A patient with mental disorders leaves PTSD after 10 days waiting for a psychiatric bed in the NHS



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A NHS mental disorder patient, who spent 10 days in a general hospital detention due to a shortage of psychiatric beds, said she was diagnosed with post-traumatic stress disorder resulting from this test.

Clare, who is in her thirties and asked not to be identified, said L & # 39; Independent his health had deteriorated as a result of a separation by the Surrey and Borders Partnership of the NHS Foundation Trust following a suicide attempt in November.


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While she went to the hospital "feeling horribly", she is no better, having received no meaningful psychotherapy and having received a lower dose of medication, she now has "the additional joy of a diagnosis of PTSD. "

"Much has been the process of admission, not being listened to and letting people around me make decisions without considering my ideas – while still stuck at the hospital during 10 days, "said Clare.

"I have trouble sleeping after my stay in the hospital because of all this, the trauma of this."

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1/6 Old people

"We recognize that there are pressures on the health service, there is still additional pressure on the NHS in the winter, but we have the additional pressures of the aging population and the increasingly complex needs of the population, "said Theresa May.

NHS Digital figures have more than doubled the expectations of older people over 12 hours in A & E among older people.

Getty

2/6 Patients who attend emergencies instead of seeing their GP

Jeremy Hunt called for an "honest discussion with the public about the reason for being A & E services," indicating that about a third of A & E patients were unnecessarily hospitalized.

Mr Hunt told the program "Radio 4 Today" that the NHS now had more doctors, nurses and funds than ever, but explained what he called "very serious problems in some hospitals "by suggesting that the pressures increase in part because people go in for consultation while they should not.
He urged patients to consult their general practitioner for non-emergency conditions, explained the plan that family doctors have enough time to support urgent care work, and said the NHS would soon be able to provide access to a general practitioner for seven days from 8:00 to 20:00.

However, doctors in trouble following a generalist recruitment crisis said Hunt's plans were unrealistic and called on the government to commit to investing in all areas of overwhelmed health care.

Getty

3/6 Simon Stevens, head of the NHS in England

Reports that "key members" of Ms. May's team used internal meetings to accuse Simon Stevens, the NHS England director, of being unenthusiastic and unresponsive, were rejected by Downing Street.
Mr Stevens is reported to have rejected Ms May's claims that the NHS would have received more funds than necessary.

Getty Images

4/6 Previous health policy, no funding

In an interview with Sophy Ridge of Sky News, Ms. May acknowledged that the NHS was under pressure, but that it was a problem that had been "ducked by the government over the years."
She refuted the statement that hospitals would tackle a "humanitarian crisis" and said health financing was at record levels.
"We asked the NHS some time ago to define what it needed over the next five years to define its plan for the future and the funding it would need," said the Prime Minister.

"They did it, we gave them that funding, and in fact we gave them more funding than they needed … The funding is now at record levels for the NHS, more money has been invested. "

But doctors accused Ms. May of "denying" by explaining how the lack of additional funding for health care and social services was causing a vertiginous crisis in NHS hospitals.

Getty Images

5/6 Target to treat all A & E patients within four hours

Hunt was accused of diluting the flagship target of treating all A & E patients in less than four hours.

The Health Secretary told MEPs that the promise – introduced by Tony Blair's government in 2000 – should only target "those who really need it".

In the midst of mockery in the House of Commons, Mr. Hunt said that only four other countries were committed to treating all patients in the same time frame and that all had "less stringent" rules.

However, Ms. May said the government would respect the four-hour emergency target, which states that 95 percent of patients must be treated on time.

Getty Images

6/6 Nobody

Mr. Hunt was accused of "hiding" from the public following the announcement of the Red Cross comments and did not make an official statement for two days.

He was also filmed, refusing to answer questions from reporters who had sued him yesterday in the street to ask him if he was considering dropping the four-hour target set for deadlines waiting for emergencies.
Sky News reporter Beth Rigby insisted the health secretary on her position on the subject, saying "the public will want to know, Mr. Hunt".

"Sorry, Beth, I've already answered questions about it," replied Mr. Hunt.

"But you did not answer the questions about it. You said that it was over-interpreted in the House of Commons and you did not want to dilute it. Is that what you say? "Said Mrs. Rigby.

"It's very difficult, because how are we going to explain to the public what your intention is when you change your position and you do not answer the question, Mr. Hunt." But the Health Secretary maintained his silence until he reached his car and climbed inside.

Getty


1/6 Old people

"We recognize that there are pressures on the health service, there is still additional pressure on the NHS in the winter, but we have the additional pressures of the aging population and the increasingly complex needs of the population, "said Theresa May.

NHS Digital figures have more than doubled the expectations of older people over 12 hours in A & E among older people.

Getty

2/6 Patients who attend emergencies instead of seeing their GP

Jeremy Hunt called for an "honest discussion with the public about the reason for being A & E services," indicating that about a third of A & E patients were unnecessarily hospitalized.

Mr Hunt told the program "Radio 4 Today" that the NHS now had more doctors, nurses and funds than ever, but explained what he called "very serious problems in some hospitals "by suggesting that the pressures increase in part because people go in for consultation while they should not.
He urged patients to consult their general practitioner for non-emergency conditions, explained the plan that family doctors have enough time to support urgent care work, and said the NHS would soon be able to provide access to a general practitioner for seven days from 8:00 to 20:00.

