By KAKATOO May 2009
.
.
Showing posts with label Bedforshire and luton trust NHS Birmingham And Solihull Mental Health NHS Financial Surpluses Compromise Patient Care. Show all posts
Showing posts with label Bedforshire and luton trust NHS Birmingham And Solihull Mental Health NHS Financial Surpluses Compromise Patient Care. Show all posts
Saturday, May 09, 2009
Wednesday, April 01, 2009
Tuesday, March 24, 2009
Mental Health Grave Failures Kill Two Cops 2004 and 2007
.
Tennyson Obih aged 29 of Luton in the UK killed Constable Jon Henry at Luton Town Centre in 2007 and the BBC and other media have covered this in March .
Yet this text flags up the need for some more examination of similar poor NHS care themes - take for instance the 2004 killing of Constable Swindells in Aston in Birmingham by Glaister Butler aged 49 .
Both Tennyson Obih and Glaister Butler are Afro-origin and its absolutely known in the UK that Afro-origin community mental health patients have a much more dubious outcome for their care by the UK system . But a deeper sub theme perhaps lies in the question : should paranoid schitzophrenics be in the community ? Both men were unwell paranoids . Both men have now killed . What's the deeper story ?
Tennyson Obih was not taking his medication and had only a month before been in the Bedfordshire and Luton Mental Health NHS Trust care .
"A series of NHS blunders left a paranoid schizophrenic free to stab a policeman to death. Cannabis user Tennyson Obih, 29, went 'off the radar' to kill PC Jon Henry after he ditched his prescribed medicine in favour of 'olive oil and prayer'. A team of mental health visitors was supposed to monitor his progress after he was released from hospital."
Source: dailymail.co.uk
And of Glaister Butler who was supposed to be taken care of by Birmingham and Solihull Mental Health Trust (now Foundation Trust) :
"Under his community-care order, Butler was supposed to be visited every two weeks by a psychiatric nurse with his prescription drugs. He was also assessed by a consultant psychiatrist every three months. But outreach workers admitted they often simply dropped off the medication on Butler's doorstep and had "very limited opportunity" to spot changes in his behaviour. After his arrest, police found 462 prescription tablets - equivalent to 18 months' supply - in Butler's flat."
Source: independent.co.uk
Both the Bedforshire and Luton Mental Health Trust and the Birmingham and Solihull Mental Health Trust (now Foundation Trust) were either struggling with "debt" (arguably Gov't underspending on mental health) or the need to make surpluses .. Both Trusts like many others have reconfigured services, had assets sold off, and have by now shaved resources leanly to "mainstream Users" - "get them socially included"
The periods of 2004 and 2007 have seen both Trusts have to make "tough" decisions pushed by politicians to dis-invent asylum and create building-less services ..
The problem is this creates situations of mental health services on the cheap and of poorly checked vulnerable men with mental illness who effectively have no "asylum" but a community corner. These men have inner-worlds of terror or fear which when reactivated become dealt with violently . It is illness .
And yet " Community Care" - some might say "Cornered Care" as a policy , remains ..
The defence barrister at the trial of Tennyson Obih says it all :
'Your Lordship may wonder how many more tragedies have to take place before it is realised that those who are mentally ill cannot take care of themselves.'
Source: daily Mail UK
Yet this text flags up the need for some more examination of similar poor NHS care themes - take for instance the 2004 killing of Constable Swindells in Aston in Birmingham by Glaister Butler aged 49 .
Both Tennyson Obih and Glaister Butler are Afro-origin and its absolutely known in the UK that Afro-origin community mental health patients have a much more dubious outcome for their care by the UK system . But a deeper sub theme perhaps lies in the question : should paranoid schitzophrenics be in the community ? Both men were unwell paranoids . Both men have now killed . What's the deeper story ?
Tennyson Obih was not taking his medication and had only a month before been in the Bedfordshire and Luton Mental Health NHS Trust care .
"A series of NHS blunders left a paranoid schizophrenic free to stab a policeman to death. Cannabis user Tennyson Obih, 29, went 'off the radar' to kill PC Jon Henry after he ditched his prescribed medicine in favour of 'olive oil and prayer'. A team of mental health visitors was supposed to monitor his progress after he was released from hospital."
Source: dailymail.co.uk
And of Glaister Butler who was supposed to be taken care of by Birmingham and Solihull Mental Health Trust (now Foundation Trust) :
"Under his community-care order, Butler was supposed to be visited every two weeks by a psychiatric nurse with his prescription drugs. He was also assessed by a consultant psychiatrist every three months. But outreach workers admitted they often simply dropped off the medication on Butler's doorstep and had "very limited opportunity" to spot changes in his behaviour. After his arrest, police found 462 prescription tablets - equivalent to 18 months' supply - in Butler's flat."
