Peter Kinderman and Sam Thompson, in an eletter in response to the article I mentioned in a previous post, suggest replacing psychiatrists with clinical psychologists. I'm not against this development and have even promoted clinical psychology, being a general member of the Division of Clinical Psychology of the British Psychological Society myself. I often tell the story of when I applied for clinical psychology training years ago that I was advised to go back and complete my medical training, which I had given up midstream, as I would then have more influence as a psychiatrist with my views about mental health services.
I would like clinical psychologists to take more responsibility as clinicians, even becoming responsible clinicians under the Mental Health Act (see previous post). They tend to retreat into becoming cognitive behavioural or some other psychological therapist, which is fine for those that want to do it, but mental health services are about more than psychological therapy (and some clinical psychologists don't even get that right eg. see another previous post). I support clinical psychology creating a career structure that pays them more for taking on more clinical responsibility.