Dr Lade Smith CBE
Royal College of Psychiatrists
Addressing the Treatment Gap
➤ To provide adequate resources for high-quality care and meet the growing gap between need and treatment in our society.
Nurturing & Supporting the Workforce
➤ To retain (not just recruit) and strengthen our workforce, because without staff who are motivated and have the capacity to provide therapeutic, compassionate, equitable care, we will not be able to deliver the high quality services that we want to.
Raising the Profile of Psychiatry
➤ To celebrate the improvements that have been made as well as recognise the work that is still to be done. Psychiatrists understand the complex interplay between neuroscience, epidemiology, social determinants and emotional interaction. Whether you are a clinician, academic, manager, teacher or policymaker, we are a noble profession.
Fairness for All
➤ To eliminate the unequal access, experience and outcomes for patients and to ensure that all staff working in mental healthcare receive equitable treatment so they can thrive at work.
What Motivates Me
I Want People to Fulfil their Potential:
➤ Having witnessed a patient being denied proper care due to her diagnosis of severe mental illness, I vowed to do my best for people with mental health problems. This is simply the right thing to do clinically, ethically and morally. It also happens to be the best thing to do economically.
Both Patients and Staff:
➤ When people achieve their potential, they are happier, perform better, and have better relationships. Patients are more likely to gain meaningful employment, find appropriate accommodation, and improve relationships with family and friends. Staff are more likely to thrive, have job satisfaction, remain in their roles, and deliver high quality care.
Overcoming Barriers to Our Full Potential:
➤ To do this, mental health services must be properly resourced so that high quality care can be delivered and that the staff delivering that care are well trained, motivated and appropriately rewarded.
The recent Bipolar Minds Matter Report by the Bipolar Commission presented useful and important findings for all clinicians and commissioners. In particular, the report explains the important role of continuity of care in delivering good outcomes.
National Collaborating Centre for Mental Health (NCCMH) recent publications:
➤ Meeting the needs of young adults within models of mental health care
➤ The association between social class and the impact of treatment for mental health problems: a systematic review and narrative synthesis
Psychiatrist & Clinical Director
Consultant Psychiatrist, South London and Maudsley (SLaM) NHS Foundation Trust
➤ I trained in general adult and community psychiatry and have been on the specialist register since January 2000. After running a busy inner city acute ward and community mental health team in Brixton (doing assertive outreach), I became an intensive care doctor, running the Maudsley Hospital Psychiatric Intensive Care Unit (PICU).
Clinical Director, SLaM Forensic Services
➤ I was asked to help out at the Forensic PICU and later became the Clinical Director of the Forensic Services at SLaM.
➤ Along the way, I have also run two inpatient rehabilitation units and a community addictions service.
➤ Lead Consultant for Acute Forensic Pathway and Out of Area Team, SLaM
➤ Clinical & Strategic Director, National Collaborating Centre for Mental Health, Royal College of Psychiatrists
RCPsych International Congress
➤ For the last 3 years, I have organised the International Congress together with Professor Ian Jones and Professor Regi Alexander. Prior to that I sat on the organising committee of the International Congress for five years. The congress has grown in popularity and attendance, becoming one of the world’s leading psychiatric conferences, attracting 3000 delegates per year.➤ For 5 years, I was the Lead for the RCPsych Centre for Advanced Learning and Courses (CALC). I developed a quality assurance approach, improving the standard of training offered and increasing output from the department.
Mental Health Act Review
➤ It was a privilege to be involved in the recent Independent Review of the Mental Health Act, chaired by Professor Sir Simon Wessely. I co-chaired the working groups on the Criminal Justice System and Tribunals and was Deputy Chair for the Mental Health Act African and Caribbean Working Group.➤ Recommendations from our work were accepted by the government of the day, and have been used to inform the draft Mental Health Bill, one of which is Advance Statements. These are the only interventions known to reduce compulsory detention and can reduce the risk of being detained under the MHA by up to 23%. However, despite this robust finding, they are not widely used. Therefore, myself and colleagues (Professor Claire Henderson, Ms. Abiygail Babatunde and Mr. Jonathan Simpson) are currently developing an implementation tool to support patients and clinicians to use Advance Statements in a realistic and achievable fashion.For more information on this AdSTaC project, please contact firstname.lastname@example.org.Dr Lade Smith CBE appeared in a BBC Radio 4 documentary about Advance Statements, 'Bound to the Mast', which outlines why these are of vital importance. This can be accessed below.
