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Thirty years of in-patient consultation-liaison psychiatry at Guy's

North West London Mental Health Trust Guy's Hospital, London)

Harry Doyle, Consultant Psychiatrist, (formerly Senior Registrar

Northwick Park Hospital, Guy's Hospital, Harrow, Middlesex HA1 3UJ London)

Correspondence: ^* Correspondence

In order to inform planning decisions, we aim to show how an in-patient consultation-liaison service has changed in 30 years. A year's referral of 175 in-patients was compared with surveys carried out in the same hospital 20 and 30 years previously. Neurosciences continue to refer the greatest percentage of its patients while general medicine produces the greatest demands on the service. There has been a large increase in substance misuse referrals, although other diagnostic groups have similar referral rates. Liaison service planners should be aware of the unmet demand for psychiatric services of the general hospital in-patient population.