Patients’ concerns highlighted in NHS Tayside mental health inquiry report

Patients’ concerns highlighted in NHS Tayside mental health inquiry report

Illegal drugs on wards and concerns over patient restraint have been highlighted in a report into NHS Tayside’s mental health services.

The independent inquiry’s interim report has identified “key themes for further investigation” after hearing evidence from more than 1,300 people.

It said some patients were frightened of certain staff members.

NHS Tayside said improvements had been made in key areas highlighted in the interim report.

The inquiry is reviewing safety, care standards and access to mental health services.

An investigation was initially ordered into Dundee’s Carseview Centre but was expanded following a campaign by families of people who took their own lives.

More than 200 written submissions were received by the inquiry team following its call for evidence, and more than 70 oral evidence sessions were held.

It said the key themes were patient access to mental health services, patient sense of safety, quality of care, organisational learning, leadership and governance.

Referring to risk management, the report said: “Patients report telling staff they were suicidal but the risk was not taken seriously until they made a serious attempt to take their own life.”

‘Violated and traumatised’

In relation to patient safety, the report noted: “Some patients report being frightened of certain staff on the wards who have a poor attitude to the patients in their care.

“Others mentioned that another patient had assaulted them whilst they were on the ward.”

The report said the use of restraint within inpatient facilities was of “great concern” to patients, who had experienced it or witnessed it taking place.

It said: “Patients feel violated and traumatised, particularly if they have personally suffered violent abuse in the past.”

People talking

It added that staff seemed unable to control the availability and use of illegal drugs on the wards in the inpatient facilities.

“Both patients and families report seeing drugs delivered, sold and taken within the Carseview Centre site,” the report said.

“Staff confirm this is a serious issue which is not being adequately addressed.

“There is a lack of support from management for frontline staff attempting to address this issue and it is having a detrimental effect on patient care and treatment regimes”.

‘Unexpected and concerning’

In a section on the Crisis Service, the report said that the Crisis team “struggles to respond to sudden surges in demand on the service.”

It said: “There are occasions when the length of time to wait to be seen is long and families supporting someone in crisis are advised to phone the police or NHS24, if they are worried.

“This advice is unexpected and concerning to carers coping with a crisis in a domestic situation.”

The report said the centralisation of the out-of-hours Crisis team to Carseview Centre has had a “detrimental effect on those patients in Angus and Perth & Kinross who are experiencing mental health crisis”.

It said: “There is a perception that whilst the Crisis service has expanded in recent months, the situation has worsened in terms of patients being assessed then not being offered any crisis intervention, or referred back to the GP.”

Inquiry chairman David Strang said: “The themes which have been identified will shape the next stage of the inquiry.

“Our final report will include conclusions and recommendations which will lead to the improvement of mental health services in Tayside.”

‘Top priority’

NHS Tayside chief executive Grant Archibald said: “We are taking on board all comments in the interim report, alongside the feedback we received from the Health and Social Care Alliance (the Alliance) published in their report in December 2018.

“The key themes which have been identified in both the Alliance report and in today’s interim report are recognised by the board and the mental health leadership team – and we are taking action on these.

“I also recognise and want to thank the many staff who are already working really hard to improve services and look forward to their continued support.

“It is clear that we have further work to do but since I came to Tayside, I have made mental health a top priority and I am confident we can learn lessons, strengthen our engagement with patients, service users, families and the public and make the right kinds of changes, at the right time, to transform our mental health services.”

He added: “We would like to thank everyone who has shared their experiences so far and we look forward to the independent inquiry’s final report and recommendations which will be a major influence on the future shape of mental health services in Tayside.”

Please follow and like us:
Concerns over potential impact of Dundee library cuts

Concerns over potential impact of Dundee library cuts

Cutting Dundee’s library budget could have long-term consequences on literacy, social isolation and mental health.

The warning comes after Leisure and Culture Dundee (LACD), the arms-length organisation that runs the service, announced plans to decimate libraries’ budgets this week.

