Amanda Reynolds is Lewisham Borough Manager within the adult service of Lewisham and Guys NHS Trust. Prior to this she worked at the Maudsley Hospital, initially as a Directorate Manager within the adult services and then as a Service Development Manager assisting with the reprovision from Warlingham Park Hospital in Croydon. She is a trained psychiatric nurse who first gained her management and project skills working in a housing department with the homeless mentally ill in a joint financed service experience. Professor Graham Thornicroft is a Consultant Psychiatrist working for the Bethlem and Maudsley NHS Trust in a Community Mental Health Team in Croydon since September 1996. For the previous five years he worked as a Consultant Psychiatrist in Camberwell, and took part in developing a wide range of Community Mental Health services. He is also Head of the Section of Community Psychiatry (PRiSM) at the Institute of Psychiatry in London, which undertakes a wide range of research in the field of mental health service evaluation, cost-effectiveness, needs and outcome assessment, and psychiatric epidemiology.