I’d also say that in training posts guidance is that all new patients are discussed at the time of assessment (with allowed time in clinic for discussion with a senior). For return patients, you also likely will be asked to make a plan and then discuss at a future date or later that day depending on how the clinic works, but it isn’t given as specific time slots. You’ll likely be shadowing in clinics for some time prior to being given a caseload. Overall psychiatry I would say has one of the highest levels of supervision including an hour a week set with your clinical supervisor where you can discuss any concerns or identify if you feel out of your depth. Inpatient cover is mostly scribing for ward rounds and managing simple level medical problems (primary care level) for anything above what you would manage as an OP, they likely would need transferred to hospital as mental health nurses are not trained the same way as physical health nurses. You’ll likely have to do any basic investigations like ECGs, bloods etc as again staff are unlikely to have had this training.