However, doctors in trouble following a generalist recruitment crisis said Hunt's plans were unrealistic and called on the government to commit to investing in all areas of overwhelmed health care.

Getty

3/6 Simon Stevens, head of the NHS in England

Reports that "key members" of Ms. May's team used internal meetings to accuse Simon Stevens, the NHS England director, of being unenthusiastic and unresponsive, were rejected by Downing Street.
Mr Stevens is reported to have rejected Ms May's claims that the NHS would have received more funds than necessary.

Getty Images

4/6 Previous health policy, no funding

In an interview with Sophy Ridge of Sky News, Ms. May acknowledged that the NHS was under pressure, but that it was a problem that had been "ducked by the government over the years."
She refuted the statement that hospitals would tackle a "humanitarian crisis" and said health financing was at record levels.
"We asked the NHS some time ago to define what it needed over the next five years to define its plan for the future and the funding it would need," said the Prime Minister.

"They did it, we gave them that funding, and in fact we gave them more funding than they needed … The funding is now at record levels for the NHS, more money has been invested. "

But doctors accused Ms. May of "denying" by explaining how the lack of additional funding for health care and social services was causing a vertiginous crisis in NHS hospitals.

Getty Images


5/6 Target to treat all A & E patients within four hours

Hunt was accused of diluting the flagship target of treating all A & E patients in less than four hours.

The Health Secretary told MEPs that the promise – introduced by Tony Blair's government in 2000 – should only target "those who really need it".

In the midst of mockery in the House of Commons, Mr. Hunt said that only four other countries were committed to treating all patients in the same time frame and that all had "less stringent" rules.

However, Ms. May said the government would respect the four-hour emergency target, which states that 95 percent of patients must be treated on time.

Getty Images

6/6 Nobody

Mr. Hunt was accused of "hiding" from the public following the announcement of the Red Cross comments and did not make an official statement for two days.

He was also filmed, refusing to answer questions from reporters who had sued him yesterday in the street to ask him if he was considering removing the four-hour goal scheduled for emergencies.
Sky News reporter Beth Rigby insisted the health secretary on her position on the subject, saying "the public will want to know, Mr. Hunt".

"Sorry, Beth, I've already answered questions about it," replied Mr. Hunt.

"But you did not answer the questions about it. You said that it was over-interpreted in the House of Commons and you did not want to dilute it. Is that what you say? "Said Mrs. Rigby.

"It's very difficult, because how are we going to explain to the public what your intention is when you change your position and you do not answer the question, Mr. Hunt." But the Health Secretary maintained his silence until he reached his car and climbed inside.

Getty

Clare plays a role in mental health within the NHS and has not yet been able to return to work. She has supportive parents and friends, but says it should not be up to them to take care of her when the NHS says she is not eligible for psychotherapy or psychotherapy. help from his home team.

When Claire tried to commit suicide shortly before Christmas, it was her second attempt in less than six months.

"I think they've panicked," she said. "It was my second suicide attempt and I think they were worried because their previous answer was not good enough and they went to another extreme."

After 17 hours of waiting at A & E, the doctors decided to detain Clare under the Mental Health Act, but told him that there was no available psychiatric bed UK.

The purpose of the law is to keep patients who may be at risk for themselves or others and to make therapeutic decisions about them.

But a major independent review of his powers – triggered by a 30% increase in the number of people divided between 2011 and 2015 – called for radical reforms.

This included better consultation with patients about their wishes and their power to challenge decisions that derive from them. He also said that it was urgent to invest in community services to prevent patients from reaching the crisis point.

Clare stated that there was no treatment and that the liaison team with the psychiatrists had only little contact during his stay at the hospital and that She was frustrated that she was in good health and that she was in a hospital bed that could be used by someone else.

View from the hospital bed where Clare was detained for 10 days at the Surrey and Borders Partnership. NHS Foundation Trust (NA)

Although the staff member who recommended him to be split comes to "apologize" eight days later, it took another two days before an NHS-funded bed was finally found in a home. branch of the private priory group, better known for rehabilitating celebrities. addiction problems.

Three days later, after consulting a consultant, they agreed to send her home. But two months later, Clare says she's now been released by the community health team, although she feels she's "struggling to find the right one." 39; help. "

"I am told, if I am in crisis, to access the crisis line and to call their interlocutor. [Surrey and Borders] services – I do not feel able to do this because I believe that my current state of crisis is caused by them.

"The trauma of having to wait so long and not receiving proper treatment has made my condition worse than helping me get better."

Dr. Ranga Rao, who directs acute care for the Royal College of Psychiatrists, is struggling with the daily pressure on the beds. He adds that this also represents a heavy burden for staff, who must first visit nearby NHS hospitals before looking further.

"We were supposed to invest in community mental health beds, but the number of acute care beds has decreased more quickly," he said. L & # 39; Independent.

"We are expecting more patients in NHS hospitals, we have an increase in the number of out-of-area placements and an increasing number of admissions to the private sector."

A report last year found that the NHS spent £ 350 million a year on out-of-area placements and private facilities where there was no local capacity. But this may be far from ideal because patients can be sent hundreds of kilometers of family members for months at a time.

Maggie Gairdner, director of mental health services in Surrey and Borders, said she was investigating Clare's concerns, adding that she is still being cared for by the community team – although it is not what Clare understands.

She said, "We are sorry that [Clare] believes that his care and treatment have been below the high standards we aim to provide to all those who need our support. "


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