As I said in my previous post, I have been reading Peter Kinderman's new book, A prescription for psychiatry. He suggests that, "In time, I believe it should be routine for the 'responsible clinician' [under the Mental Health Act] to be a psychologist or social worker". He makes an interesting reference to discussions on New Ways of Working in which he was involved on behalf of the British Psychological Society. He objected to a phrase, which did not appear in the final report, about the "clinical primacy of the consultant [psychiatrist] in dealing with treatment resistant, acute, severe or dangerous clinical situations". Peter does not agree with the concept of 'clinical primacy'. However, if it does have any meaning, it may arise because generally consultant psychiatrists, not psychologists or social workers, undertake the responsible clinician role.
I've commented before on this issue (see previous post) in relation to an eletter by Sam Thomson and Peter in response to what Peter calls in his book the 'Bracken Manifesto'. Clinical psychologists have been split about whether they should take on the role of responsible clinician. Peter quotes from David Smail, who unfortunately recently died (see tweet), who thought that it was a good thing that "the only power we have [as clinical psychologists] is power of persuasion". Peter thinks what's more important is the "markedly different framework of knowledge and skills" of clinical psychologists, rather than their "historical absence of formal power" under the Mental Health Act.
I would have liked to have seen more discussion of this issue in Peter's book. Would Peter go as far as suggesting that recommendations for detention under the Mental Health Act should not be restricted to doctors? I think the logic of his position suggests he would.