"Lack of follow up crisis care"

About: Nottinghamshire Healthcare NHS Foundation Trust / Adult Mental Health Services - Community (City)

(as a service user),

I attended A and E after being taken there by ambulance after calling 111 for support. I had called the crisis team earlier in the day asking for help, just to be told to distract which is what I had been doing all day but I was exhausted.

Spoke to DPM in A and E who seemed understanding. The plan was to involve the crisis team the next day. Had a good chat to the crisis team the next day but no plan was made and I was passed back to my community mental health team.

The community mental health team did not call when they were supposed to, and only returned my call a number of hours later after calling them again asking for help. 

I requested a new care coordinator due what I felt were the consistent dismissal of my concerns and problems, and have now been left completely without support.

I have called the crisis team a number of times over the weekend to be accused of thinking negatively and focusing on the troubles in my life when in fact I have been trying to keep myself busy and safe.

Feel completely alone and left without any support when I am at my most vulnerable.I continue to feel increasingly more suicidal but with no plan of support and dismissed by the crisis team.

Phone calls to PALS have also left me very frustrated, being advised to attend A and E, but then no further follow up support offered.  


Response from Ruth Gadd, Service Manager, City Crisis Team, Nottinghamshire Healthcare NHS trust

Dear JenJen

Thank you for sharing your experience on Care Opinion. All feedback is welcomed and extremely valued.

I am particularly interested to find out about your attendance at the emergency department especially when you were trying to seek help from the Crisis team. However I do understand that there may have been a different reason for your attendance there.

I can also see that you have encountered some difficulties in terms of communication and planning which has obviously led to you feeling let down and frustrated, effective Communication and planning are key when helping to support patients through a crisis.

I can also see that you have access to a community mental health team and was wondering if you have a crisis care plan in place as this may help you look at coping strategies that have involved you and both teams. It is really important that you feel at the centre of your care plans and are given opportunities to learn what works for you and what is helpful.

I would like the opportunity to discuss your concerns with you. Please find my contact details below.

Kind regards


Ruth Gadd-Service Manager

tel: 0115 9691300 ex 12318

email: ruth.gadd@nottshc.nhs.uk

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Response from Ruth Gadd, Service Manager, City Crisis Team, Nottinghamshire Healthcare NHS trust

Dear JenJen

Thank you for getting in touch with me today to discuss your concerns. I thought that converstaion was helpful in terms of discussing together what you find helpful when you are experiencing a Crisis.

You did speak positively about Anthony from the crisis team, you liked the way he listened and responded to you when you called the team earlier that day. I will feed this back to him.

We also spoke about how your crisis care plan could work more positively for you and in turn how and how this could help the teams understand what is helpful and not helpful when you are feeling distressed or in a crisis.

As agreed I have made contact with the staff member who we thought would be the best person to help you develop/enhance your crisis care plan. I have also made contact with your community mental health team.

I will make contact with you when I have had a response so I can feedback any progress.

Kind regards


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