VISIT TO SUFFOLK WARD AND ELIZABETH’S MISSING POSSESSIONS

This morning, I decided to visit Suffolk Ward, Chase Farm Hospital Enfield, to find out whether Elizabeth’s possessions had been found and, if not, sort out reimbursement to the value of circa £100, which included Birthday presents going back to February 2021, including M&S leggings and top. These items valued at around £35 were never replaced and the Deputy Ward Manager who took the receipts never got back to me. Also a brand new tuppaware container containing the Birthday cake went missing. Whilst not much money, it is a matter of principle. Elizabeth has recently been discharged from Chase Farm Hospital, Suffolk Ward and several more items of possessions have gone missing ie., black and white Morrisons jacket, new pair of Sainsbury’s sandals and a pair of mock sheepskin slippers. Also, when Elizabeth was chased around the room by four male “nurses” she did not recognise and dragged into a seclusion room to be injected, during this scuffle her handbag was broken and I am requesting this to be replaced too; it was ripped off her shoulders and during all of this she lashed out with her feet and was kicked in the leg in retaliation by a male member of staff. I am sure the Morrisons jacket was more expensive but when I found out the price recently it had gone down to just £12 so with these items plus the Birthday presents everything amounts to around £100.

I was advised by the new Manager of Suffolk Ward (KS) that everything was in Pal’s hands so I decided to visit the office of Pals who said they had received absolutely nothing in terms of paperwork. I was advised to call at the ward which I did. I was told the Manager was coming first of all. I stood there patiently for a very long time and then was told again that the Manager was coming. I waited again for a very long time then a male nurse came to the door and offered to take the receipts off me but I then said that not only did I wish to give the receipts but I also wanted to discuss the Discharge Notice Elizabeth has just passed to me. It must have been about an hour I patiently waited in total and this male nurse disappeared but it was obvious that no-one was going to come out. I then called at reception and asked to speak to someone more senior. I was told to wait in the foyer which I did and all the time Elizabeth was phoning to see where I was as she was waiting for me at her flat. Then I noticed the person coming towards me was someone who is described in her previous response letter to Elizabeth’s complaint as “Covering for Suffolk Team Manager” JA. I had previously had contact with JA but was unsure of her title. Anyway, JA’s response was typical in terms of being defensive when challenged of anything wrong and I was not impressed with her response to Elizabeth’s complaint as I had nothing to do with this. In my opinion it takes guts for a patient to voice their concerns which I will outline in this blog. When I complained to JA that £100 of items went missing she was unsympathetic stating that it is a patient’s responsibility to look after their possessions on the ward. I responded that this was highly unsatisfactory since when things had gone missing on other wards such as Huntercombe and Cygnet, items had been reimbursed so I did not see why Suffolk Ward should viewed as a special case. She repeated it was a patient’s responsibility to look after their possessions. I said “easier said than done” when a patient such as Elizabeth was drugged to the hilt like a zombie and had found patients entering her room late at night on more than one occasion. I also questioned as to what Elizabeth was doing on their MH acute ward as she had autism to which JA responded that none of the patients on Suffolk Ward had anything other than a mental health diagnosis to which I said “rubbish” and showed her the 24 Hour Discharge Notification with ICD10 codes purely on physical health only. I also pointed out that Mencap/NAS and Access would not have got involved had I not been able to produce substantial evidence from the very beginning and referred to substantial divide in opinion by other professionals. She pointed out that the ICD10 code was for mental illness ie Elizabeth is said to have paranoid schizophrenia for which the team have refused to budge, however I have looked up ICD10 and this is what I have found:

ICD-10

ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. Work on ICD-10 began in 19…

This is the first time ever I have come across a list of physical health conditions such as:

Other abnormal findings on diagnostic imaging of central nervous system

Other and unspecified symptoms and signs involving cognitive functions and awareness

Pruritus unspecified.

