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Accountability in multi-disciplinary and multi-agency mental health teams
October 2005

The Standards and Ethics Committee, working with the Department of Health and the Royal College of Psychiatrists has prepared the advice below to explain how Good medical practice and our explanatory guidance on Delegation and referral applies to consultant psychiatrists working in multi-agency teams.

Accountability in multi-disciplinary and multi-agency mental health teams
Consultants' roles and responsibilities are developing and changing. They vary according both to the specialty and the type of healthcare environment in which they are provided. Changing working practices, such as multi-disciplinary and multi-agency team work, and changes in the range of skills and competencies of other healthcare practitioners, present a number of opportunities as well as challenges in providing safe and effective care. Many of the issues are best resolved by clarity between consultants and their employing organisation about appropriate roles and responsibilities. Consultants should raise with their employing bodies any issues where ambiguity or uncertainty about responsibilities may arise. Consultants also need to be clear about the expectations of the GMC.

All doctors are accountable to the GMC for their conduct and the decisions they take. Good medical practice (2013) sets out the principles which should underpin their professional work and against which their conduct may be judged. Good medical practice does not try to address, in detail, all the circumstances in which doctors may work. This guidance explains how the principles in Good medical practice apply for doctors working in multi-disciplinary or multi-agency mental health teams.

1. Doctors should be competent in all aspects of their work including: reviewing and auditing the standards of the care they provide; training

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