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"A Masterclass in Process Without Presence"

About: Barnet, Enfield And Haringey Mental Health NHS Trust / Adult mental health

(as a parent/guardian),

This review reflects an experience of prolonged communication breakdowns, unclear accountability, and a complaints process that failed to meaningfully address the substance of concerns raised. The experience was distressing, undermined trust, and left a lasting sense of being unheard within a system meant to provide support.

So if you are looking for a service that excels in explaining its structures while struggling to demonstrate human connection, Enfield Mental Health Services may be for you.

Written out in emails, everything appears reassuring: MDTs, governance frameworks, escalation pathways, and a complaints process that promises learning and improvement. In practice, however, families may find themselves navigating prolonged silences, unclear accountability, and responses to complaints that focus more on future intentions than past failures. This inevitably raises the question: what lessons have been learnt, and how will they prevent future repeats?

One of the most striking features of the service is its ability to remain operationally busy while emotionally absent, with little evidence of empathetic reasoning for families in distress. Extended periods without communication are not uncommon, yet when concerns are raised, explanations arrive swiftly, often detailing models of care rather than addressing why no one seemed reachable when it mattered most. Apologies, when expected, are notably elusive.

The complaints process deserves special mention. While it is described as a mechanism for early resolution and learning, it often feels more like a relay race. Concerns are passed to the service area, where they may be reframed, softened, or redirected toward meetings about future processes, without ever quite landing on the substance of what was complained about. The effect is less resolution and feels like more of an endurance test, assuming you still have the mental stamina to continue.

Families who take the time to submit thoughtful input, resources, or suggestions may be reassured to learn that suggestions were discussed, though specifics remain comfortably out of reach. Whether materials were read, adopted, adapted, or quietly shelved is left to the imagination. Transparency, it seems, is optional.

Perhaps most concerning is the emotional disconnect. Mental health services, by definition, operate in spaces of vulnerability not only for service users, but for families as well. Yet empathy can feel procedural rather than present, expressed through policy language rather than acknowledgment of impact. Distress is managed administratively, not meaningfully addressed.

The irony is that many of these issues are preventable. Clear communication, timely acknowledgment of mistakes, and genuine engagement with complaints would not only reduce repeat issues but restore trust. Instead, the current approach risks ensuring that the same problems recur efficiently, predictably, and with impressive consistency.

In summary, Enfield Mental Health Services offer a robust lesson in how systems can function while relationships falter. For those who value clarity, accountability, and empathy alongside clinical care, the experience may feel less like support and more like an ongoing exercise in persistence, bearing an emotional load, imposed under an unspoken take it or leave it approach.

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