Source: independent.co.uk
Both the Bedforshire and Luton Mental Health Trust and the Birmingham and Solihull Mental Health Trust (now Foundation Trust) were either struggling with "debt" (arguably Gov't underspending on mental health) or the need to make surpluses .. Both Trusts like many others have reconfigured services, had assets sold off, and have by now shaved resources leanly to "mainstream Users" - "get them socially included"
The periods of 2004 and 2007 have seen both Trusts have to make "tough" decisions pushed by politicians to dis-invent asylum and create building-less services ..
The problem is this creates situations of mental health services on the cheap and of poorly checked vulnerable men with mental illness who effectively have no "asylum" but a community corner. These men have inner-worlds of terror or fear which when reactivated become dealt with violently . It is illness .
And yet " Community Care" - some might say "Cornered Care" as a policy , remains ..
The defence barrister at the trial of Tennyson Obih says it all :
'Your Lordship may wonder how many more tragedies have to take place before it is realised that those who are mentally ill cannot take care of themselves.'
Source: daily Mail UK
Sunday, July 06, 2008
Mandy's Lifeboat In A Swirl Of False NHS Finances
While Mandy of "Mandy's Lifeboat" in the UK is having heavy weather of it with the crap mental health services not supporting her family properly and listening to the accuracy of her concerns about her now desperate Bipolar suicidal father - and boy she had expressed them on her site okay, and to the useless team of so called services - there goes her NHS Trust making a financial surplus . So what does surplus equal ? Oh there's cast iron proof about this from their own Board Papers - just allow us short UserWatch rant first ..
"Surplus" partly equals fucking bullshit guidance by the DOH and Strategic Health Authority making sure Trusts are self rationing with patient care - yet on top of that - as if it was not enough - Trusts are supposed to make "SURPLUSES" to go into the Foundation Trust bid ( the new NHS financial format) which is overseen by MONITOR ....The same is happening in Birmingham - patient care is rationed and so tight arsed you would have thought the BSMHTrust has an anal tailor who is good at stitching arseholes things up . Yeah probably
SURPLUSES EQUAL SHAVING OFF COSTS OF PATIENT CARE EVEN BEDFORDSHITE AND LUTON MENTAL HEALTH PARTNERSHIP TRUST RECOGNISE THIS .
Below is the finance text taken from their 2007 Board minutes... What makes these corporate pratts believe in this crap though ? A better world ? That's doubtful - its simple admin class conformity that finally sells out people's care and knows it and does little to really protest .
Time to do something ...
(Below Taken from Beds and Luton Partnership Trust Minutes and Docs )
5. Looking Forward
5.1 The DoH is demanding that an efficiency requirement of 2.5% will need to be found in 2007/08. All directorates have been tasked with identifying ways to achieve a 10% cost reduction over the next four years, as part of our Foundation Trust application, with particular emphasis on the 2.5% required for 2007/08. The initial results of this have now been reviewed and will be played into budgets for 2007/08.
5.2 Budget setting is virtually complete and the draft budgets are presented on the Closed Board agenda. The budgets are based on a breakeven assumption, in line with our statutory duty, but the SHA has requested that we aim for a surplus of £1.6 million. This figure comes from the FT diagnostic exercise, where a particular set of assumptions was made. Those assumptions have been overtaken by events and a surplus of this size (2.3% of our health income) is not possible without major service cuts. We are in discussion with the SHA to clarify this issue.
6. Conclusion
6.1 The Trust is forecasting to achieve a surplus of £506k by year end. At this point in the year we can be confident of being able to achieve this figure, despite some minor risks which may impact on the final two months of the year.
6.2 Board members are requested to review this report and raise any queries.
Gerry Nolan – Director of Finance & Performance Management
Author: Alan Hubber, Finance Manager
22nd February 2007
5.1 The DoH is demanding that an efficiency requirement of 2.5% will need to be found in 2007/08. All directorates have been tasked with identifying ways to achieve a 10% cost reduction over the next four years, as part of our Foundation Trust application, with particular emphasis on the 2.5% required for 2007/08. The initial results of this have now been reviewed and will be played into budgets for 2007/08.
5.2 Budget setting is virtually complete and the draft budgets are presented on the Closed Board agenda. The budgets are based on a breakeven assumption, in line with our statutory duty, but the SHA has requested that we aim for a surplus of £1.6 million. This figure comes from the FT diagnostic exercise, where a particular set of assumptions was made. Those assumptions have been overtaken by events and a surplus of this size (2.3% of our health income) is not possible without major service cuts. We are in discussion with the SHA to clarify this issue.
6. Conclusion
6.1 The Trust is forecasting to achieve a surplus of £506k by year end. At this point in the year we can be confident of being able to achieve this figure, despite some minor risks which may impact on the final two months of the year.
6.2 Board members are requested to review this report and raise any queries.
Gerry Nolan – Director of Finance & Performance Management
Author: Alan Hubber, Finance Manager
22nd February 2007
Subscribe to:
Posts (Atom)
.jpg)
