Charlie Cooper writes in The Independent:
A crisis in mental health care has been declared by NHS staff in East Anglia, across a region covering the constituencies of two government health ministers.
Nurses say that it has become common for there to be no beds available for mental health patients in all of Norfolk and Suffolk, leading to severely ill patients being driven hundreds of miles to hospitals as far as Manchester.
The situation has become so acute that staff, who regularly work excessive hours because they cannot leave their patients until a bed is found, are considering industrial action. In one incident, a mental health professional spent 22 hours with a patient who was eventually driven to a ward in Cheshire.
Since 2012, the trust has made 175 staff redundant. Despite rising demand, there are proposals to reduce bed numbers in the Great Yarmouth and Waveney areas. Staff warn that care levels have been compromised. In February, staff wrote to local health commissioners warning of “a crisis in bed availability” and “patients’ safety being placed at risk and their legal rights infringed”. Last week, three wards in Norfolk had to accommodate patients on makeshift beds in the ward living room after reaching bed capacity.
Emma Corlett, a mental health nurse and Unison branch spokesperson, said patients assigned an urgent mental health assessment within four hours by GPs were being assessed over the phone because staff had no time or resources to meet them. “They are effectively being phoned saying: ‘Do you think you can keep yourself safe overnight?’ This is obviously unsatisfactory. It’s not clinical judgement that’s driving that decision,” she said. “It’s the sheer volume of work.”
Dr Rob Harwood, of the British Medical Association’s consultant committee and a senior anaesthetist in Norfolk, said the trust had forced through changes to mental health services “not seen elsewhere”. “It’s the ultimate irony,” he said. “We have two health ministers whose constituencies are covered by the trust which is doing some things that are difficult to understand.”
The bed crisis is as bad as ever;the Trust’s Bed management Duty worker has the toughest of jobs – one person searching all round the country for beds, begging private hospitals to take high risk patients; the demand for beds seems unrelenting, hardly surprising when community services are so minimal; the only other job that matches this for stress is the Person in Charge of thedaily shift of the Crisis Team – non stop phone calls from all and sundry, a thousand and one tasks to carry out, patients to check on, medication to order, unallocated visits to cover, staff sickness. medics to find, holding the site bleep, I would challenge our senior managers to spend a week on either of these jobs and then things might change, Both these tasks require more staffing and a better telephone sytem with admin support; just the basics of a good service really.
Yes all of the above. I can only add that when out of hours the job of finding a bed out of area falls to that same person in charge of the shift. Spending three to four hours on the phone constantly whilst trying to do the above job. A thankless task, with so much stress that few now even want to do it…..and who can blame them
And so the disastrous “radical redesign” has claimed another young life, that of Matthew Dunham.
Andrew Hopkins adds insult to the family’s injury with his obviously hollow platitudes about being “deeply saddened”. He doesn’t care, none of them do. Except for perpetuating their “Reign of Terror”.
How do these people sleep at night with so much blood on their hands?
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