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Those who forget history …

Published online by Cambridge University Press:  02 January 2018

Adam Moliver*
Affiliation:
2gether National Health Service Foundation Trust, Cheltenham, Gloucestershire, UK, email: admoliver@btinternet.com
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Abstract

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Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 2012

Fear et al Reference Fear, Scheepers, Ansell, Richards and Winterbottom1 describe the Fair Horizons model of service organisation. It should be noted that this model has yet to be tested or indeed actually implemented. It is unfortunate that the authors do not refer to the need for evaluation after this model is put into operation. I am sure we all look forward to reading a report of an independent evaluation in due course.

Those who forget history are doomed to repeat it. I remember being at a meeting at the Royal College of Psychiatrists on the day the Department of Health confirmed that old age psychiatry would be recognised as a specialty separate from general psychiatry. Old age psychiatry arose because age-blind generic services neglected the particular needs of older patients – and because late-onset illness is or may be clinically different. Discrimination is bad but specialisation is good.

References

1 Fear, C, Scheepers, M, Ansell, M, Richards, R, Winterbottom, P. ‘Fair Horizons’: a person-centred, non-discriminatory model of mental healthcare delivery. Psychiatrist 2012; 36: 2530.Google Scholar
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