tag:blogger.com,1999:blog-8489009971732520747.post6743051968210940557..comments2024-03-24T07:19:28.136+00:00Comments on Lake Cocytus: Approved CliniciansThe Shrinkhttp://www.blogger.com/profile/10009039342346247138noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-8489009971732520747.post-35341202444885752722008-03-07T15:28:00.000+00:002008-03-07T15:28:00.000+00:00Thank goodness for that; the disadvantage of retir...Thank goodness for that; the disadvantage of retirement really, can only talk in cyberspace. No need to pack yet.Am Ang Zhanghttps://www.blogger.com/profile/07466386105122653445noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-76740785187504561832008-03-06T18:55:00.000+00:002008-03-06T18:55:00.000+00:00". . . now that Nurses can “section” some of us . ..."<I>. . . now that Nurses can “section” some of us . . .</I>"<BR/><BR/>Not true.<BR/><BR/>The European Court of Human Rights wouldn't wash non-medics diagnosing mentally illness so the initial assessment and medical reccomendations for detention under the Mental Health Act still needs a section 12 approved doctor +/- another doctor.<BR/><BR/>The exception would be a patient who leaves hospital for the forseeable future but is on an SCT. A nurse (who was the RC) could then recall the patient to hospital and then they'd be detained under section 3.The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-45784053994986206752008-03-06T17:08:00.000+00:002008-03-06T17:08:00.000+00:00I do admire the foresight of the government. Some ...I do admire the foresight of the government. Some of us on Blogsphere will have to watch out now that Nurses can “section” some of us who “delusionally” think Stalin is still alive. What is the condition called in ICD11 or is it 12 now? Are some new Institutions going by Stalags? Or am I just hallucinating? No, we ignorant people are not allowed a vote on this. (Editor: that was only for the European Constitution.) You mean that other country across the Channel.<BR/><BR/>“You really have flights of ideas.”<BR/><BR/>Oh yes, I know I am being watched, so are you, some more, some less. Some by Google, a few by Yahoo. When is that date again? Better pack.<BR/><BR/><A HREF="http://cockroachcatcher.blogspot.com" REL="nofollow">The Cockroach Catcher</A>Cockroach Catcherhttps://www.blogger.com/profile/14440000294855006966noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-78005041235328144552008-03-06T15:39:00.000+00:002008-03-06T15:39:00.000+00:00We've no objection to nursing or other staff devel...We've no objection to nursing or other staff developing Approved Clinician status, but nobody's keen for it, in our corner. Quite the opposite - they're all hugely keen to avoid it!<BR/><BR/>As you know the nurses salary, through Agenda for Change, can be augmented in other ways now. We've many band 7 staff (I've half a dozen in the community I work with, with others on in-patient wards) and band 8 too. We're looking at further developing this. We've high levels of staff retention so constantly are seeking to "develop roles" to keep good staff but enhance pay through improving banding.<BR/><BR/>But, will a Trust (especially a Foundation Trust counting the pennies) want to employ a Consultant Psychiatrist (who's an AC) and a band 7 ward nurse, or employ a Consultant Psychiatrist (who's an AC) and a band 8b ward Nurse Consultant (who's also an AC)? <BR/><BR/>I can see that some areas will greatly profit from AC for organisational reasons (whether patients will profit remains to be seen!) but I really can't see how change would improve patient care in my corner.The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-253175198560581012008-03-06T12:25:00.000+00:002008-03-06T12:25:00.000+00:00edit: "- but certainly by the difference in criter...edit: <BR/>"- but certainly by the difference in criterion that Shrink highlights in his shared team approach - "<BR/><BR/>... that other services might not haveAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-28145471319603474992008-03-06T12:24:00.000+00:002008-03-06T12:24:00.000+00:00"Do you think this will further enshrine the postc..."Do you think this will further enshrine the postcode lottery that we have when it comes to NHS treatment?"<BR/><BR/>I don't think it will effect it so badly in terms of 'postcode' - but certainly by the difference in criterion that Shrink highlights in his shared team approach - these are issues of organisation, not (so much) government.<BR/><BR/>In terms of 'we're not having it' - is this an agreed team plan to not enhance nurses or others to RC status or simply 'we're not rushing into it - but will get there'?<BR/>I raise this as, tho I am happy to hear your system works just as it ought to have 'the old way', it's much the same as how they introduced s25 supervision - because no-one was doing s117 aftercare properly. Those who did s117 all fine would not particularly benefit from 'enhanced service provision' to incorporate the s25 provisions to do what was meant to happen - as your functional service would also appear to be running in regards RMO/ASW etc. However, they run risk of becoming 'behind' the advances of other areas because they haven't incorporated the changes to 'improve' their service by utilising the available options and find that their functioning becomes determined by the wider organisational differential pressures.<BR/>One idea springs to mind - if your nurses aren't being encouraged/permitted to gain RC status - they may find themselves financially at a loss to their counterparts in other areas who will no doubt negotiate pay increases commensurate with responsibility - and maybe vote with their feet to richer climes?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-2942929965332933242008-03-06T11:16:00.000+00:002008-03-06T11:16:00.000+00:00"Do you think this will further enshrine the postc..."<I>Do you think this will further enshrine the postcode lottery that we have when it comes to NHS treatment?</I>"<BR/><BR/>Absolutely.The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-76599200360165987102008-03-06T07:43:00.000+00:002008-03-06T07:43:00.000+00:00Very interesting to hear the view of practitioners...Very interesting to hear the view of practitioners how the MHA 2007 is going to impact (or not) the treatment of the mentally ill. Do you think this will further enshrine the postcode lottery that we have when it comes to NHS treatment?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-41800590915169731072008-03-06T03:54:00.000+00:002008-03-06T03:54:00.000+00:00Hurray for good interdisciplinary care! Sounds lik...Hurray for good interdisciplinary care! Sounds like you've got it down pat :)<BR/><BR/>Thanks for the blogroll by the way!!XEhttps://www.blogger.com/profile/02522455400636588309noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-37279043925787168742008-03-05T19:42:00.000+00:002008-03-05T19:42:00.000+00:00It sounds like you are fortunate indeed. It makes ...It sounds like you are fortunate indeed. It makes a pleasant change to hear good things about the workings of the mental health system in this country.Lucyhttps://www.blogger.com/profile/18295819712578408526noreply@blogger.com