About the authors

Janet Butler, PhD, MRCP, MRCPsych

Consultant Liaison Psychiatrist, Avon & Wiltshire Partnership Trust, Salisbury District Hospital


Dr Butler initially trained in medicine with posts in specialist services and gaining MRCP. During psychiatric training in London and Southampton she undertook research leading to an MSc and PhD related to health beliefs affecting the physical and psychological interface. She became a Consultant Liaison Psychiatrist in 2004, initially helping to establish the service in the University Hospitals of Southampton Trust and later moving to Salisbury District Hospital.


She works across all areas of in-patient Liaison Psychiatry and is especially interested in helping general hospital staff assess and manage mental health problems and in clinical work with patients with complex or long-term medical conditions. She has been an active member of the Executive Committee of the Faculty of Liaison Psychiatry for many years, including co-chairing production of the council report 'Liaison Psychiatry for Every Acute Hospital'.


Email: janetbutler@nhs.net


Declaration of interest: None.


Annabel Price, PhD, MRCPsych

Consultant Liaison Psychiatrist, Cambridgeshire and Peterborough Foundation Trust (Addenbrooke's Hospital, Cambridge) and University of Cambridge


Dr Price trained in psychiatry (general adult with liaison and old age) on the South London and Maudsley training scheme from 2003–2012, combining her higher training with an academic post in the Department of Psychological Medicine, Institute of Psychiatry focused on mental health at the end of life. This has remained an interest and since taking up a consultant post in Cambridge, she has been appointed to the University of Cambridge Clinical School Faculty of Palliative Care, where she coordinates and delivers undergraduate teaching. She also delivers training to mental health professionals on end-of-life care for people living with dementia.


In her clinical role she provides a liaison psychiatry service to older people in Addenbrooke's Hospital. She has also been involved in service development in psycho-oncology, establishing the first dedicated service in Cambridge in 2017.


Email: ap806@medschl.cam.ac.uk


Declaration of interest: None.


This is a substantial revision of a previous module by Dr Siobhán MacHale and Dr Roger Smyth. The authors acknowledge their contribution.



Siobhán MacHale, MB, BCh, MPhil, FRCPI, FRCPsych

Siobhan MacHaleConsultant Liaison Psychiatrist, Department of Psychiatry, Beaumont Hospital, Beaumont Road, Dublin 9, Rep of Ireland


Siobhán MacHale trained in general medicine in Ireland prior to pursuing a psychiatric career in Edinburgh. She had been a consultant liaison psychiatrist in the Royal Infirmary of Edinburgh for seven years until returning to work in Ireland in 2006.


Email: siobhanmachale@beaumont.ie


Declaration of interest: One-off fees for 1) speaker at Wyeth-funded meeting (non drug-related topic); 2) pre-launch consultancy on escitalopram for Lundbeck.


Roger Smyth, MB, ChB, MPhil, MRCPsych

Roger SmythConsultant Psychiatrist, Department of Psychological Medicine, Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, UK


Email: roger.smyth@luht.scot.nhs.uk


Declaration of interest: None.

© 2021 Royal College of Psychiatrists