In the past 40 years, the practice of psychiatry has changed dramatically from asylums to community care to personalized home-based treatments. The personal history of working in various settings and changing NHS indicates that an ability to change one’s clinical practice is a critical skill. Being a migrant and an International Medical Graduate brings with it certain specific challenges. Personal histories provide a very specific account that is inherently incomplete and perhaps biased, but personal accounts also give history a tinge that academic accounts cannot. In this account, changes in the NHS have been discussed with regards to changes in clinical care of patients with psychiatric disorders as well as research and training.
This article has been championed on account of the experience of (perceived) economic rationalization which seem to be the foremost of patients’ care as opposed to addressing distress to human existing well-being, while in a state of being tormented with agonizing news of prolonged ill health. Several considerations have been proposed as a way of addressing the need to rationalize resources in ensuring the long standing history of the NHS focus on ‘free health care’ is critically covered, but not in a way that destroys confidence on the ability of professionals to manifest ethical prudence in their acts of judgments about whether patients care is to be made immediate or prolonged on a waiting list. There is certainly serious impacts to be comprehended with in situation of economic rationality through services provided by the NHS; it is believed that tangible outcomes about definitive care for patients can be addressed collaboratively.