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Daniel in the lion's den: attachment to a purchaser

Department of Psychological Medicine, The Hospitals for Sick Children, Great Ormond Street, London WC1N 3JH.

This article describes a part-time attachment to the public health department of a purchasing authority, during my senior registrar training in child psychiatry. This London purchasing authority was responsible for researching needs and priorities, planning services and drawing up and administering contracts for an area previously administered by several separate health authorities. In carrying out these tasks it worked in close collaboration with its local public health department, but was not directly linked to a Family Health Services Authority.