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"Distressing experience with service and professional"

About: Community Mental Health Services / Community Mental Health Teams

(as a volunteer/advocate),

I am an independent advocate in the community working with BHSCT clients who fall under the community mental health or learning disability directorates. I have a client who has ASC and ADHD and had a particular doctor prescribing her medication for ADHD and reviewing them. This service worked for them, and they have nothing but good things to say about that doctor.

Due to an event last summer where my client suffered a breakdown they were referred to a different doctor. My client is extremely nervous, anxious and needs to worked with in a way that demonstrates understanding, empathy, and compassion. I sat in the first initial assessment meeting with the doctor and the CPN.

This first meeting was a train wreck to put it mildly. I do not believe reasonable adjustments were made to accommodation my clients ASC/ASD or complex trauma and she was spoken to quite poorly by the doctor. I felt their professional demeanour and attitude left a lot to be desired and I don't believe the GMC would be happy with how they have been public facing and representing their profession.

If I had not been there to attempt to iron out some communication issues the meeting would have ended even earlier. My client had to have another one scheduled. They was told in the first one, with myself as witness, that they would see if the next one they could get the original doctor to also sit in as it will be helpful for everyone. My client agreed this would be very helpful.

Fast forward a month or so and another appointment comes through, and I had to get a fellow advocate to attend as I was on annual leave. On arrival the original doctor was not there. My client was told essentially advised that this had not been said but which I know they did say. This meeting also lasted 30 mins and was ended by the doctor, I believe due to their inability to work with my client or show any empathy, patience or accommodations for their disability or previous experience.

My colleague independently also related back that they felt the doctor had a poor attitude, was rude and petty and at one stage reacted badly to something my client said. My client is now disengaged from this team and service. As a result they will have no MH support.

My client already has had many issues with trust services and wasn't keen to launch a complaint as they has no energy left so it is myself who is pursuing this from a professional standards standpoint. As a fellow professional, I would be horrified if this person was assessing or treating someone who was actively suicidal for example as their treatment could push someone over the edge.

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Responses

Response from Kevin Patterson, Patient and Client Experience Facilitator, Belfast Trust Wide, Belfast Health and Social Care Trust 8 months ago
Kevin Patterson
Patient and Client Experience Facilitator, Belfast Trust Wide,
Belfast Health and Social Care Trust
Submitted on 08/08/2023 at 14:44
Published on Care Opinion at 15:01


picture of Kevin Patterson

Hi limahd67

My name is Kevin Patterson and I am the Facilitator for Patient and Client Experience within the Belfast Trust. I understand that it has been some time from you have posted your story and I apologies that this has not been responded to.

I am also sorry that your client has been made to feel this way and I hope to get a response for you and your client and get this story to the right place.

If you could give me an email with as much details as possible such as service/sector was this acute or community just so we can get this to the right person. My email address is below:

kevin.patterson@belfasttrust.hscni.net

Again I am so sorry for the experience of your client and hope to get this responded too as soon as possible. I can see from the story that your client did not wish to make a complaint however this is always a course that your client may wish to avail of and if needed documents can be provided.

Kevin

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Richard Dixon, Operational Manager Complaints and Liscenses, Complaints, Belfast Health & Social Care Trust 8 months ago
Richard Dixon
Operational Manager Complaints and Liscenses, Complaints,
Belfast Health & Social Care Trust
Submitted on 11/08/2023 at 10:02
Published on Care Opinion at 10:35


Hello limahd67

My name is Richard Dixon and I am the Operational Manager for Complaints and Licences at the Belfast Health and Social Care Trust.

Thank you your contact through Care Opinion. I have looked into the concerns that you raised with us and I understand that you have been in contact with the Trust Complaints Department.

I understand that through that contact the issues have been addressed and you are content that no further action is taken by us. It is very important that we receive feedback so that we can continue to improve and develop our services.

Thank you for raising your concerns with us. If there is anything that you would like to discuss further, please make contact again with the Trust Complaints Department at complaints@belfasttrust.hscni.net and we will be happy to assist you.

Richard

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by limahd67 (a volunteer/advocate)

Kevin, many thanks for your response. I am disappointed that it took several months for this to be acknowledged, however, I welcome your input and will email you with details as requested.


Richard, thank you also for your response. I am disappointed not only in the length of time for this to be even acknowledged but also I don't agree with the details and conclusions in your response.

Care Opinion is anonymous so I am perplexed and concerned about your statements and as to how you came to your conclusions.

Many of the details in your response are wholly incorrect and I am shocked that this is being stated without any attempt to verify. To confirm, the experience was raised directly with the Service Manager. No response was ever received. To my knowledge, no action was ever taken. No contact has been made by the service, let alone the complaints department. This is exactly the reason why this story was shared here, so that the patient could be heard, and so that the service/Trust and others could listen in the hope that no other person would have to be subjected to such an experience.

As mentioned, the patient does not want to be subjected to the harrowing, exhausting and impersonal process of engaging with the Complaints Department and has neither the time or energy for the formal complaints process. We are not interested in the Trust internally 'investigating' and writing impersonal letters, stating 'facts' or views back at us. That serves no purpose and is detrimental to the patient. In addition (as previously stated), the patient is longer with the service(s)/Trust, so a complaints process will be exhausting and retraumatising yet provide no direct personal benefit to them.

What is of benefit is being heard, understood and knowing that improvements have been made for the sake of others. We simply wanted the service to listen directly and to demonstrate that they care about clients and patients by making changes to improve the experience of others. There are many more issues and concerns other than those mentioned in this story, spanning a series of Trust services, and these would also have to be relived, documented and included in any complaint which the person concerned is not is a position to do right now, nor should be forced to do just to be heard. This is precisely the reason I engaged directly with the Service Manager on their behalf hoping for a more person-centred, solutions and learning based discussion and then, when that failed, posted on Care Opinion.

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