Preface to fourth edition; List of contributors; Part I. Theoretical Overview: 1. History and structure of the National Health Service; 2. The politics, funding and resources of the NHS in England; 3. Medical management; 4. Doctors and managers; 5. Resources in the NHS; 6. The development of community care policies in England; 7. Psychiatry management and legislation in Northern Ireland; 8. Mental health services in Scotland; 9. Mental health services in Wales: policy, legislation and governance; 10. The Mental Capacity Act - an update; Part II. Changes and Conflicts: 11. Medical leadership skills - what is needed to be a successful leader?; 12. Understanding systems; 13. Working with the team; 14. Managing multicultural and multinational teams in healthcare; 15. Management of change; 16. Managing the psychiatrist's performance; 17. Revalidation for psychiatrists; 18. Quality improvement tools; 19. Quality and quality governance; 20. Measurement of needs; 21. Service users' expectations; 22. Clinical audit; 23. Confidentiality and management in health care organisations; 24. Patient complaints: every doctor's business; 25. The mental health review tribunal (tribunals and how to survive them); Part III. Personal Development: 26. Compassionate care: leading and caring for staff of mental health services and the moral architecture of healthcare organisations; 27. How to manage committees: running effective meetings; 28. Presentation skills; 29. Time management; 30. Developing effective leaders in the NHS; 31. Mental health informatics; 32. Stress, burnout and engagement in mental health services; 33. How to get the job you really want; 34. Surviving as a junior consultant: hit the ground walking; 35. Working with the media - many benefits but some risks; 36. Consultant mentoring and mentoring consultants; Index.