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14 Aralık 2016 Çarşamba

What are your experiences of accessing mental health services in the UK? | Sarah Marsh

This week, the Guardian reported that NHS England is sending patients who are seriously ill with eating disorders to Scotland for treatment. Chronic bed shortages mean there is nowhere for them to get help closer to home.


Mental health experts have expressed concern about this, saying it’s compromising the quality of care for those in need.


It’s not the first time there have been reports of mental health patients being sent miles from home for treatment. Earlier this year, research by Community Care and BBC News found that in 2015 more than 5,400 mental health patients had to travel out of area for a psychiatric bed.


There are also reports of specialist mental health services turning away almost a quarter (23%) of children and young people seeking help. The Education Policy Institute Independent Commission on Children and Young People’s Mental Health, which did the report, said it is often because there are “high thresholds” for accessing services.


Research suggests that cultural factors can make it harder to get help too. Professors at Brighton and Sussex Medical School found black and minority ethnic groups struggle to access services, partly because of a communication breakdown between healthcare users and providers.


What are your experiences of accessing mental health services? We want to hear from people of all ages and backgrounds, across the UK, about any challenges you faced or help you received. Were you able to access help as soon as it was necessary, or was there a waiting period? If you had to wait, how did this affect you? Were your concerns met by your GP? Were you moved miles from home for treatment? Or perhaps you want to thank professionals for looking after you. What were the best aspects of your care? Share your stories and experiences with us in the form below.



What are your experiences of accessing mental health services in the UK? | Sarah Marsh

13 Temmuz 2014 Pazar

Property Office accessing NHS data to support track down illegal immigrants

Medical records

Health care records. Photograph: David Sillitoe for the Guardian




The Home Office has been given access to the NHS information of far more than six,900 men and women because 2010 as element of its efforts to track down illegal immigrants, prompting worries from patients’ and migrants’ rights groups.


Healthcare information are protected by information protection laws but new statistics show the Home Office has produced use of a small-noticed exemption in the principles to entry patients’ non-clinical data, with out any need to have for a court purchase.


The exemption makes it possible for officials to see the place folks have manufactured use of the well being services and when, but not the details of the clinical situations or medical interest they acquired.


Police forces and the National Crime Agency have also accessed these data, the figures present, in pursuit of perpetrators of severe crimes this kind of as murder or rape.


Individuals groups explained the use of NHS records by immigration and law enforcement officials could deter people from seeking remedy for themselves or their families, and so pose a public well being threat.


“We are concerned to discover that the House Office is searching for to track down likely immigration offenders by requesting their healthcare data,” mentioned Katherine Murphy, chief executive of the Individuals Association. “While we are aware of the government’s need to have to clamp down on unlawful immigrants, we do not think that it need to be carried out by way of their medical and social care data.


“There is the really true danger that some sufferers might put off seeking medical assist for fear of their information becoming leaked. Furthermore, kids may endure if mother and father are reluctant to consider them for remedy when they are ill. The health and welfare of patients should usually be the priority and we must not introduce policies which could undermine the core ideas of our well being services.”


The House Workplace requests 1st emerged in a 91-web page independent report on data release policy at the Well being and Social Care Info Centre this month. The PricewaterhouseCoopers report located that among July 2010 and December 2013 the House Workplace made far more than 12,587 requests for data from the NHS’s Nationwide Back Office, which keeps simple data on all registered NHS patients.


The vast bulk of these requests for info – twelve,204 – had been accepted by the NBO, and information have been identified in 6,304 instances. Police and Soca (now the Nationwide Crime Agency) produced 14,951 requests more than the very same period. Information on requests prior to July 2010 had been destroyed, the report found.


The data are launched under an exemption to the Information Protection Act, which normally protects the confidentiality of NHS data, for the pursuit of serious crime. The NBO passes on basic data on the patient, such as the nearby NHS region the patient last had get in touch with with. The Residence Workplace or police force concerned is then free of charge to pursue more thorough data from nearby NHS agencies.


A supplemental release of info covering the first three months of 2014 showed the House Office had because overtaken police forces as the primary requester of wellness data, creating 725 requests for information versus 635 from police and the NCA.


Home Office NHS WEB 1107 Requests for NHS information


Ruth Grove-White, the policy director of the Migrants’ Rights Network, called the findings “disturbing” and questioned regardless of whether the information requests had been a sensible use of strained NHS sources.


“NHS workers are previously underneath stress and the last point we require is for them to be forced to act as immigration officers as nicely,” she mentioned. “This further proof that the House Office is making use of the NHS as a vehicle for immigration enforcement is disturbing.


“Some migrants who are entitled to entry the NHS are already too intimidated to look for the care they or their children want. In result, this approach discourages men and women from going to their GP or hospital when they need to have to, with wider public wellness implications.”


The House Workplace declined to react to queries about how many of the six,965 men and women whose NHS details it had acquired have been further pursued by means of their local NHS bodies or GP surgeries, but it defended its use of NHS data.


“We function closely with a wide variety of partners across government and the personal sector to make sure people who are in the United kingdom illegally are removed,” mentioned a spokesman. “Any requests for info are proportionate and in line with data sharing legislation.”


The National Crime Company stressed that its use of NHS records was strictly limited to severe crimes.


“The NCA utilizes National Back Workplace information as one of a amount of tactics and intelligence sources to trace identified fugitives,” explained a spokesman. “The use of these enquiries is proportionate and can only be produced for significant offences, for example murder and critical assault, and we make them only after all other checks which includes open source have also been pursued.”


The HSCIC stressed that the data requests covered only non-clinical information, and mentioned acquiring health-related records would call for a court purchase. It additional that it had by no means obtained an purchase seeking medical records.




Property Office accessing NHS data to support track down illegal immigrants