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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Original poster

AIBU to ask about confidentiality

231 replies

SoyaCoconutOrAlmond · 18/04/2017 19:18

DH is an addict. Has been for a while. He managed to stop through sheer willpower and started again.

Clearly he needs professional help. Problem is he works for the NHS and people have been suspended/struck off for being addicted .

Is there any way he can obtain professional support without it compromising his career?

OP posts:
Doyouthinktheysaurus · 18/04/2017 19:22

He should be able to self refer to the local addiction service confidentially.

I'm of the understanding that they would only break confidentiality in extreme circumstances.

Original poster
SoyaCoconutOrAlmond · 18/04/2017 19:24

He can't, unfortunately - they do disclose to employers if it is deemed that there is a risk.

OP posts:
WorraLiberty · 18/04/2017 19:25

Perhaps it depends on what he is addicted to?

Original poster
SoyaCoconutOrAlmond · 18/04/2017 19:26

Well, yes, of course, in the sense that if he was addicted to chocolate it wouldn't be a problem :)

OP posts:
BollardDodger · 18/04/2017 19:27

Can he not just provide false details? How would the addiction service know who he worked for?

Softkitty2 · 18/04/2017 19:28

If he is directly involved in patient care. I would suggest he immediately seeks help before something untowards happen.

whitershadeofpale · 18/04/2017 19:29

What about NA/AA?

coolaschmoola · 18/04/2017 19:29

Sorry to be harsh, but if he's an addict, working in the NHS, potentially putting people at risk, then he SHOULD be suspended!

HerBluebiro · 18/04/2017 19:30

Depends what his job is. What his access to his addictive substance is. And whether he has stolen from work and what his risk to patients is.

If he is a doctor he is far better to seek help than to be found out. Similarly a nurse. Addiction would be appropriate for sick leave and nhs sick leave is fairly generous

If in Manchester there's confidential help available. He can give a fake name etc.

anotherdayanothersquabble · 18/04/2017 19:34

Could he take a leave of absence and get help abroad?

Temporaryanonymity · 18/04/2017 19:38

Be careful about hiding it. Is he in a registered profession?

thatorchidmoment · 18/04/2017 19:39

Occupational health keep their own medical records separately to standard medical records, so it will not be available to his GP. Information shared with them is confidential to them.

Any health professional who has a concern that patients at risk has a duty to do what they must to remove that risk. For your DH, this means he has a duty to seek help for his addiction, and if he is deemed to be a risk to patients (which he may not have the insight to assess correctly), Occ Health must do what they can to remove that risk. They are capable of signing him off but they don't have to disclose a specific reason.

If they feel they must break confidentiality, they will tell your DH and give him the option of disclosing information himself instead.

I hope he gets the help he needs.

Flowers
allowlsthinkalot · 18/04/2017 19:40

Best thing your dh can do is be honest with Occupational Health. He is likely to be temporarily suspended from practice until he is fit. But oh take a very dim view of covering up and not having the insight to take time off and avoid putting patients at risk is likely to end in him losing his authority to practise permanently.

Primaryteach87 · 18/04/2017 19:40

Could he be signed off sick by his GP for something (they are normally quite good about being circumspect if needed) and then seek help. He would be able to reassure them that he was not currently posing any risk to patients so they would not be duty bound to disclose?

Primaryteach87 · 18/04/2017 19:41

Not suggesting lying to GP, just getting them to write something nodescript onthe sicknote

Ollycat · 18/04/2017 19:42

Speaking as someone whose dh is a recovering alcoholic I mean this in the nicest possible way.

He needs to get proper professional help / rehab. If he would get struck off for doing his job as an addict then that's a sure sign that he mustn't be doing his job now.

Addicts lie - and are very good at lying. However bad you think his addiction is it will be 3+ times worse. As I say addicts lie.

Get help and if his job involves any sort of patient care you must stop him from doing it now.

I know I sound harsh but you mustn't minimise the situation. I'm sorry you're having to go through this Flowers

BluePeppersAndBroccoli · 18/04/2017 20:03

Agree it depends what the substance is and what is his job.

I have to say, if one clients was coming to see me for help with an addiction and told me they were working on the NHS, I wouldn't have reported it unless there was a very clear risk to patients.
That's because I'm not working within the NHS and am not aware of their rules.

So I would say, he needs to either find someone who knows the rules inside out so they don't feel they have to (assuming he is t in a position where it will trigger the report immediately) or see someone completely outside the NHS who wouldn't know about said rule.

HOWEVER, this is a VERY serious situation. If he is in charge of patients and is at work whilst being intoxicated, this is a very dangerous situation for the patients and a risk that isn't worth taking TBH.
Would you be able to live knowing that your DH injured/made a huge mistake due to his addiction but you did nothing to prevent it??
Yes he really does need help. But he also needs to ensure that he is not a risk to other people :(

wickerlampshade · 18/04/2017 20:06

What does he do? If a doctor or dentist, he should go to Clare Gerada's service in London. They will only report if a risk to patient php.nhs.uk/what-is-the-practitioner-health-programme/

Original poster
SoyaCoconutOrAlmond · 18/04/2017 20:06

Thanks for your replies.

It's the access to medication that's the sticking point. There's never been the suggestion, even remotely, of harm coming to a patient. But as it is the fact that harm might come to a patient is enough.

OP posts:
harderandharder2breathe · 18/04/2017 20:07

Depending on his role, it's absolutely right that it's reported and you are wrong to support him in continuing to hide his addiction. If he's involved in patient care he is putting people at risk and you are enabling that. If he has no patient contact and no influence over patient care then that's different.

pregnantgrump · 18/04/2017 20:08

He's got it the wrong way round: if he doesn't seek help, he will compromise his career sooner or later. People are struck of for not addressing their problems and putting patients at risk as a result.

Original poster
SoyaCoconutOrAlmond · 18/04/2017 20:10

I'm not supporting him hide it, harder, which is why I want him to seek help. But he's mistrustful.

OP posts:
wickerlampshade · 18/04/2017 20:11

So he's a doctor who is addicted to something like codeine or another opiate?

user1471558436 · 18/04/2017 20:12

Can he have counselling but not give job details

LagunaBubbles · 18/04/2017 20:13

What is his job and what is he addicted to? Is there a reason you aren't saying? The NHS are usually very good at helping and supporting staff.