The cost of the underfunding falls on their physical and mental health, and it is no wonder they are leaving the service in droves. If no action is taken, the service will go into a downward spiral of staff shortages, leading to more demoralisation, even more staff leaving, and the NHS , on which most of us rely, will be wrecked. Jill Jones Leeds. Even when problems were raised at higher levels of management, the same lack of care was consistently shown, implying an institutionalised indifference to the wellbeing of medical staff.
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The worst example I encountered concerned a junior doctor seeking to return from sick leave after she had attempted suicide. The most senior manager in the unit concerned supported this approach, emboldened by the vulnerability of the young doctor who was not fit to go through the strain of the potential actions I discussed with her, and for obvious reasons did not wish public exposure. It was only one compassionate HR manager, whom I involved as someone I could trust and who was as appalled as I was when he found out what was happening, who intervened and made himself unpopular with other managers by doing so.
Stephen Smith Glasgow. The most outrageous aspect is that hospital administrators are congratulating themselves on providing lounges and bedrooms for junior doctors. When I was a very junior doctor in the s, any hospital that did not provide a lounge with a TV as a minimum would not have had any junior doctors and, since many posts were resident, bedrooms were also necessary.
We felt that, despite limited resources, the management were on our side. That is unfortunately no longer true, as evidenced by your report. The continuing sale or conversion to offices of decent residential facilities, which started under the Thatcher dictatorship, has left many hospitals with recruitment problems, particularly in London as lower-paid staff cannot afford rents. John Hurdley Consultant anaesthetist, retired thank God , Birmingham.
Although these accounts are shocking, they are sadly not surprising. We stand in support of all colleagues today who wish to speak out about any mistreatment they have suffered in order to provide patient care. We share concerns that these issues occur in hospital-based settings, and also in primary care. When you are safe, the professionals will decide if you need to be detained.
They will ask you questions, and think about all of your circumstances. They may ask you:. If you are not already in hospital, the AMHP will arrange for you to go there as soon as possible. In some cases the police will go with you. Staff should tell you which section you are detained under, and what your rights are.
If you find it hard to understand, let them know. It is likely that you will be taken to a specialist ward for people with mental health problems. In most hospitals, the door to the ward will be locked. Sometimes the hospital might be a long way from home. This is the person who is in charge of your care and treatment.
They are usually a psychiatrist, but they can be other professionals too. Taking steps to improve your mental health can reduce the chance of being detained. If it is likely you will be assessed soon, think about the possibility of accepting treatment, and reducing risky behaviour. During the assessment, you may want to explain how things are at home, and what support you already have.
If the professionals think you are at risk, talk to them about other options for reducing these risks. The professionals should listen to what you have to say, and consider all alternatives to detaining you. These alternatives might be treatment from local mental health services, or you agreeing to go to hospital. If you want a friend or family member with you during a Mental Health Act assessment, let the approved mental health professional AMHP know. Being taken to hospital against your will can be stressful and upsetting and you may feel that you need a lot of support.
There may be situations when doctors can stop someone visiting you. But they would need to show that this is necessary for safety or security reasons and they should explain these reasons to you.
You may want to talk to someone about the way you feel. Ask the ward staff if you can use a phone to call a listening service, like Samaritans telephone: IMHAs help you to tell staff about your concerns, and find out what your rights are.
They can also help you to understand your treatment. They are independent of the hospital staff. If you think you would find it helpful to speak to an IMHA, ask staff about how to get in touch with one. You may have to ring a number to make an appointment. IMHAs can meet with you in private, if you would like them to. If you are under sections 2 or 3, and you think you should not have been detained, you can appeal to a tribunal.
A solicitor can help you do this. This help should be free under legal aid. Civil Legal Advice can tell you more about legal aid, and help you to find a solicitor. Under Section 2 , you can be kept in hospital for up to 28 days.
This section gives doctors time to decide:. A psychiatrist may offer you treatment. If you refuse treatment, the staff may be able to give it to you without your permission. An approved mental health professional AMHP needs to apply to hospital. Your nearest relative can also do this, but this is rare. An AMHP can only apply if they have seen you in the last 14 days. They also need recommendations from 2 doctors. One of these doctors must have seen you in the last 14 days. And the doctors must not have seen you more than 5 days apart.
Up to 28 days. Your doctor should discharge you from section 2 if you no longer meet the criteria for detention. Hospital staff cannot extend a section 2. If you need treatment in hospital for longer, you will need to go on to a section 3. You can stay on a section 2 longer than 28 days if the county court is thinking about changing your nearest relative.
There is no reason to get naked. A patient must have confidence in the competence of their physician and must feel that they can confide in him or her. Yes, a new medical certification examination over-rides an existing medical card. If you get your insurance through your employer, your Human Resources department may be able to help guide you to some of these tools. Breeding Ground. After leaving, though applying for other opportunities, none working out, I gave up trucking for the time.
But the staff should ask you to accept treatment first. If you are unhappy about your treatment, talk to the person in charge of your care your responsible clinician. Staff can only give you some treatments, like electro-convulsive therapy ECT , if certain criteria are met. Donate Search Menu. About us About us. Our goal is a better life for everyone affected by mental illness Find out more Our goal is a better life for everyone affected by mental illness. Help in your area. Advice and information. News and stories. Telling your partner you live with a mental illness Read more Telling your partner you live with a mental illness.
Get involved. Get help now. Download Mental Health Act factsheet. Overview About the Act What is a mental disorder? How can I be detained? What support can I get?