I hope all those associated with the College will read the following two reports. Your Library, as you will see, has at the moment an ill-defined role. It will depend upon the views of all of us just what functions the Library shall serve in the future. The organization and financing of the Library will depend upon this clarification of its functions. The Library Committee feels that a thorough review of the Library is es.,ential; these two reports will inform you of the position the Committee has reached to date.

The Second Cogwheel Report on the Organization of Medical Work in Hospitals reaffirms the need for this type of organization in the impending reunification of the Health Service and describes the functioning of such systems since the First Report. The Divisional structure, with a small Executive Committee composed of representatives from each specialty division, is described again. There is emphasis on the Executive rather than Advisory functions of the Executive Committee, and the need is stressed for Divisional representatives and Chairmen of Executive Committees to be vested with responsibility and authority by their colleagues to take decisions on their behalf. Mention is made of the development of psychiatric Divisional Structures in psychiatric Groups, based on teams serving particular areas of population, and it seems obvious that these should be linked with Cogwheel systems of related general groups. We would only comment that the psychiatric consultant staffs, based traditionally on the psychiatric hospitals and now reaching out to units in district general hospitals, have always functioned as a clear-cut division in the Cogwheel sense, organizing, planning, advising and coordinating in their multi-disciplinary style. Other specialties have tended to organize and function more on a Hospital Staff Committee level without the advantages of the specialty division. The new advantage of Cogwheel for psychiatry seems to lie 8 in its association with other specialties at Executive Committee level.

Brook (1973) in his report on ‘Psychiatrists in Training’ discovered that three-fifths of 150 doctors in training grades in three representative Hospital Regions in England had graduated overseas. At the present time the Department's figures (30 September 1971) show that 54 per cent (498) of all trainee psychiatrists (Senior Registrar, Registrar, Senior House Officer and House Officer) out of a total of 920 are overseas-born. The vast majority of these doctors come from India and Pakistan, lesser numbers from Ceylon, Malaysia, Singapore, the Middle Eastern countries and Bangladesh. Brook's report, as well as that by Russell and Walton, entitled ‘The Training of Psychiatrists’ (1970), are valuable documents that help one to get some background to the problems of psychiatric training of doctors from overseas.