I am not a doctor or nurse but this reads to me as though Elizabeth has suffered injury in the course of one year’s incarceration where she has been drugged to the hilt on drugs previously found to be allergic to by several doctors and the depot version of Risperidone administered now switched to max level of Clopixol depot for which it has been promised regular reductions and titration right down. The Community RC explained that a reduction of the max level of Clopixol would commence at the next due depot injection which Elizabeth says is due on Monday and the first reduction is 50mg but this sounds quite high to me. Previous attempts at reduction have been too steep/cold turkey and had failed but this was recorded as relapse of mental illness, whereas it was withdrawal syndrome. This time the community RC explained that care would need to be taken on the very low dosage and that this could cause delusions/hallucinations – all the symptoms said to be of mental disorder when in fact these are the side effects of withdrawal. He also said he would have to increase his visits to see Elizabeth but this alone might be triggering for her as even a phone call from the MH team affects Elizabeth’s mood and puts her on edge.

JA could not explain re the Discharge Notice and said she was not a medical professional but KS new manager of Suffolk Ward is a medical professional who did not wish to come out and see me.

Since being discharged from Suffolk Ward Elizabeth is looking better but her breathing is of great concern. Never before was she like this. I know something is wrong and I am not even a nurse/doctor.

Elizabeth has had a chest Xray which I took her to. She has a blood test coming up and eye appointment, all of which I have to take her to. She says she has blurred vision and balance problems, that she has chest pains and headaches. She can barely walk.

Today I decided to ring Elizabeth’s GP to ask for a Neurologist appointment. The GP said she had to justify this appointment so I told her that I had the discharge papers that highlighted what appeared to be physical health concerns under ICD10. I also said that last time Elizabeth saw a Neurologist the Neurologist suggested genetic tests for rare condition of Wilsons Disease and that nothing should be ruled out as it says in the files “Lets rule out anything organic” but now I want everything organic looked at properly including the MRI scan Elizabeth wanted in the first place. The GP did not understand about the Discharge Notice contents and said before any referral could be made to see a Neurologist she needed to find out more about the things listed as the tick boxing had to be done very carefully otherwise the request would be rejected.

Elizabeth telephoned frequently to see where I was and I was mainly stuck at Chase Farm Hospital waiting in vain.

I have the letter in response to Elizabeth’s complaint by JA in front of me. To summarise:

You reported that nobody has explained to you why you are sectioned as you do not believe you are mentally ill. JA responded listing Tribunal’s decision going back to 2008, mentioning CTO and section 136 and that everything was explained to her. “I am sorry you do not believe you have a mental illness but would like to assure you that the correct process have been followed. “I am sorry that you do not believe that Elizabeth has been misdiagnosed as otherwise the wonderful organisations of Mencap/NAS and Access otherwise would not have got involved and as for the recent discharge note it would appear that Elizabeth has suffered injury and would assure you that there was no mention of mental disorder whatsoever – the first time this has ever been seen.

You told us that we have informed you that we are sending you to another hospital and you do not know why and you think that we may be waiting for a bed: “The team has a conversation with you in January 2021 that they were considering longer term placement as part of your care plan ie Priory placement. I hope that following this meeting you now are up to date with any plans for ;you to move. Likewise thanks to NAS and Access thank God stopping another six month OOA placement at Priory. Yes, definitely Elizabeth was right as per the latest files. For instance beds in hospitals all over the country were being considered where seclusion was the option, hence Cygnet Godden Green (Requires improvement) now closed by CQC who agreed to take Elizabeth for 5 weeks.

St Andrews &Huntercombe – Full Cannot accommodate  
Cygnet Woking – full, Cygnet Brierly – full, Cygnet Beckton – declined and Cygnet Appletree  
Priory Nottingham – no seclusion  
Southern Hill PICU – no beds

In addition to all of these above, Priory Darlington, Priory Hemel Hempstead, Elysium locked Rehab Bromley Road, Elysium Thornford Park (2 months) St Pancreas Hospital Ruby Ward.

