describes many cases of psychiatric in-patient deaths as
preventable. He says: "If you had patients dying in medical or
surgical settings from obviously preventable deaths, there would be
an outcry."
Professor Gournay is surely as responsible as anyone for the appalling conditions in our hospitals. Gournay is a senior adviser to the Government and as he himself said during the programme, has been the expert consulted on many occasions when there have been fatalities in mental health units. He is very well aware that staff are working under extremely dangerous conditions both for themselves and their patients. Last year he recommended mechanical restraints to be introduced to control violent mental patients - which was reported by David Batty in The Guardian newspaper http://society.guardian.co.uk/mentalhealth/story/0,,1404142,00.html ("Call for restraint to tackle violent mental health patients").
The chief executive in charge of Tolworth Hospital has apologised after a Channel 4 Dispatches programme revealed appalling conditions at its mental health unit.
The South West London and St George's Mental Health Trust, and the other two trusts filmed, unsuccessfully tried to convince Channel 4 not to show the programme, citing fears it would identify vulnerable patients. But the film, entitled Dispatches: Britain's Mental Health Scandal, was shown on Monday night.
The trust's chief executive Peter Houghton said: "I would like to apologise on behalf of the trust to service users and their families for lapses in quality of care seen on the film. These will be investigated and we will take appropriate action.
Issues raised by reporter Janey Ayoade after her six months spent at Tolworth and the two other hospitals included women being forced to mix with men in communal areas, sexual harassment and assault, overstretched staff and illegally-administered medication.
Chief executive Mind, Paul Farmer, said: "It's hard to believe that the wards people go to for support when they are at their most unwell are often scary and dangerous places. Many mental health wards don't provide a safe environment, let alone a therapeutic one."
Another woman, who did not wish to be named, said inpatient services at the hospital in Red Lion Road, Tolworth, were "disgusting" and she had seen examples of filthy wards.
Mr Houghton added: "Filming for the programme was undertaken over a few weeks in 2005. We have begun a major training programme for staff to improve their ability to assess the risks of patients.
"The privacy, dignity and safety of all service users is of great importance to me. All wards have separate male and female sleeping areas, toilets and bathroom facilities. We support patients in reporting any assaults to the police."
It is not the first time the unit has been criticised. In March 2000 it was announced control of mental health services was to be moved from the now defunct Kingston and District Community Health Trust to St George's. An internal inquiry held trust managers largely responsible for a seriously flawed culture of care for Alzheimer's patients on Fuschias Ward.
An independent inquiry by the London NHS Executive followed soon after, which called for an overhaul of complaints procedures, spot checks on wards at night and on weekends, training for senior managers and better reporting of untoward incidents.
http://www.channel4.com/listings/C4/index.jsp?hpos=tvlistings
In this Dispatches, an undercover reporter spent six months in three
separate NHS Trusts that care for the acutely mentally ill in
hospital. She secretly filmed conditions on adult general
psychiatric wards whilst working as a healthcare assistant – having
been trained in mental health nursing before going undercover.
http://www.channel4.com/news/microsites/D/dispatches2006/mental_healt
h/index.html
The reporter finds an overwhelming lack of resources for psychiatric
care resulting in understaffed wards that are chaotic, frightening
and dangerous. With women forced to mix with men in communal areas,
the reporter discovers that female patients are vulnerable to sexual
harassment and assault and she finds incidences of overstretched
hospital staff threatening patients and illegally administering
medication.
Patients complain about ward conditions that are dirty and
untherapeutic. One patient sums up her experience by saying: "It's
the best way to make someone have a nervous breakdown, being in this
place." Another says: "If you're not mad when you come in, you will
be by the time you leave."
Dispatches also reveals that in some cases, the hospitals are
failing to prevent patients self-harming on the ward – sometimes
with tragic consequences. The film features interviews with grieving
families who have lost their loved ones as a result of such failures
in in-patient psychiatric care.
A professor of psychiatric nursing interviewed for the film
describes many cases of psychiatric in-patient deaths as
preventable. He says: "If you had patients dying in medical or
surgical settings from obviously preventable deaths, there would be
an outcry."
Dispatches: Britain's Mental Health Scandal uncovers the under-
resourced reality for patients and staff in the part of the NHS that
is so often hidden from public view.
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Surrey UK
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www.mentalmagazine.co.uk
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