[No Title]

We read with interest the debate on the turbulent relationship between the independent sector and the College (Psychiatric Bulletin, November 2007, 31, 404–406). We recently attended a seminar organised by one of the leading independent service providers and strongly recommend the experience to other senior psychiatric trainees. We learned facts and numbers which confirm that this sector has grown tremendously since the 1980s and currently plays a significant role in providing specialist care in areas such as forensic services and psychiatry of learning disabilities. The trend appears set to continue and includes more mainstream services with the support of Her Majesty's government. Professor Hollins is correct to point out that in the near future many Certificate of Completion of Training holders might turn to the independent sector for job satisfaction, while for others this move might be compulsory. In practice, their professional environment might be similar to their current one since many foundations trusts are adopting management styles and policies associated with private institutions. The NHS will need to shift from the mentality of a monopoly state employer and provide better incentives in order to compete for highly motivated and skilled individuals. Choosing other paths for self-fulfilment by future consultants should not be viewed as a betrayal or a dereliction of duty. Since the trend appears irreversible, the College should be more proactive in embracing, monitoring and guiding independent practitioners. It should also help trainees gain exposure to the reality of working in this sector through expanding already available training opportunities in private hospitals.