You stated that the office staff (Suffolk Ward) keep telling you to speak to Dr HM but she does not listen and does not give any information: “On Suffolk Ward we empower patients to have discussion with their consultant if the information they are asking for is not within the remit of the nurses. We encourage patients to speak for themselves during their meeting with the consultant or other ward doctors. Nurses prompt patients during this meting if they are having difficulties to express themselves or have forgotten the points they wanted to raise at their meetings. This is the reason the staff were encouraging you to speak to Dr HM. An example of such discussion is “you have got paranoid schizophrenia” “no I have autism”

You reported that you were taken to seclusion when during your admission about a year ago your bag was ripped off and the manager kicked you in the leg. “I am sorry but I have been unable to find any evidence in your record to suggest that this incident took place. However on 29 July 2020 you were reported to have lashed out at staff, kicking the ward manager in the groin and punching female staff repeatedly. ” I am sorry but what we have heard is that Elizabeth was chased around the ward by several nurses she had not seen before who got hold of her and got her in some kind of seclusion room to give the depot to which Elizabeth did lash out but there were no female members of staff present – all male and her bag got ripped off her shoulder in the process and she got kicked in the knee. She did not punch female staff repeatedly as what we heard was there were only male staff present.

You stated that your mother could not see you because of breach of social distancing on Xmas Day. Your mother reported there has been Covid 19 on the ward but no communication and wanted you to be treated fairly. Elizabeth’s mother’s blog describes the shocking experience on Xmas Day and how her car was surrounded by staff threatening to call Police which they did do despite the fact that permission had been given by the RC but the bed management overrode that decision and that was because it was proposed to move Elizabeth that day, due to the ward being changed to Amber category.

JA then talked about the CTR (which was cancelled 3X due to a completely independent and person of experience being appointed by NAS who were not happy at the lack of support for Elizabeth leading up to this meeting by advocacy, minutes of the CTR still awaited.

JA then explains re S17 that they were unable to grant this on the grounds of Covid 19 other than to attend urgent physical health appointments. This rule was explained to you and your mother. It certainly was not explained to me at the time but I found out.

You reported that you have not been treated fairly and we are trying to treat you for schizophrenia when you have autism. Your records show you have been receiving treatment for paranoid schizophrenia since 2008. You also have diagnosis of Asperger Syndrome since 2016. You are administered Clopixol 400mg depot injection (intramuscular) every 2 weeks as part of your treatment for schizophrenia. We would like to know the aspect to which you reported that we have not treated you fairly so that we can improve the care and support we provide you. Since you ask, you recognise the diagnosis of Asperger Syndrome was given since 2016 (in fact it was given in 2008 also) so how come the change to schizophrenia and where is the term “treatment resistance” meaning poor / non metaboliser. You only have to look at the treatment over the past year and see how many institutions were being considered out of area at huge expense by various nursing staff/night bed management. You only have to read the latest file records of which Elizabeth’s mother has acquired in which she herself was being labelled behind her back with a MH diagnosis by a junior doctor who has never met her. Then you only have to look at how the CTR was handled and cancelled three times with the Chair stating “the whole thing stinks”. Then take a look at the discharge to her flat – nothing apart from Crisis/Home Treatment Team phoning every other day and totally disabled. Elizabeth cannot get in and out of her small bath. She has no shower. So disabled now I am a full time carer, not able to work in a full time job right at this moment or in fact any job other than caring. Elizabeth has breathing difficulties like never before has to rest several times during the day and has no energy to do anything that is because she is on max levels of the drug Clopixol which the community RC is taking her off having been alerted to the fact Elizabeth’s mother has the Discharge Notice that states physical health concerns.

Finally JA goes on to say “I hope we have addressed your concerns. If you feel that there are any outstanding issues you can contact me on ………….”

I told JA what I thought of her letter today and will finalise my blog by replying to the above comments stating “no” and “yes” – there is the issue of £100 of Elizabeth’s missing possessions and then Elizabeth’s mother wants full clarification as to what exactly is meant on the Discharge Summary by “Abnormal findings on diagnostic imaging of central nervous system” – Please explain.

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