"My care plan"

About: Nottinghamshire Healthcare NHS Foundation Trust / Adult mental health (inpatient)

(as the patient),

Care Plan Assessment

My Community Psychiatric Nurse (CPN) recently gave me my care plan and asked me to sign it. When I looked at it there were only three things on it. These were about my medication and about two appointments I had with my CPN and my Psychiatrist.

I could not believe that an enhanced level care plan that states there could be 12 headings could be written by my CPN with such a lack of care.

Care plans are designed to look at a person holistically. The categories relate to the persons physical as well as mental health, finances, accommodation, daily living skills, social network, leisure opportunities, employment/ training and culture and childcare.

So I asked my CPN to book me in to spend time on going through my care plan.

What I still find interesting is that physical health seems to be ignored and as I am obese no-one seems concerned about this.

So I had my G.P refer me to Positive Moves or exercise on prescription, which gives me 3 month trial with a local leisure centre. Incidentally I have never been referred to a nutritionist for weight gain due to taking medication.

My CPN has offered me mental health groups as regards to making friends. With the day services closing CPN’S and Social workers should be able to point their service users in the right direction for courses and work.

I am a regular volunteer at the Involvement centre which is part of my recovery and yet it was not mentioned on my care plan. People with mental health problems need to work if they can. For me working raises self esteem and gives me a sense of purpose, which improves my mental health.

So what is happening in 2010 for my CPN to give me such a care plan assessment? Psychiatrists should make sure that service users and Care Plan reviews are dealt with in a positive way to make the most of care plans.

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Responses

Response from Jane Danforth, Involvement Team , Involvement & Experience, Nottinghamshire Healthcare NHS Trust

picture of Jane Danforth

Thank you for taking the time to post your story. We are sorry to hear that your careplan is not meeting your needs. The Trust want to hear about things that could be improved so that we can make things better for the future and for other people.

I will forward this on to the appropriate service to reply to your concerns.

We are glad to hear that you are recovering due to voluntary work at the Involvement Centre and welcome any further comments.

Jane Danforth

Involvement Officer

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Response from Julie Grant, Head of Communications, Nottinghamshire Healthcare NHS Trust

Thank you for bringing this to our attention. The CPA should be an inclusive review of a number of specific topics, including;

Mental health

Physical health,

Accommodation, finances, benefits

Children, Family and relationships

Other aspects of social care, activities, inclusion, etc

Treatments, including drugs, talking therapies, and broader involvement activities

There should also be opportunities for patients to raise specific concerns, as well as highlight their personal objectives for the review.

In some cases, people will be relatively stable and the review does not come up with many action points. In others there may be a variety of things to arrange/recommend.

If you do not feel that your CPA co-ordinator handled this aspect of your care adequately there are a number of ways to raise your concerns including:

Contact our PALS Team, ring 0800 015 3367.

If you are unable to do this or would like to make a formal complaint under the NHS Complaints Procedure, please either:

email complaints@nottshc.nhs.uk,

contact the departments below in writing or by telephone.

However you lodge your complaint, it will be acknowledged as soon as possible, and within 3 working days at the latest.

For complaints about Adult Mental Health Services, Child and Adolescent Services, Older Peoples Services and Learning Disability Services, contact...

Elaine Read

Manager - Service Liaison Department

Nottinghamshire Healthcare NHS Trust

Duncan Macmillan House

Porchester Road

Nottingham

NG3 6AA

Tel: 0115 993 4542

Thank you for feeding back to us and I hope your issues can be resolved.

John Brewin, Associate Medical Director, Local Services Division.

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