Patients receiving doctors' letters welcome – so let's extend to psychiatry too

Clinicians encouraged to correspond directly with patients about care

Psychiatist making handwritten notes during a consultation session with patient

Psychiatrists should routinely write to their patients about their care following appointments, according to a new opinion piece published today.

Writing in the bmj, Dr Katharine Weetman from the University of Birmingham and Dr Dave Martin from the University of Bristol and Avon and Wiltshire Mental Health Partnership NHS Trust make the case for regular correspondence between mental health clinicians and their patients, in the same way that other branches of medicine.

Dr Weetman and Dr Martin argue that specific considerations are needed when communicating with patients who are being supported by a psychiatrist and promote the benefits of clear communication.

...transparency in clinical communication can help patients to feel more involved in their care

Dr Katharine Weetman

Dr Katharine Weetman, Assistant Professor in Clinical Communication, University of Birmingham and co-author of the piece said:

“Rather than feeling like patients might worsen after receiving written communication from their psychiatrist, we’ve seen how it can be a positive experience that patients welcome. We can see in other research that patients want copies of letters written about them and that transparency in clinical communication can help patients to feel more involved in their care.”

Dr Dave Martin from the Centre for Academic Mental Health at the University of Bristol and Avon and Wiltshire Mental Health Partnership NHS Trust said:

“We’ve seen patients using their letters as a tool for hope and finding that written views of a clinician can give a greater perspective when during distressing experiences such as psychosis. In the view of the authors, as long as letters are carefully considered there should be no downside to treating patients with the dignity of writing to them directly.”

Notes for editors

  • For media enquiries please contact Tim Mayo, Press Office, University of Birmingham, tel: +44 (0)7920 405040

  • The University of Birmingham is ranked amongst the world’s top 100 institutions. Its work brings people from across the world to Birmingham, including researchers, teachers and more than 8,000 international students from over 150 countries.

  • The University of Birmingham is a founding member of Birmingham Health Partners (BHP), a strategic alliance which transcends organisational boundaries to rapidly translate healthcare research findings into new diagnostics, drugs and devices for patients. Birmingham Health Partners is a strategic alliance between seven organisations who collaborate to bring healthcare innovations through to clinical application:
    • University of Birmingham
    • University Hospitals Birmingham NHS Foundation Trust
    • Birmingham Women's and Children's Hospitals NHS Foundation Trust
    • Aston University
    • The Royal Orthopaedic Hospital NHS Foundation Trust
    • Sandwell and West Birmingham Hospitals NHS Trust
    • West Midlands Academic Health Science Network
  • Full citation: Martin D, Weetman K. Writing letters to patients attending psychiatry clinics BMJ 2023; 383 :p2857 doi:10.1136/bmj.p2857