Presidential address The fishing news

The delivery of healthcare throughout the world is rapidly changing due to economic and other factors, both national and international. Psychiatry, a mar-ginal and poorly understood profession in the community, is particularly vul-nerable to these changes. Psychiatrists and their representing organisations, such as the Royal Australian and New Zealand College of Psychiatrists, have a key role in advocating for equitable, high standard care for their patients. They need to engage with other professionals involved in psychiatric care, patients and the community to ensure continuing development of services. By recognising the factors influencing psychiatric services, strategies to address them can be developed. Actions taken by the Royal Australian and New Zealand College are described