Over the last ten years, there has been a change in the assessments and treatments required of general adult psychiatrists, generated in part by the new specialist teams of the NHS plan and in part by the ‘new ways of working’ policy. There have also been pressures to integrate more closely with primary care, which is not unreasonable given that about 90% of mental health assessments take place in the GP surgery. Instead of being ‘asylum doctors’ relocated into community mental health teams (CMHTs) and looking after people with chronic severe psychoses, general adult psychiatrists now have to take on board the remit and concerns of GPs.