| We were building Trust: not to upset them at our interview | make them anxious ?; suppose they become ill in the interview - what could we do [ make a note and check with the carer ... carer write it down and psot - for their eyes only |
| It was confidential. | we could not ask carers how ill they were in between appointments [ I am the carer upon whom they rely - I need to know I can tell ] |
| it was their choice | yes we know they have less insight and fluctuation capacity - they had capacity in our interview - no we didn't press them see ' gaining trust' above. |
| . They were not ill enough as we saw them ... what happened at home or in the community we can't know about . Anyway it's hearsay - not allowed | . ... because you aren't bothered to find a way to ask, or be told ! I will write you regularly - this is what I have observed about their illness. That says he is still ill at a degree which warrants Mental Health Act. Hearsay is not evidence for Court ... it is evidence for you to appraise |
| we can only go on what we are told in interview - see trust and confidentiality above. Nobody told us about what they had observed [ they should have; their fault ] Contacting us it's up to them to find a way. Our staff are always changing, giving you a contact point would'n't work ..... | why not give a carer upon whom sufferer depends a guaranteed point of access, tel no and fal safe alternative. |
| They can't be forced to take up activities - [ and just as well; there aren't any ] If we had such a service; if there had been 'beds' - best interests are all very well but we don't have the staff to encourage and see them into regular activities in the week. | ... you are giving expert advice - you can tell them they won't stay well unless they take up some regular activity It would give them a meaningful engagement in a routine they welcome, and the family carers a time to their ow lives. |
| . they were no longer on our books they did not attend appointments - they weren't at home, same agian - can't have that, wasting our resources. speak with their family or neighbours - we couldn't do that ... 'trust and confodentiality' see above ' | you have the carer contact no. and address: use one or the other. and tell the GP ! |
| Nobody asked us to see them some where else convenient for them - carers or patients; In any case , they would not come. If they did they would not be able or willing to tell us about any illness. Oh no, we couldn't see you ... see 1. 2. above | what about the local supermarket or library |
| There was no point in putting it into the Care Plan because there was no resource. We don't have that kind of aftercare service. We discharge them back to the GP. |
Social workers in the team don't do social work as it was - seeing the family keeping in touch providing a social history, doing carer assessments, asking carers about their 'breaks in the week'. Get a Carer Assessment and put in for breaks in the week. ask the GP to complain to the local Primary Care Trust that the delivering mental health trust does not have the funding from the PCT to find 'breaks within the week' for carer and sufferer | [ for counselling ? well, carers can get that, if they are too burdened ] .... Why not Register the as a Service Deficiency or as Unmet Needs at Needs Assessment stage of the Care Programme Approach or at Review.
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What ? section? -- CTO ? see 1, above: then we would have to do and provide something in aftercare, and be responsible if anything goes wrong - work for us - not ill enough ....remember .... we can't do everything overwhelmed with acute work - forensic ..... ?? !!1 We prefer them as informal patients, because then it's their choice; and less legal documentation. There is no aftercare obligatioon [ if we manage to avoid [ by postponing ] 'contniuing health care needs' at the CPA meetings |
ask for a Carer Assessment and a Local Authority home visit. |