ABSTRACT
In an address which I gave during a Service of Thanksgiving at the closure of a large Victorian psychiatric hospital some years ago, I suggested that there was much that should be left behind as we closed the doors on the institution; much that represented the failings and shortcomings of those old asylums. One of the issues very much in my mind as I prepared for that event was a piece of work that a consultant psychiatrist, a manager and I were doing with some patients to help the staff who would be moving out to work in smaller units in the community to better understand how patients felt about the quality of their care.
