CONTINUING THE PHILOSOPHY OF REGINALD O. KAPP

9.67 Curing the failing mental health service by commissioning more talking therapies (IAPT)


Draft Notes of a meeting on 24.1.14 held at Brighton and Hove City Council offices at Kings House, Hove.                         27.1.14
By John Kapp, 22, Saxon Rd Hove BN3 4LE, 01273 417997
johnkapp@btinternet.com
Secretary of Wish Park Patient Participation Group (PPG)
Draft Notes of a meeting on 24.1.14 held at Brighton and Hove City Council offices at Kings House, Hove.




Present: : Cllr Sue Shanks (deputy chairman of the Health and Wellbeing Board (HWB) of Brighton and Hove City Council, Dr Tom Scanlon (director of public health) Prof Norman Clark (chairman SECTCo) John Kapp (patient representative, and secretary of SECTCo)

1 Purpose – remove the catch 22 circle crippling the CCG
John thanked Sue and Tom for attending, and asked whether they had received and read his e mails and papers, which they said they had. He asked them to acknowledge receipt in future, so that he knew that they had been delivered.

John said that the purpose of the meeting is to cure the failing mental health service, as witnessed by long waits at A&E, GP burnout, and the valedictory article published in the Argus on 23.10.13 (‘Mental Health Care in Crisis – suicidal patients turned away in their hour of need’) by Lisa Rodrigues (Sussex Partnership Foundation Trust (SPFT) chief executive). Letters on this were published in the Argus on 23.3.13, and 26.10.13 (reproduced in appendices 1 and 2)

John said that this crisis adversely affects both patients and staff, whose absence rate is more than 5%. The crisis is caused by the over-commissioning, and hence overprescribing of drugs by the Clinical Commissioning Group (CCG), and the corresponding under-commissioning and under-providing of talking therapies, which have such a long waiting time (over 6 months) that GPs can’t prescribe them except to patients who are suicidal. This is a catch 22 circle.

Since 2006 the Improving Access to Psychological Therapies (IAPT) programme was supposed to end the Prozac nation, whereas antidepressant prescribing has since doubled from 30-54 mpa.

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