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"Disempowered by the lack of information"

Brought here by the twitter chat about SUN meetings and how the Leeds and York Trust does not listen or provide enough information.

I do not believe staff have bad intentions but the lack of information creates a them and us divide.

My story begins when my GP made the referral. My GP said it would be to see a psychiatrist at Malham House in 2 weeks. I consented to this referral and waited.

Later that day I received a call from someone at the Crisis team. This being my first encounter with mental health services, I had no idea what a Crisis team was. The name was alarming. I asked who they were and why they called. They said I consented to contact from them, and the SPA service felt I needed an urgent assessment and I should come to the CAU. I could not consent to a Crisis team referral because my GP never mentioned this.

I dutifully went to the Becklin Centre and spoke to 2 people for an hour. They let me go home but said I had to stay in Leeds. This was my first term in university, I felt awful, I saw my GP hoping for help, and I ended up being cut off from my family.

You may not lock people away in asylums anymore, but not giving me options of which services I use is just the same.

When my dad went for prostrate screening he was given a leaflet that explained each step in the process. I should have been told I was being referred to the SPA service who would then decide where I go. Consent needs to be informed, I was not given enough information in order to consent to that referral. Why are you not giving GP’s guidance on what to tell patients at referral?

Why don’t you have leaflets for patients who are referred? A leaflet should explain all the abbreviations. I was new to the mental health system and everyone spoke in abbreviations.

After the CAU nothing happened for two days then I received a call from ICS (another abbreviation no one bothered to explain.) They said they had to visit in the next 2 days. I explained it was almost the weekend wanted to go home. They said that I had to see them soon, and if I went home they would discharge me.

I stayed, they spoke to me for 30 min. That 30min cost to me, I missed my sisters 16th birthday, a weekend with my loving family, and unlimited time talking to my mum.

ICS said they would sent me to a CMHT..they didn’t say what this was, who I would see, or what CMHT it would be.

Overall this lack of information, has left me feeling vulnerable and powerless. I never knew what was happening or why I was being passed from department to department.

I also have diabetes and with my diabetes care staff explain everything helping me to understand why things are done, what is next, and what my options are. I feel empowered with my diabetes care.

I thought medicine was moving away from a paternalistic approach and moving towards giving patients more autonomy.

I feel powerless, like I am at the mercy of staff who are captors and prison guards. They know what happens, and I don’t. I don’t even get choices!

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Responses

Response from Linda Rose, Head of Nursing and Patient Experience, Nursing Professions and Quality, Leeds and York Partnership NHS Trust 5 years ago
Linda Rose
Head of Nursing and Patient Experience, Nursing Professions and Quality,
Leeds and York Partnership NHS Trust
Submitted on 28/11/2018 at 16:09
Published on Care Opinion at 20:11


picture of Linda Rose

Hi

Thank you for taking time to post your concerns about your recent experience of having involvement with a number of our services. To assist me in this response I have been in touch with the Clinical Operations Manager for the Crisis Assessment Service whom has also discussed the relevant issues with the manager of the Intensive community services (ICS) for their feedback.

The Crisis assessment service as the gateway to mental health services is the team we use to screen all referrals as standard practice and this should be understood by our colleagues and partners across the health care system. I agree that it's important when having that first conversation with your GP you should leave the consultation with an understanding of what will happen next and what you are providing consent to.

That is the same standard expected of the crisis assessment team and the intensive community support team. Information leaflets are available for these services and they should have been offered to you. I've just responded to a similar complaint in terms of accessible information and the issue you describe in terms of our staff using abbreviations to explain services is also not acceptable.

I've noted that you waited a further two days before receiving a call from the ICS. When the ICS receive a referral from the crisis team contact would usually be made that day or most certainly within 24 hours and I'd like to apologise for that contact not meeting the expected standard. You were further frustrated by not being told the rationale for then being referred to the Community mental health team (CMHT).

I'm sorry that some of the delay in making contact with you may have impacted on you being able to spend time with your family. We know that families are extremely important in helping to support and keep people well- they make a big difference to their loved ones and they make a big contribution to supporting our services.

I'm hearing a theme in this posting about poor communication and information as you've rightly pointed out -but I'm grateful for your kindness and understanding regarding our staff not having bad intentions. They do try to do their best; however the message here is that we must try harder.

I will ensure that your feedback is shared for future learning in the services staff meetings. The community services are also going through some improvement / redesign work and I will also ensure that the leadership team receive your feedback.

If there is anything else that you think we could do to improve the experience you had please get in contact with our PALS team on 0800 0525790 / palslypft@nhs.net and I also invite you to consider registering with our patient experience and involvement team to help us to use your experience to improve.

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