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"The Home Treatment Team"

I previously left a review based on my initial experience of the HTT. I met with a woman who deals with patient centred care. She listened; I got an appointment. Some observations and suggestions based on my experience:

- many of the individual team members seem nice enough. Some of them may even be competent. Unfortunately, taken as a team, I still think "inept" is not an unfair description.

- If you don't have a voice recorder on your phone: download one, and record _everything_. I tried to voice my concerns to a manager, but:

~ my concerns were immediately dismissed, with comments like, "oh, I'm sure [that person] wouldn't have said that". I have audio recordings that prove otherwise.

~ apparently, accurate diagnoses do not matter. I mentioned an autism spectrum assessment which had not been properly completed, I got a lecture about the value of "letting things go"

~ the manager was very dismissive about my concerns regarding my medication; her response was questionable, at best

- The team do not apparently keep accurate records.

- The team do not do what they say they will. I was provided with a care plan and an escalation plan. This said to contact them if I wanted or needed to change my medication. When I did this, my request was ignored; the prescribing doctor refused to speak with me about the side effects I was experiencing.

- During one meeting, one of the team asked if I would consider inpatient treatment. I said no. She also told me that I had the capacity to decide whether to commit suicide. I was told on the same day that they were discharging me from their service.

- I was told I couldn't speak with anyone about aspects of the care/escalation plan I was unhappy with.

- I went to Holly Court wanting to have a conversation with someone within the crisis team regarding the medication and the care plan, but was told that no-one would see me. I said I'd wait until someone was free. That took eight hours. I was accused of staging a "sit in" by the manager. If they actually did what they said they would, there wouldn't have been a problem. The prescribing psychiatrist continued to refuse to speak with me about the medication issues.

- It would appear no-one at Holly Court properly understands learning difficulties (I have diagnosed ADHD). Despite the NICE guidelines stating that specialist services should be available, they aren't

- The HTT team discharged me to the community team with an appointment that didn't exist.

- The community team subsequently gave me an appointment with an unsuitable specialist. I reluctantly cancelled it.

- I am now having to purchase the medication - for which I have previously had an NHS prescription - off an internet pharmacy. This is costing me c. £100 a month.

It's scary when you realise that you're probably stronger and more competent than the service that's supposed to be "supporting" you.

I have run out of space - I could have written much more.

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Responses

Response from Somerset NHS Foundation Trust 4 years ago
Submitted on 27/11/2019 at 11:08
Published on Care Opinion at 14:13


Thank you for the feedback that you have shared today. I’m sorry to hear you have not found your recent contact with the Home Treatment Team helpful.

We would encourage you to contact us to discuss your experiences further, our PALS service would be happy to support you in this. We are always keen to learn from patient feedback to improve our services.

Please find PALS contact details below:

Telephone: 01278 432022

Email: pals@sompar.nhs.uk

By post: Freepost RSXK-USUL-SUHY

Jess Popham
Operational Service Manager
Countywide Home Treatment Service & Urgent Care Hub

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