Woman evicted from NHS hospital ward after being stuck for 18 months

[SerendipityJane]

https://www.bbc.co.uk/news/articles/c897ew0ekp4o

So if someone that has care needs that doesn’t meeting the business plan of any care provider, then there is no one to give the care!

This is the case throughout the NHS. And in many areas of health and social care, tariffs for services are being downgraded to the point where NHS Trusts cannot compete - so private providers come in, and because they are motivated by profit, cherry pick straightforward cases to pick up. They pretend they dont, but there are always ways to justify decision making to defend yourselves. The safety net of the NHS, who take everyone, is being hacked to pieces. This case demonstrates why you cannot have the vast majority of services in private providers hands. And yet it continues at a roaring pace. The people trying to get her out of the hospital tried their best - approaching over 100 places. This woman needs a court appointed advocate who makes decisions about where she lives.

Places like that literally already exist - I work in one!!!! - there just are not enough beds by far.

She was offered a flat with 24 hours support two people and she refused it. She likes the attention.

I see posters piling in, without understanding the bed pressure issues. To be clear,suitable placements were identified, she declined to move. Declined, as in said No. This was not a lack of placement, she declined the suitable placements

Inpatient Beds are a clinical resource and are needed by patients,the very patients who are on stretcher in ED or waiting in a planned admission. Average cost of an inpatient bed is £600 per day . Think about that. £600 for a basic inpatient bed. ICU is @£1700 per day

NHS isn’t air B&B or travel lodge. The focus is upon delivery of treatment and step down or move on when stabilised and well. Her actions cost that trust thousands of pounds

Court and eviction would have been last choice option after multiple case conferences and bed meetings.

A hospital bed is a clinical resource for treatment, it isn’t a hotel or a forever home. It is located on a ward in a hospital with specific purpose

Did you read the article? She was offered alternative place,ents but didn’t want them, I appreciate everyone should have choice, but her choice does not extend to blocking the bed. It’s sad, but her personal choice just can’t override society’s need and the horrific wasted costs.

It was the Tories who closed these mental hospitals down, to save money.
They sold the land and turned nicer buildings into private flats.

Does make you wonder if she understands the placements, if she is being communicated with effectively and is being offered there right supports e.g. therapies, AHP input etc, CMHT - and if all that would continue post transition, or if it’s just a handful of band 2 support workers for a few weeks.

In my job I work with a quite a few people with learning difficulties and or physical disabilities who have round the clock support but who are deemed to have capacity.
Your inability to safely cook for yourself wash yourself etc or manage your own health needs doesn’t mean you dont have capacity to make decisions about other aspects of your life especially if carefully explained and you have good support. Generally only those with very severe learning difficulties/very mental health issues are deemed not have capacity.
It is frustrating at times for those who support them and HCPs like me because sometimes the patient/client makes what we consider the wrong decision but removing someone capacity to make decisions about their life is a very serious step.

Believe me, everything would have been tried. Multiple times.

This was far too long -needed dealt with much more quickly.

Having spent 10 days on a ward with this young lady after surgery I am saddened to see how long she spent there (15 months ago). In all the time I spent on the ward she didn't once leave her bed but enjoyed playing exceptionally loud music whilst the rest of us were trying to recover. I am glad that she is out of there now and hopefully getting the support she actually needs.

Some people are just a net loss no matter what is done for them.
They take and take and it’s Al about their needs and sod anyone else’s.

Bet the hospital staff breathed a sigh of relief wheb she was evicted- but another article says she’s self harming yet again to get what she wants.
A mental hospital sounds the best place for this very tricky woman who is hard to live around.

Really? Why didn't someone tell her to use headphones. The staff should've sorted this out.

You think?Lets see
Mental capacity Assessment MCA deemed to lack capacity and need a Best Interest meeting, Then court of protection . All of this take time. There is a statutory framework to adhere to . Include all the case conferences, the bed meetings, the solicitors, the patient, her advocates

@beardediris It is frustrating at times for those who support them and HCPs like me because sometimes the patient/client makes what we consider the wrong decision but removing someone capacity to make decisions about their life is a very serious step.

And then we end up with politicians putting on their best concerned faces and saying lessons will be learned.

That is absolutely awful for the genuine patients who need peace and quiet to recover.

Why on earth was she not made to wear ear buds?

Latest article on her says she’s self harming- probably to try and get that hospital bed back again.

She’s learnt too though, manipulate people to get her own way, and yes I do know about personality disorders.

So she can threaten suicide to manipulate people?

How do you know that's all it was?

I think this is a budget thing. There is no joined up thinking. It will cost more for the NHS to keep someone in a bed who doesn’t need to be there. However the social care budget is seperate and whilst in hospital she’s essentially getting free care. There’s no impetus to get her in a care home and start paying £60k plus a year. I’m sure it’s something like £400 a day for a hospital bed so costs tax payer more overall.

We had a woman like this when I worked in the NHS.
She spent months on our ward, then finally went into a nursing home, only to return after a month, turned out this had been going on for a few years. She was very difficult, demanding and rude to anyone who came near. It used to take me ages to give her meds as she was so awkward and I think she liked that attention of the medicine round.
She went into a final nursing home where I knew the staff and manager and was there for a couple of weeks, got sick and back to hospital where she passed away.
She wasn't really old enough for a nursing home and even when she used to be discharged home in the early days, she would not cooperate with home care staff and would call the ambulance constantly to go back to hospital.

1. Bad housemates still have the right to somewhere safe to live.
2. Tell me that you don't understand personality disorders without telling me...

This is a woman with EUPD who was refusing to leave the hospital, self-harming and threatening to harm others, after being asked to leave her previous home due to her unmanageable behaviour.

Do you have any friends/relatives with EUPD? I do, and whilst not all the behaviour is her own fault, she is impossible to deal with and takes no accountability for any of it. She also repeatedly gets herself admitted to hospital, either by faking her symptoms or injuring herself, so she can be taken care of by someone else and get sympathy, which is like blood to a vampire for her. It does her no good and I dread to think how much the NHS spends on investigating her fake illnesses.

You cannot settle down in a hospital bed, make no effort to source a place to live, and then refuse to leave when suitable accommodation is found for you.

See other’s posts about manipulation.
Suicide threats are a common way to manipulate others.

Sort out the headphones how?
Forcibly compel her use headphones? How? Restrain her?
NO medic or HCP is going to forcibly place headphones on an adult. She’ll take them off again, then what? Restrain,compel,coerce her to wear headphones multiple time a day. Really? An intervention need to be proportionate and appropriate. How does staff force an adult to wear healdphone?

Behind every seemingly simple answer there’s a complex question

They found a suitable replacement she refused it, she should not be allowed to refuse it there are other people that need that bed!