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Abstract
Background: Psychiatrists commonly take on a range of leadership roles. These responsibilities are complex because of an environment which is ever-changing, lack of training and competition between disciplines. Aims: This article outlines some of the issues facing the psychiatrist within the multidisciplinary team and describes a leadership programme initiated in the West Midlands. Method: A programme of in-house leadership training and increased delegation of leadership roles within one NHS Trust. Results: These initiatives have been favourably received; but it is recognised that the approach can be further developed. Conclusion: This basic strategy should be enhanced and delivered more widely.