The non-existent state of mental health in this country is not the fault of psychiatrists or mental health workers here though, it reflects the historic underfunding of mental health as a service in the NHS throughout its history which has sped up and worsened immensely since 2010.
When austerity came in the NHS was expected to make ‘efficiency’ savings (cuts to services including essential services) of 4% every year. Mental health trusts were asked to make 8% efficiency savings from 2010 on.
So for the past decade all the good things we managed to build up in the New Labour investment years like counselling and personality disorder services that were maybe a fraction of what were needed in some areas of the country where we had passionate staff who used the investment and the staff training budgets wisely - yep, all cut. Gone. Gutted. They were seen as the fat to be trimmed because what do you trim when you have to keep the inpatient units and beds for the the patients who are psychotically ill suicidal and manic and demented and detained under the mental health act, and let’s face it, too many of those got cut in scandalously outrageous numbers that too few people outside of the families and carers really care about because it’s not really talked about.
During all this, recruiting staff, good staff has been horrendous, but yet still somehow still we do manage to get some along with just enough to keep thing afloat.
It is making me feel like a clenched fist to write even some of this miserable reality down - and I am completely aware of my great privilege to work as a psychiatrist and to spend my life in this work. I don’t bear a fraction of what my patients and families do, so to see JT sneer at services or treatments when she has no idea of any of the reality of frontline mental health work when she is using it as an opportunity to make an easy buck, rather than to use her talents to sit in a room with a patient, or to work patiently with a group of commissioners for months and years to actually bring about services for women in reality…
Sorry, my blood sugar may be a little low!