"Services are worsening and no one seems to care."

About: Claire House / Ashton & Golborne CMHT (Adults)

(as the patient),

So this is how it goes...

A few months ago I requested to change psychiatrist - the guy I was seeing didn't listen to a word I said and even invited an SHO into a consultation without my permission or any introductions. I was assigned to a new consultant who, in my opinion, was aggressive, uncaring and exceedingly patronising. I was on adds regime which was working - but this has been replaced by cheaper non-effective meds.

I was advised by my community psychiatric nurse (CPN) a couple of weeks ago that he was changing roles - which to me seemed to be that I didn't have a CPN anymore. I was assigned support, time and recovery (STR) worker who whilst a decent chap is no substitute for a CPN.

I have been advised that my Care Plan is now consultant based and if I need any help I am to ring the duty officer at Claire House.

To be totally honest after my experiences of ringing duty and getting a call several hours later from someone who has no knowledge of my history, calling duty is not an option.

Thus, I am left with no support at all, an urgent need to get back on the meds that worked via a meds review with a consultant I didn't feel comfortable with.

It seems that the recovery teams won't be happy until support is withdrawn to such a degree that emergency services necessarily become involved.

I have become extremely upset and distressed and don't know where to turn.

Services are worsening and no one seems to care.

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Response from Katherine Earlam, PALS Officer, North West Boroughs Healthcare NHS Foundation Trust

Thank you for your feedback. I am sorry to hear that you were dissatisfied with the response you received from both consultants, and that you were not happy with the decision to change your medication and the level of care you receive.

I would like to assure you that decisions regarding medication are primarily based on clinical need and diagnosis. Where cost is a consideration, the decision to recommend less expensive versions of the same drug is made at Trust level by the Medicines Management Team though there is always an option for Consultants to prescribe more costly alternatives if this is considered to be clinically appropriate. It is not clear from your posting whether this is what happened in your case.

With regard to the withdrawal of the CPN, this would also be based on clinical judgement and need but should be clearly explained and negotiated with the service user concerned and it is not clear from your posting what specific needs are not being met by the current level of care being provided to you.

If you would like to discuss these issues in more detail please do not hesitate to contact me via my secretary on the number below and I would be happy to meet with you with the relevant team manager to review the situation.

Cheryl Forrest, Matron, Adult Services, Wigan

01942 264539

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