I am Clinical and Strategic Director, National Collaborating Centre for Mental Health, Royal College of Psychiatrists. Commissioned by NHSE to develop guidance to support implementation of NICE guidelines and mental health care delivery by Commissioners and Providers of Mental Health Services. As Clinical Director, some of the guidance I have been involved in developing includes:
➤ Adult Eating Disorders – published
➤ Acute Mental Health Care Pathway for Adults and Older Adults - submitted
➤ Advancing Mental Health Equality – published
➤ College Engagement Network – developed strategy and framework and disseminated
➤ Community Mental Health Framework – short guide published October 2019, long guide in publication
➤ NHS Long-term Plan Service User Engagement – in publication
➤ Effective Safe Compassionate and Sustainable Staffing (ESCaSS) for Mental Health Care - submittedI wrote the Physical Health Strategy for SLAM and I am working with colleagues on the Physical health committee to implement it, focusing on three main areas of work, smoking cessation; IT support and physical health monitoring competence.I was responsible for overseeing the implementation of our service area becoming smoke-free in 2013. We were the first unit in SLAM to go smoke-free and acted as a pilot site for the Trust. The success of this led to the Trust deciding to become a fully smoke-free service, with Kings College London following soon after.
➤ It is my view that there is "No Quality without Equality".➤ I am committed to improving access, experience and outcome for all those with mental health problems, but particularly for those from marginalised and disadvantaged communities.➤ To this end, I have focused my work over the years on mental health in BAME people, women and the physical health of those with severe mental illness.➤ I am RCPsych Joint Presidential Lead for Race and Equality with Raj Mohan. In this role we helped develop the RCPsych Equality Action Plan and are developing guidance around supporting doctors with disability in the workplace and tackling racism in the workplace. We have also set up working groups around improving outcomes for women doctors in the workplace, and are looking at more effective methods of supporting LGBTQ+ doctors in the workplace.
Educator & Senior Lecturer
➤ I have been teaching and supervising since I was a registrar, and began doing so more formally in 2004. I became the Director of the Home Office Teaching Unit, developing courses to support the training and continuous professional development of psychiatrists. I developed, organised and delivered short courses on risk management. I also developed medicolegal courses and set up and taught on two Masters courses in Forensic Mental Health and Clinical Forensic Psychology.➤ I was the Programme Leader for the Masters in Clinical Forensic Psychiatry at the Institute of Psychiatry, Psychology and Neuroscience for 12 years. As a result of this work, I became interested in teaching and training on a wider scale and became involved in training at the RCPsych.➤ I regularly teach on the undergraduate psychiatry programme, providing teaching and training to each psychiatry rotation, and also at the Kings College London Summer School. These roles are important to me as I know personally that exposure to good psychiatrists as a medical student galvanised my desire to follow them into the profession.
Leadership & Management Roles
As a manager, I see my role as supporting staff to thrive so that they can deliver high quality care and overseeing the care to ensure that it exceeds expected standards and that this high quality of care is sustained.Management positions I have held, and currently hold, include:
➤ Director of the Home Office Teaching Unit
➤ Lead for Advanced Training, College Centre for Advanced Learning and Conferences
➤ Clinical Director of Forensic Services at SLaM
➤ Clinical and Strategic Director at the National Collaborating Centre for Mental Health.In addition I have held, and continue to hold, several national roles in the NHS and in the Voluntary and Community Sector:
➤ Schizophrenia Commissioner (Abandoned Illness Report link below) – Independent Schizophrenia Commission, 2011-12
➤ National Guideline Consortium Committee, National Institute for Clinical Excellence (NICE)
➤ Core Committee, Independent Review of the Mental Health Act (chaired by Professor Sir Simon Wessely)
➤ Executive Member, Forensic Faculty of the Royal College of Psychiatrists – 2014-2018
➤ Mental Health Treatment Requirement Working Group, Department of Health – 2016-2018
➤ RCPsych International Congress Organising Committee, Royal College of Psychiatrists – 2014-ongoing
➤ Co-opted Member, RCPsych Academic Psychiatry Faculty – 2018–ongoing
➤ Advisory Board, Mental Health Act Review implementation board – 2019-ongoing
➤ Co-Chair of the London Physical Health Leads Network of the Stolen Years’ group, London Strategic Clinical Networ
➤ Adult Mental Health Programme Board, NHSE (presentation of Community Mental Health Framework) – ongoing
➤ Clinical Advisory Group Rethink (shaping mental health policy to advise MPs) – ongoing
➤ Trustee and Strategic Delivery Committee Member, Mind – ongoing
I am a research-active clinician. I have over 70 research publications and an H Index of 26.As Principal investigator or Senior Investigator in a research team, I have received approximately £5,993,201 in grants.My research interests include:
➤ Short-term management of violent behaviour
➤ Improving treatment outcomes in severe mental illness
➤ Side effects of antipsychotic medication
➤ Endocrine and reproductive effects of psychotropic medication
➤ Mental health inequality
➤ Physical health in severe mental illness
Contact me if you have any suggestions for what changes you would like to see at the College or in mental healthcare via Twitter, LinkedIn or email by clicking one of the icons below:
© Dr Lade Smith CBE. All rights reserved.With enormous thanks to
Manu Sidhu (FY1 Doctor & Psychiatry Foundation Fellow)
for helping to create this website.