Wednesday, February 24, 2016

That's it, I am no longer an employee of the local mental health provider. I post that rather than local NHS provider because it is not the nhs. It is separate from the nhs and uses the NHS logo whilst being a not for profit social enterprise. I have an offer of working on the local nursing bank although I will think about that. To tell the truth I am fed up with psychiatry and these  articles explain some of the reasons. Chasing targets, ticking boxes, completing endless forms and assessments; applying for funding that is not available and when the new financial year commences having to reapply again with new enhanced paperwork for the same patients who will have to contribute from the meagre benefits they receive. Many will refuse and these people tend to be those with the most severe and enduring mental illnesses. Schizophrenia, bipolar and not the artistes luvvie version, severe depression and anxiety, etc... Payment by results and a culture of managerial-ism with a race to provide cheap care with a multiplicity of rules, regulations and protocols to ensure more admin staffs, managers and inspectors are required.  Meanwhile, lonely isolated people suffering from mental illness are left to stew in their own madness often in poor housing with inadequate support. So much for progress as politicians, managers, bankers, spongersparasites and bureaucrats get richer as they fleece the system. I will stop ranting now and go out to enjoy the sunshine.

Photograph: Fu Jianbin.


Blogger TheFatBigot said...

I wish you the best of good fortune in whatever you do next.

It's so depressing to see how bureaucracy stifles the ability to deliver a proper service to people in need - not only in your field but everywhere that targets and the need to gather pointless statistics dictate the state of play.

How refreshing it would be if each relevant administrative unit were just given its budget for the year and left to decide for itself how to spend the money. No reporting back, no tick-boxes, no surveys; just salaries paid to do the best that can be done within that budget. The result will never be perfect but every possible penny will go to providing the required service.

12:31 am  
Anonymous Blue Witch said...

Well done!

TFB above describes what used to happen, 20+ years ago (at least in LEAs, as they were then), but probably in other areas too. Oh for the good old days...

For all our modern 'technology', it seems to me that people communicate (meaningfully) much less.

8:19 am  
Blogger delcatto said...

Well said TFB and thank you.
You are both right in that it used to be like that. A better service with less bureaucracy & we managed it without mobiles phones, computers, etc... Not a perfect system but it worked. Alas no longer.

8:43 am  
Anonymous Blue Witch said...

I had cause to look up 'nursing care plans' yesterday. Holy shit, what a complete load of crap. I now know why there is no longer time for patient care in the NHS.

4:22 pm  
Blogger delcatto said...

Yep BW and we were being asked to add more & more stuff to each care plan to meet commissioners demands.

12:03 pm  

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