H StoneGeneral and Community Dr M E Hampson Dr N KoskyLearning Disability Dr S Bhaumik Dr H BoerLiaison Dr P V Gill Dr P AitkenOld Age Dr D N Anderson Dr P J ConnellyPsychotherapy Dr C J Mace Dr S MizenRehabilitation and Social Dr H T Killaspy Dr P WolfsonSection Chair SecretaryEating Disorders Dr U Schmidt Dr J Morgan

Neuropsychiatry Dr J M Bird Dr N K AgrawalPerinatal Dr R Cantwell Dr E McDonald

OFFICERS OF DIVISIONSDivision Chair SecretaryEastern Dr D Girling Dr M IqbalLondon Dr M Maier Dr G RandsNorthern & Yorkshire Dr R Adams Dr S BarlowNorthern Ireland Dr P McGarry Dr U HudaNorth West Dr J Holloway Dr S Plunkett

Scottish Dr P Rice Dr L WattSouth East Dr P Davison Dr S RathodSouth West Dr A James Dr P CarpenterTrent Dr D Khoosal Dr D ChalonerWelsh Dr H Matthews Dr J LewisWest Midlands Dr S Edwards Dr D Watts

OFFICERS OF STANDING COMMITTEES

Committee ChairPolicy Coordination Professor S M BaileyProgrammes andMeetings

Dr H Miller

Psychiatric Trainees Dr J J Van NiekerkPublicationsManagement Board

Professor P J Tyrer

Public Education Dr P ByrneWestminster Liaison Dr I HallOFFICERS OF SPECIAL COMMITTEESCommittee ChairECT and RelatedTreatments

Dr A M E Easton

Informatics Dr M BaggaleyProfessionalGovernance & Ethics

Dr E Fellow-Smith

Ethics Sub-Committee

Dr C P L Freeman

education, training and standardscommittee membersHiP

Dr F AhmadDr R P ArnoldProfessor S M Bailey(Registrar)

Dr J S Bamrah (Director, CPD)Dr V B BanksProfessor A W Bateman(Chief Examiner)

Dr J A Bearn (co-opted)Dr S BhaumikProfessor D K M L Bhugra(President)

Dr A M BoyleDr A D Brittlebank

(Associate Dean)Dr R CantwellDr A ClarkProfessor S CurranDr F M C Denman

Dr H E De Waal (co-opted)Dr G A DoodyDr S EdwardsDr M P FarrellDr A Gregoire (co-opted)Professor J Hayden (co-opted)Professor R J M W Howard

(Dean)Dr B W JacobsProfessor R JenkinsDr J A Jones

Dr J H KentDr P T Lelliott (co-opted)Dr D Longson (co-opted)Dr B S Lunn (Associate Dean)Dr R MacPhersonDr M Maier (co-opted)Dr A Malik (co-opted)

Dr E J Marshall (co-opted)Dr A MichaelDr T MorrisDr L M Mynors-Wallis(Associate Dean)

Professor G P OBrien(Associate Dean)

Dr D G PattersonDr G P PinnerDr N B PurandareDr R Rao Nippani

Dr P H RobinsonDr J A Russell (co-opted)Dr M S SimmonsDr M StainesDr J J Van NiekerkDr J W WarnerProfessor R J W Williams

member ex ocio

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in memoriamDeaths December 2008 to December 2009

Allen, Beatrice Margaret (b. 1924)

Ashcroft, George Warburton (b. 1930)

Avery, Michael John (b. 1930)

Bagadia, Vrajlal Narshidas (b. 1922)

Batizy, Gusztav Andras (b. 1918)

Bavin, Jack Thomas Rainsford (b. 1926)

Bereen, Frederick James (b. 1941)

Berg, Ian (b. 1932)

Bhattacharyya, Sambhu Nath (b. 1931)

Bickford, James Arscott Raleigh (b. 1917)Binns, John Kenneth (b. 1928)

Board, Hedley Rex (b. 1934)

Bolt, Jean Mary Wilson (b. 1926)

Byrne, Geraldine Carmel (b. 1955)

