“…In response to this article in the BJPsych Bulletin 1 , we note with great concern the statistics on the impact of section 49 reports on intellectual disability psychiatrists. Of the 104 psychiatrists who responded, 65.4% had been ordered to undertake a section 49 report; 51.5% of those had been asked to provide an opinion outside their subjective expertise, 25% were somewhat or fully confident in writing reports and 85% stated that they experienced stress as a result.…”