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Keywords

psychiatrist trainee psychiatrist moral hazard locum doctors workforce shortage

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References

Robinson

. The first resignations of hundreds of NSW psychiatrists take effect as private system offers help, 2025. https://www.theaustralian.com.au/health/the-first-resignations-of-hundreds-of-nsw-psychiatrists-take-effect-as-private-system-offers-help/news-story/76d3f714fd39b51ae9b6f1bb030ac4fd (accessed 21 January 2025).

Timms

. System under strain as mass psychiatrist resignations begin, 2025. https://www.theaustralian.com.au/health/system-under-strain-as-mass-psychiatrist-resignations-begin/news-story/ba259a69534429ef81b9ed3bd9e577e5 (accessed 31 January 2025).

Looi

Robinson

Robson

. Each hour injures, the last one kills. Australas Psychiatry. 2025. doi:10.1177/10398562251316408.

Robinson

. Psychiatrists have abandoned a broken mental health system. Is reform possible? 2025. https://www.theaustralian.com.au/health/psychiatrists-have-abandoned-a-broken-mental-health-system-is-reform-possible/news-story/8a86b453f8bfabc0358878ee94032e18 (accessed 28 January 2025).

Robinson

. Psychiatrists laid it all on the line … and the NSW government has trashed every ounce of good faith, 2025. https://www.theaustralian.com.au/commentary/psychiatrists-laid-it-all-on-the-line-and-the-nsw-government-has-trashed-every-ounce-of-good-faith/news-story/5c3730dbfcd78839fa1e689f119576b1 (accessed 21 January 2025).

Havard

. What does ‘moral hazard’ mean? 2023. https://sc.edu/uofsc/posts/2023/03/conversation_moral_hazard.php (accessed 21 January 2025).

Allen

Ashcroft

Ferguson

, et al. The use of locum doctors in the NHS: understanding and improving the quality and safety of care. Health Soc Care Deliv Res 2024; 12: 1–266. DOI: 10.3310/cxmk4017.

Grigoroglou

Walshe

Kontopantelis

, et al. Use of locum doctors in NHS trusts in England: analysis of routinely collected workforce data 2019-2021. BMJ Open 2023; 13: e065803. DOI: 10.1136/bmjopen-2022-065803.

Robinson

. Psychiatrists are fleeing the public system in record numbers, 2024. https://www.theaustralian.com.au/nation/psychiatrists-are-fleeing-the-public-system-in-record-numbers/news-story/0473bb4a5228fa0c902f19f309fff610 (accessed 3 May 2024).

10.

Ferguson

Stringer

Walshe

, et al. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. BMJ Qual Saf 2024; 33: 354–362. DOI: 10.1136/bmjqs-2023-016699.

11.

Ferguson

Walshe

. The quality and safety of locum doctors: a narrative review. J R Soc Med 2019; 112: 462–471. DOI: 10.1177/0141076819877539.

12.

Grigoroglou

Walshe

Kontopantelis

, et al. Comparing the clinical practice and prescribing safety of locum and permanent doctors: observational study of primary care consultations in England. BMC Med 2024; 22: 126. DOI: 10.1186/s12916-024-03332-z.

13.

Blumenthal

Olenski

Tsugawa

, et al. Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries. JAMA 2017; 318: 2119–2129. DOI: 10.1001/jama.2017.17925.

14.

Ferguson

Stringer

Walshe

, et al. ‘None of them know me’: a qualitative study of the implications of locum doctor working for patient experience. Health Expect 2024; 27: e14156. DOI: 10.1111/hex.14156.

15.

Ferguson

Tazzyman

Walshe

, et al. ‘You’re just a locum’: professional identity and temporary workers in the medical profession. Sociol Health Illn 2021; 43: 149–166. DOI: 10.1111/1467-9566.13210.

16.

Perkins

Reflections of a psychiatric mercenary: on being a locum. Australas Psychiatry 2017; 25: 448––450. DOI: 10.1177/1039856217707391.

17.

Looi

Allison

Woon

. Practical psychiatry: providing temporary psychiatric cover. Australas Psychiatry 2023; 31: 659–661. DOI: 10.1177/10398562231188264.

18.

Thiele

Doarn

Shore

. Locum tenens and telepsychiatry: trends in psychiatric care. Telemed J e Health 2015; 21: 510–513. DOI: 10.1089/tmj.2014.0159.

19.

Robinson

. Mental health patients languish in, 2025. https://www.theaustralian.com.au/health/hospitals-in-nsw-have-issued-directives-that-some-mental-health-patients-not-be-assessed-overnight/news-story/2a81fc18c8c5b385f57f34880b3629ea (accessed 22 January 2025).

20.

Sutarsa

Kasim

Steward

, et al. Do general practitioners in a visiting medical officer arrangement improve the perceived quality of care of rural and remote patients? A qualitative study in Australia. Healthcare (Basel) 2022; 10: 1045–1125. DOI: 10.3390/healthcare10061045.

21.

Baker

. Anaesthesia workforce in Australia and New Zealand. Anaesth Intensive Care 1997; 25: 60–67. DOI: 10.1177/0310057x9702500111.

22.

RANZCP . Learning outcomes - stages 1, 2 & 3, 2024. https://www.ranzcp.org/getmedia/a078b92d-ed73-4e1b-bc70-a245f01b3aa4/learning-outcomes.pdf (accessed 18 November 2024).

23.

Dole

. Psychiatrist accuses NSW government of 'declaring war' on mental health system, 2025. https://www.abc.net.au/news/2025-01-23/psychiatrist-nsw-government-mental-health-system/104851288?utm_source=abc_news_app&utm_medium=content_shared&utm_campaign=abc_news_app&utm_content=other (accessed 24 January 2025).

24.

Pike

. Doctors, health workers prepared to take on extra roles to reduce dependence on NSW psychiatrists, 2025. https://www.dailytelegraph.com.au/news/nsw/doctors-health-workers-prepared-to-take-on-extra-roles-to-reduce-dependence-on-nsw-psychiatrists/news-story/211d874840c76e7d85ac138dbd37eef7?amp&nk=ffdd8a663ca59f81282de7ba8ddff9c2-1737576882 (accessed 24 January 2025).

25.

NHS_Health_Education_England . Multi-professional approved/responsible clinician: implementation Guide, 2025. https://www.hee.nhs.uk/sites/default/files/documents/Multi_Professional_Approved_Responsible_Clinician_Implementation_Guide.pdf (accessed 24 January 2025).

26.

Halstead

Cao

Høgnason Mohr

, et al. Prevalence of multimorbidity in people with and without severe mental illness: a systematic review and meta-analysis. Lancet Psychiatry 2024; 11: 431–442. DOI: 10.1016/s2215-0366(24)00091-9.

27.

Anonymous . Bupa and Healthscope remain at impasse that could leave millions paying out of pocket at 38 hospitals, 2025. https://www.abc.net.au/news/2025-01-17/bupa-and-healthscope-contract-dispute-continues/104829564 (accessed 24 January 2025).

The NSW public psychiatric care crisis: For whom the bell tolls

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