Chubb, Helen Lindsay (b. 1963)

Crown, Sidney (b. 1924)

Cundall, Richard Leslie (b. 1939)

Dalgleish, William Armstrong (b. 1925)

Davies, Terence Stanley (b. 1913)

Dunn, William (b. 1921)

Eckland, Beaumont Lloyd (b. 1957)

Eisenberg, Leon (b. 1922)

Freedman, Isidore (b. 1932)

Gillie, Anne Katherine (b. 1925)

Gold, David Victor (b. 1966)

Gore, Charles Patrick (b. 1918)

Howarth, Edmund (b. 1928)Hunter-Brown, Isobel Henderson (b. 1918)

Imlah, Norman William (b. 1924)

Jones, Wilfrid Llewelyn (b. 1916)

Joyston-Bechal, Montague Philip (b. 1930)

Kaligotla, Sudhir (b. 1971)

Knight, Gwendoline Dorothy (b. 1909)

Kohen, Dora Devora (b. 1946)

Lang, Jochen (b. 1966)

Martin, John Christopher (b. 1953)

Mathur, Gyaneshwar Narayan (b. 1934)

Mitchell, Philip Henry (b. 1919)

Morton, Michael Robert (b. 1930)

Muir, Walter John (b. 1958)

Nayani, Tony (Tanveer Husein) (b. 1962)

Nicol, Arthur Rory (b. 1938)

OConnell, Brian A. (b. 1926)

Odejide, Olabisi Adebayo (b. 1941)

Omotayo, Joseph Olusola (b. 1964)

Parker, Richard Henderson (b. 1919)Pettitt, Vera Agostina (b. 1920)

Piachaud, Michael James Henry (b. 1948)

Pitcher, David Corbett Reid (b. 1929)

Plunkett, Gerald Barry (b. 1927)

Pollitt, Georey (b. 1920)

Rae, Alistair Sutherland Livingston (b. 1912)

Rao, A Venkoba (b. 1927)

Raschka, Leslie B (b. 1925)

Reed, John Langdale (b. 1931)

Robins, Lee (b. 1922)

Russell, Michael Anthony Hamilton (b. 1932)

Seifert, Ruth (b. 1943)

Sim, Myre (b. 1915)

Slack, Margaret Mary (b. 1927)

Stephens, Frederick Peter (b. 1927)

Stone, Frederick Hope (b. 1921)

Turle, Georges Charles (b. 1921)Vahia, Nalinkant Sunderji (b. 1916)

Vummadisingh, Vijaya Kumar (b. 1947)

Weatherhead, Arthur Dixon (b. 1921)

White, Iain Harvey (b. 1951)

Williams, Arthur Hyatt (b. 1914)

Wilson, John David (b. 1934)

Wol, Sulammith (b. 1924)

Zahangir, Mohammed (b. 1939)

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SuPPoRteRS

th Ryal Cllg f Psychiariss is grafl h fllwing

rganisains fr hir sppr f Cllg rsarch prjcs and

acadmic aciviis dring h pas yar.

Big Lry Fnd

Car Sandards Imprvmn Parnrship

Chariabl Mnis Allcain Cmmi f S Andrws Hspial,Nrhampn

Dparmn f HalhGasby Fndain

Halh Fndain

Halh Prgramm wihin h 7h eu FramwrkHalhcar Cmmissin

Nainal Insi fr Halh and Clinical excllnc

NHS Nainal Insi fr Halh Rsarch108 NHS prvidrs f mnal halh srvics in h uK and Irland

W ar vry grafl fr h gnrs bqs by h la HlnMargar Svnsn.

th Cllg als hanks h many mmbrs, nn-mmbrs andrganisains ha hav givn Cllg campaigns and appals,

and r advrisrs fr hir cnind bsinss.

th Ryal Cllg f Psychiariss 2009

17 Blgrav Sqar, Lndn SW1X 8PG

www.rcpsych.ac.k

th Ryal Cllg f Psychiariss is achariy rgisrd in england and Wals

(228636) and in Scland (SC038369)

occasinal Papr oP72

Documents

RCPsych2009