The organisation has to find £860,000 to balance its budget this year and aims to do this through a combination of cuts and price increases.

The cuts include reducing the resource budget of libraries – the money available for new books and periodicals – and cutting staff numbers through voluntary redundancy and early retirement.

 

The organisation, which also runs the McManus, Camperdown and Caird Park golf courses and the Olympia Swimming Pool, said it may not replace all departing staff in order to keep costs down.

Sean McNamara, head of the Chartered Institute of Library and Information Professionals in Scotland, said cuts to library services can have serious long-term consequences.

He said: “We realise that council services are under severe financial pressure and difficult decisions need to be made.

“However, cuts to resources and staffing can impact on vital services that libraries provide for communities.

“Libraries and their skilled staff help improve literacy levels as well as tackling social isolation and supporting mental health and they also play a key role in the current digital strategy for Scotland by providing free access for people unable to get online at home.

“Any local authority considering cutting budgets must ensure they have fully assessed the long-term impact any cuts may have.

”Labour group leader Kevin Keenan said “slashing the culture budget” was the wrong thing to do when Dundee is trying to promote itself as one of Scotland’s leading cultural destinations.

He said: “Obviously, I am deeply disappointed to hear there is a potential load of job losses.

“When we are trying to attract people and tourists here with things like the V&A, slashing the culture budget does not seem like the thing to do.”

A report to Dundee City Council’s policy and resources committee this year revealed that Dundee has the highest percentage of citizens who are library users out of all of the Scottish authorities.

Nine of the 13 libraries showed an increase in visits in 2016-2017.

The Central Library is Scotland’s busiest.

Last year there were concerns cuts could lead to restricted opening times in some city libraries.

A spokesman for Leisure and Culture Dundee said there were currently no plans to reduce opening times.

He said: “There are no changes to opening hours at this time.”

Please follow and like us:
Musician urges people not to keep their mental health rapped up

Musician urges people not to keep their mental health rapped up

A Tayside musician is helping beat the stigma of mental illness by rapping about his time in a Dundee psychiatric hospital.

Kieran Smart, who studied music production in Perth before being admitted to Carseview, posted a video to social media which detailed his battle against self-harm and hallucinations.

The 23-year-old mentions his feelings of isolation while struggling with his mental health, which led him to spend a total of four months in the unit over the past two years.

He said he hoped the video would encourage more people to seek help sooner, after revealing it took him five years to get treatment.

He said: “It’s an overview of what I was feeling at the time. Now I feel not much different but better – music definitely helps with that. It gives me an outlet – a way to put things down as I’m not really big on speaking to people and this is easier.

“I’ve been writing for ten years and when I came out of Carseview the second time that’s when I recorded my first song.

“I put this video online to help break down the stigma of mental illness. I want to bring awareness to that – I want people to know it’s all right to not be all right.

“It’s a constant reminder for me but I’d rather it helped someone – I hope it would. I’ve been dealing with this since 2012 and I didn’t seek any help until 2017 because I had the idea that being male I had to mask it.”

Mr Smart has also praised staff at the facility at a time when mental health services in Tayside have come under fire, with unit closures in Perthshire and Angus.

He said: “When I first went into Carseview I wanted out as soon as possible because I was in a locked ward but the treatment was really good and the staff were great – they were always willing to talk.”

 

Link to Courier article here 

Please follow and like us:
Pupils help charity to boost mental health in Dundee

Pupils help charity to boost mental health in Dundee

 

Link to Courier article here 

Please follow and like us:
Second charity football match in aid of young Dundee dad Lee, who took his own life

Second charity football match in aid of young Dundee dad Lee, who took his own life

Lee Welsh

 

link to Evening Tele article here 

Please follow and like us:
‘Men need to speak out’: Dundee women in early 40s most likely to report mental health condition

‘Men need to speak out’: Dundee women in early 40s most likely to report mental health condition

Please follow and like us: