Tuesday, 26 August 2014

Mental Health Act 1983 – Code of Practice: the review (in England)


Jan Rogers, who recently wrote for us about Volunteering whilst getting benefits, has been playing a key role over the last few months in the review of the Mental Health Act 1983 Code of Practice in England. This work is being led by the Department of Health and backed by the Minister for Health, Norman Lamb, you can read more about PAVO’s role in this work here. 

Jan was recently asked to speak about her experiences, as someone in contact with mental health services, at the Expert Reference Group reviewing the Code. With her permission we are publishing Jan’s talk as a guest blog post.

Hello, my name is Jan Rogers, I live in a small village not far from Newtown, Powys, Mid Wales. I am married and have been for nearly 36 years. I have 10 children although I did cheat a bit as my husband, Mike, had 4 children when I met and married him. Pre-1988 I lead a happy healthy “NORMAL” life. I used to do a lot of running, competitive and for fun, and also competed in a lot of different sports.

In 1988 a life changing traumatic event happened. Without going into detail, for a few years I pretended it never happened and it seemed to work but in 1992 “hell opened its trap door” and I fell in the most darkest place I had ever been.

I was diagnosed and labelled with "Post Traumatic Stress Syndrome” and depression. The reality of it all and the issues I have had to deal with, and still do, day to day – are guilt, lack of self worth, failure to family and friends and society in general (although after I was labelled I didn’t seem to have as many friends), flashbacks, voices, hallucinations (even to the extent I can’t always tell if the people I am talking to are real or not).

When I an unwell I tend to pace backwards and forwards with my fist clenched usually talking to the people that others may not see. I feel that this is the only way to keep control and to stop them taking over. In the past people, police, doctors and other professionals, have perceived me as on drugs or alcohol and mistaken my pacing and keeping control as lack of control and a possibility of turning violent. Those that know me know I am not, and never have been, violent towards anybody.

This Code will better safeguard people, carers and others that could be effected by the Code’s use. With every meeting I felt more confident in myself, maybe even talked too much sometimes, and felt confident enough to reply to emails if I wished. To be honest I’m not sure if I have had any conversations with people that possibly weren't there and still don’t. But I have never felt or been made to feel uncomfortable about the issues I deal with or pitied, only ever thanked for being honest. It has been great to be accepted for who I am. I spoke earlier about feeling like a failure to society but it’s projects like this that water this feeling down. I would like to give my personal thanks to the support I have received from Freda (Lacey), Derek (Turner) and Jane (Powell) in making it possible for me to come and take part.

Can I just say before I bore everyone too much that I really appreciate being involved in this work and even though we are playing a small part in a bigger picture I feel things are moving forward for the better. As much as our lived experience view helps professionals I also feel it’s helping me on my journey to living instead of existing.

Inspector Brian Jones of Dyfed-Powys Police asked if I would go along to a meeting and talk about how I was treated by the police when I had been arrested whilst being unwell. From here I have been involved in a lot of different projects. I have not been in hospital for two years and four months and I believe a lot of this is down to my volunteering and being involved with different projects like this.

Passing on my lived experience gives me a purpose and an outlet for the HELL I live in sometimes, along with the support I have had from the staff at Ponthafren, PAVO and the Community Mental Health Team, and last but certainly not least, my “Mountain” (my hubby and family).

When Freda asked if I would like to put my name forward with a possibility of being a part of “The Expert Reference Group”, I said yes, and when she came back a short time later and explained that I had been accepted I was excited. Then panic set in. I started thinking what if I upset people by talking to people that nobody else could see? What if I couldn’t make out who was real and who wasn’t? I have in the past while doing a card making workshop spent 10 minutes showing an empty chair how to make decoupage cards and it wasn’t till I noticed the others looking rather confused that it dawned on me. Thinking quickly I said I was practicing, now I will move on to a real person, phew, my mum always said I was born in a knife drawer.

Another thing that was going through my mind….. As I said, I have been involved and gone along to quite a few different meetings and projects, but sadly there have been a few where they said they wanted input from people who use the services but I soon realised that actually it was more that they needed to tick a box to say that they had input from us. And I really felt as if I was invisible.

Between 1992 and now I have been arrested under the Mental Health Act and held on a Section 136 over 30 times. Every time I have ended up on a section and taken to hospital. I have been pepper sprayed, thrown in the back of a police van in a cage, held down in handcuffs over a wall, while the police officers spoke to their sergeant over the radio as to where they could take me (as the police have always thought that a cell is not the best place for people suffering mental health issues), stripped of my clothes in a police cell, bearing in mind to me the cell had between 15 and 25 people in it at any one time….

All this I believe was because of a lack of training and being unsure of what exactly to do with people struggling with mental health issues. Sometimes even a lack of understanding. It would have been interesting if any of the officers involved took any advice from the Mental Health Code of Practice! On the other hand when it has been officers that have known me, things were very different. They allowed me to pace instead of being forced and held down, spoke quietly and at a distance and even allowed me to have a fag.

After years of being in and out of hospital, cutting a long story short, I came into contact with Ponthafren Association, which is a resource centre for people with mental health issues or those that feel lonely or isolated. Through doing volunteering there and becoming part of the public relations group, I met Freda Lacey a lady that works for PAVO, (Powys Agency for Voluntary Organisations). Through Freda and PAVO I met Inspector Brian Jones from Dyfed-Powys Police force who chairs the Confidence and Equality Group meetings in Llandrindod Wells every quarter. There are representatives from several front line organisations.

Also maybe in some people’s eyes a serious problem, I listen constantly in one ear to 60s music as I found it’s the only way I can listen to a conversation with a real person as it quietens the voices a bit and helps me concentrate.

I remember the first time I came down to the Expert Reference Group, my stomach churning and brain spinning and the voices and extra people were worse than they had been for a while. When we all introduced ourselves and I explained the issues I deal with, voices etc, straight away I felt accepted for who I am - lock stock and barrel - and this meant so much to me it’s unexplainable in words really.

Well! From the time I got there it has been an extraordinary journey, from everyone’s attitude, explaining what it is all about, directions, travel and follow-on emails about the previous meetings, and future agendas. The meetings and discussions felt like they flowed, we all were able to give and were asked for our views. When the Minister and other professionals came along to some of the meetings, I felt it went well as we were all able to have a wider view of things. It felt so easy to put my point of view across and I personally felt very much listened to. To be able to play a small part in reviewing the Mental Health Code of Practice for England is unbelievable and a great personal journey and already leading to other things.

I feel I have learnt so much as when I first looked at the Code I was totally pickled but now I feel that, albeit a small step, the Code will be much easier for people who use the services, carers, and professionals to use and understand, as I’m sure a lot of the areas which were very grey and doubled up will be more understandable.

Many thanks to Jan for sharing her experiences of the review process with us. You might also be interested to read a blog post by Aimee Wilson about her experience of reviewing the Code of Practice. She was initially approached by a Youth Engagement Worker from Young Minds and asked to get involved.

Tuesday, 19 August 2014

Unconventional Wisdom: Beyond Medical - The Debate Continues (I hope) ...


Leaving PAVO and Ventures New


After 5 years of working within PAVO’s Mental Health Team and 10 years of working in the “mental health” field, in July 2014 I decided it was time to try and make my living in a different way, one that was outside of the mental health system and outside of the public sector.

I am opening a Micropub in Llandrindod Wells which is a whole other story (… one of craft real ales, conversation, bringing people together and other lovely things …). If you are interested you can find out more on twitter, look for @arvonales.

So why I am still writing a “mental health” blog?

Some of you may already be aware of my views on our mental health system and the ideas underpinning it from my previous posts. You can find some of these here. If so, you will know that they do not align with the conventional mainstream wisdom on this topic and although I am no longer working within mental health, my quest to find ways of highlighting the “beyond medical” debate to professionals, the public, people in contact with mental health services and those close to them continues.

I believe that basing our mental health system and public awareness campaigns on the illogical idea of “mental illness” is doing much more harm than good. This belief comes from personal and professional experience of mental health and my own 30 year quest for the truth about my brother’s “mental illness”.


“Here I stand. I can do no other.” Martin Luther

What’s the debate? The myth of mental illness and the harm that it is doing

I believe that the concept of “mental illness” is incorrect and illogical. That the thoughts, feelings and actions that we categorise as “symptoms” of “mental illness” are not that. That these thoughts, feelings and actions are instead a natural and normal response to the difficult things that happen to us.

I believe that basing our mental health services, policies, laws, treatments, responses and public health campaigns on this bad idea is leading to much more harm than good. That allowing this bad idea to underpin all of these things means that we start from the wrong place when trying to help ourselves and others.

That is a place that largely remains in the “let’s manage the symptoms” arena rather than one that asks “can we make sense of this”. A place that doesn’t always allow us to look first for any medical reasons for these symptoms (you can read my blogs on organic reasons for “depression” here and “psychosis” here).

“Language shapes the way we think, and determines what we can think about.”  
Benjamin Lee Whorf

What do I propose?

Well one thing is that I commit to continuing to write blog posts that highlight “What’s Hot?” in the beyond medical debate (…What’s Hot ?!?!?! - me trying to make the topic as interesting as I can).

I will also continue to use my personal twitter account @powysmh to present evidence that shows the invalidity of the idea of “mental illness” and that highlights the harm that this idea is having.

I know that I am not the only one in Wales wanting to see awareness of this debate raised and I would love to hear from you about what you are doing and any ideas you have about what else you think we could do.

So now it is up to you. Read or don’t read the blog. Follow me on twitter. Talk to me, contact me, challenge me, offer me words of support. I leave it to you.

Beyond Medical Debate. Where would I start from now?

As this is the first of these “round-ups” I want to start by highlighting just 2 links that are in my opinion a great place to start if you want to find out more about this debate. I hope you find them interesting and useful:

The Council for Evidence-based Psychiatry (CEP)   @cep_uk
  • The purpose: To reduce psychiatric harm by communicating the latest evidence to policymakers and practitioners, by sharing the testimony of those who have been harmed, and by supporting research into areas where evidence is lacking.
  • Where to start: Try the tabs at the top for a series of short videos on “Unrecognised Facts” and “Recovery Story”. Also find out more about the members of CEP here. One member, psychiatrist Sami Timimi, talked at a conference I organised earlier this year in Powys, you can find out more about this here.
Behaviorism and Mental Health    @BigPhilHickey 

An alternative perspective on mental disorders by Philip Hickey PhD.
  • The purpose: To provide a forum where current practices and ideas in the mental health field can be critically examined and discussed.
  • Where to start: Absolutely anywhere, this is a great site for exploring this debate. On the home page you will see a list of his posts and in my opinion they are all insightful, logical, thorough and interesting. There is a Tell Your Story page here and the Moderation Policy here is well worth a read.
Beyond Medical Debate. What’s Hot This Month? 


Contact me (… fingers crossed …)? Laura Gallagher


To find out more you can follow me on twitter @powysmh.

You can comment below and I will respond.

You can email me at powysmentalhealth@gmail.com

Or find me on facebook here.

Fingers crossed that other people out there are also interested in finding out more about this this debate….

Tuesday, 5 August 2014

Introducing Mastermind - computerised CBT

Tanya Summerfield (left), an ICT (Information & Communication Technology) Project Manager at Powys teaching Health Board, is working to develop an innovative digital project to help support people experiencing depression in Powys. 

She is supported by her colleague Menna Reese (below), who is also helping to promote the roll-out of Mastermind in Powys.

We spoke to Tanya and Menna recently to find out more about Mastermind.

Tell us about your role at the health board 

To facilitate the implementation of two European Union projects, one of which is Mastermind, which is the introduction of the computerised Cognitive Behavior Therapy across Powys by November 2014.

What is the Mastermind Project?

The Mastermind Project aims to make high quality treatment for depression more widely available across Europe through the use of ICT. In Powys the software of choice is ‘Beating the Blues’ developed by Ultrasis.

What is cCBT? 
Computerised Cognitive Behavioral Therapy. 

Tell us about the Powys pilot of the Mastermind project

The pilot aims to facilitate access to cCBT through purchasing licenses and training primary care mental health staff in its application along with provision of video conferencing facilities between ‘GP and Specialist Clinician’ or ‘Specialist Clinician and patient’. 

How do you think it will benefit people who may be experiencing mental distress or be depressed?

The Programme will only be available for people with a diagnosis of low to moderate depression and the benefit will be access to the cCBT in the patient's own home at their convenience.

What is particularly innovative about the project? 

The Programme focuses on how to improve the lives of service users and their families using a recovery and enablement approach through embracing technological advances to date and minimising the need to travel to treatment centres.

Why has the health board decided to offer this type of mental health services in Powys?

In recognition of the rural terrain and the ratio of the primary mental health practitioners to the population, funding was sought through the EU to pilot the scheme prior to it becoming mainstream. In this way, we will be able to make psychological therapies more widely available.

What kind of links is the health board making with mental health services in other European countries as a result of this work, and how could this be beneficial to people in Powys?

Sharing good practice and regularly monitoring reports shared across 11 European sites, taking advantage of networking opportunities sharing experiences.

When will the Mastermind service be made available and who will be eligible to access it and how?

The time schedule identifies November 2014 as the start date and the trial will run for 17 months. Eligibility will depend on the diagnosis of low to moderate depression by the general practitioner, primary mental health clinicians or secondary mental health service.

How does the project tie in with the aims of the Together for Mental Health (Welsh Government strategy) and Powys Hearts & Minds strategy?

Poor mental health and illness have a significant impact on individuals, society and the economy overall. Together for Mental Health (Welsh Government 2012) sets out the Welsh Government's ambitions for improving the mental health service and promoting better mental health wellbeing across the whole population. This project will widen the availability of psychological therapies.

If people want to find out more about the Mastermind Project, who can they contact?

The EU Project Office on 01874 712765 or email Tanya.Summerfield@wales.nhs.uk

Thank you Tanya and Menna for introducing us to the Mastermind Project in Powys. You can find out more about the Mastermind Project on the project website here, and also join the debate on Twitter here, or tell us what you think by commenting below.

Friday, 25 July 2014

Volunteering while getting benefits


The title of this blog post is also the title of a UK government guide which can be downloaded from the internet here. Quite simply it lays down the rules around volunteering whilst on benefits:

"If you’re getting State benefits, you can be a volunteer and, in nearly all cases, your benefits will not be affected. However, there are some cases where your benefits can be affected, for example, if you get a subsistence allowance or if you’re doing what someone else would normally be paid for."

And yet people who are receiving benefits are sometimes made to feel – by society, by people they know, by workers at the Job Centres they attend - that if they are able to volunteer then of course, they should also be able to work.

Jan Rogers receives benefits and volunteers for the mental health charity Ponthafren Association at the organisation’s centre in Newtown. She is not in paid employment at this time. She wanted to share with a wider audience the value of volunteering to her.


Without going into detail of what, why and where, I will just say, when I first became unwell, I could see NO way out. Well, in fact, I did find a way out and that was to end “it”. To put a stop to the hassle and grief I was causing to my family.

Sometimes I think I functioned quite well in the sense that food was always on the table and the house and children were always clean, at least when they left the house. But I wasn’t living, it was existing - going through the motions. When my husband was in work I would quickly do housework and what I needed to do and then hide. Sometimes I would lie under the bed all day watching the clock so that I would be out in time to cook tea and pick the children up. This was harder when I had younger children so I used to draw the curtains and sit and interact with the children hoping that they would not pick up on how I was feeling. This worked for a few years but every time one of the children called me “Mum” I cringed.

One day Hell had just opened its doors. I went from a person who was out going and enjoyed life to almost becoming a recluse. Although I made sure the children and hubby were fed and looked after, I was sinking into a dark, dark world. I did not bathe or eat until I was so light headed I couldn’t function. My husband gave up his job and although he was amazing he was looking for answers to the complete change in a person, which to him had happened “moreorless overnight”.

I was regularly taken to hospital and sectioned and stays varied from one to three months in the early days. As time went on, with my husband’s and family’s support, and the help of the Community Mental Health Team, I was able to function slightly better, but each day was a struggle for us all. Sometimes I would leave the house and seem and feel okay, drop the children off at school but then, a dark cloud would surround me and I had no idea where I was or who I was. My husband would phone the police after looking, sometimes all night, and I would be back in hospital on a section.

I felt my life was over and although I was lucky in a sense that I had a great supporting family, this in one way was making me feel more guilty as I was letting them down and just causing more grief to the people that were at my side and holding me up. 

Jan in the garden at Ponthafren

All I kept thinking was why, why, why?

About six or seven years ago, I took my youngest sons to football practice. I was standing on my own, not really wanting to get into a conversation with people. There was a woman there, who I did not know, she seemed to be in charge of the football sessions. I remember the day well as it was windy, cold and raining, real football weather. The lady came across and introduced her self as Nicky Morris and explained that she was chair of the junior football club, Newtown Whitestars.

We got chatting and this was the first time I had really trusted anybody outside my family. I felt I could talk to her as if I had known her for a lifetime. Nicky went on to explain that she was Co-ordinator of Ponthafren Association , which was a registered charity for people with mental health problems. She suggested I pop in for a chat and see what Ponthafren had to offer for me. I was always very much into my sport, gym and running as well as a very keen gardener.

I went along to Ponthafren with my hubby and met up with Nicky and Jane and chatted. I said I would love to come along to the centre but needed a purpose. Nicky suggested volunteering for a couple of hours a week to go along with people to the gym. So, this is what I did. Mike was always outside at least half an hour before I was due to be picked up as he was very worried.

Over quite some time, I was volunteering more hours and even though some days I would not go in as I was feeling unwell, generally I felt a small sense of achievement. As time went on Mike was feeling more relaxed and able to take a step back. He too then became a volunteer at Pont. I think we sometimes forget about the person that has cared and carried someone with mental health illness for such a long time and almost expect them to pick up where they left off in a sense. This is not reality as when Mike gave up his job he gave up his “Life”, in the sense of friends, associates and a social life.

At Ponthafren I can be myself, I don’t have to pretend at all. If I want to smile I can, but at the same time if I don’t feel like smiling or putting on a face for people, then I don’t feel like I have to.

Some of the things I deal with every day and night:

  • Sense of worthlessness.
  • Scrounger to society/tax payers as I should be working.
  • Sense of letting my family and friends down.
  • Voices.
  • Hallucinations, to the degree of bathing in shorts and tee shirt and dressing inside a large robe that is zipped up the front, from my neck to the floor. 
  • Not sure if I’m having a conversation with real people or not.
Some of the things I feel and have partly gained by volunteering are:
  • Self worth.
  • Confidence.
  • Self-belief.
  • Passion for believing in my principles and beliefs and the fact that they do count.
  • Helping my family understand my “illness”.
  • Helping “ME” understand my “illness”.
  • Being “Who” I am, and most of the time thinking, “others will have to accept me as is”.
I have been nominated and won awards but although I am very grateful for being put forward and gaining these awards I personally (it has taken me years to accept praise and to be honest, deep down, I still cringe even though I smile) feel that these awards I accept are on behalf of every volunteer I know. This, I feel, is how I am able to accept them.

Why do I volunteer?

At the moment I don’t think I would be able to cope with employment. I’m not sure it would be fair on an employer or me. I have never and never will be happy with myself drawing benefits but volunteering goes some way for me to prove my worth to Government, Job Centre, tax payers. I have received, and continue to do so, so much help from Ponthafren – and this is one thing I can do to part pay back for all I receive.

I volunteer in the garden because I am a keen gardener and others get so much out of the garden at Ponthafren. Some people have no garden or in fact a seating area. With volunteering, if somebody asks me to do something, I do not have a problem asking them to write it down if I’m not sure what they said and they don’t mind doing this. As an employee, this would not be okay.

Basically I volunteer because I can. I have failed so much over the years, in most aspects of my life. Volunteering, I feel I do not fail at all. Maybe I can make a difference to someone else!!!!

‘Volunteering’ = Coping , Living, Surviving, so really it is NOT Volunteering in my Mind or Heart !!!!!!

Thank you, Jan, for sharing your volunteering story with us. If you would like to find out more about volunteering, contact the Powys Volunteer Centre which is managed by Powys Association of Voluntary Organisations.

Are you on benefits? Do you volunteer? Tell us about your experiences in the comments box below.

Tuesday, 15 July 2014

Tea-on-Top: with Brecon & District Mind

Every year members and Friends of Brecon & District Mind ascend the mountain called Pen-y-Crug in the Brecon Beacons for what they call “Tea-on-Top.” It is said to be a Lammas Day tradition, and those that go describe it as magical.

This year’s event takes place on Sunday 27 July. We gave Sue Hiley-Harris, Chair of the Friends of Brecon & District Mind, a call to ask her more about it.

Tea-on-Top 2010 - the musicians strike up a tune
Tell us more about what happens on the day
We meet at Brecon Cathedral car park at 2.00pm and walk up Pen-y-Crug together where we find tea, cakes and sandwiches waiting for us. The walk is a three-mile round trip, passing the ancient Maendu Well and exploring the Iron Age hillfort of Pen-y-Crug with its magnificent views of the Brecon Beacons.

Who can take part? 

Anyone – although they do need to be able to walk the approx 1.5 miles up the hill. Some of it is over fields and stiles so we ask that people wear stout shoes and suitable clothing – for all weathers!

Tea-on-Top 2010 - what a crowd!
Whose idea was Tea-on-Top and which year did it start?
It was Gareth Morgan’s idea to organise a walk in the spirit of the Lammas Day walk and Pen y Crug seemed a suitable hill. Our first Tea-on-Top was in our first programme - 2010. This will be our fifth Tea-on-Top.

What is the Lammas Day tradition that inspired the trip? 
Lammas means ‘loaf-mass day’ but, in Wales, gatherings on hilltops at the beginning of August were not necessarily connected to the first harvest festival of the year. Trefor Owen, in his book on customs and traditions of Wales, describes ‘the shepherds’ feast’ (ffest y bugeiliaid) when shepherds would bring food to feast on a hilltop in early August. The Lammas Day tradition of tea and merrymaking on the top of the Brecon Beacons was popular in the region until the 1950s.


Tea-on-Top 2011 - the music keeps on playing
What kind of activities take place “on Top” apart from the tea? 
These vary from year to year but music plays a major part. Guitarist and singer Laurie usually organises friends to play with her. In 2012 Colin brought his Olympic torch and we all processed around the hill fort.

How do people describe their experience of taking part? 
'It was a lovely day, members, friends and the community got so much out of it. As one member, who made it to the top of Pen y Crug for the first time in many years, put it "(phew) I made it and it was worth it! I could stay up here all day." Thank you so much for co-ordinating it and making the event a great success.’ Nikki Cook, Service Manager, 2010.
‘Thank you to all involved in T on Top today. I had a great time, enjoyed the food, company and music, even the weather!' Rosie Whitfield, 2011.


Tea-on-Top 2012 - following the Olympic baton (photo by Charles Jenkin Jones)
Does Brecon & District Mind organise other walking trips or have a walking group? 
I am involved with the Friends and we do usually organise another walk during the year. Brecon and District Mind are in the process or reorganising a walking group and discussions are underway about a Friends and members walking group. 

What effect does being out in the open and experiencing nature have on people’s sense of wellbeing? 
Walking can greatly improve people’s wellbeing and Tea-on-Top has the added advantage of walking with others and the “carrot” of a nice cup of tea at the top.

Tea-on-Top 2013 - Sue Hiley Harris serving tea to thirsty walkers
Who provides the tea, or do people need to bring their own picnic? 
We provide the tea, sandwiches and cakes – and water. 

Tea-on-Top 2013 - fun despite a shower
What is your favourite memory from other Tea-on-Top days? 
That is hard to have just one favourite memory. The first Tea-on-Top in 2010 was magic. It had been an enormous feat of organisation so seeing so many people on the top of the Grug enjoying the tea and music remains a special memory. Last year a short rain shower brought everyone rushing under the gazebo or under umbrellas. The laughter and happiness this created is also a favourite memory. The sun soon came out again!

Tea-on-Top 2013 - tea & cakes, music and that amazing view!
The Friends of Brecon & District Mind was set up in 2010 to enhance and support the work of Brecon and District Mind (or Brecon & District Contact Association as it was known then). You can find out more about their programme of events here.

Update following 2014 Tea-on-Top event
Sue got in touch to say: Tea-on-Top was wonderful: the walk, the weather, the musicians, the tea and the food were all perfect.


Tea-on-Top 2014

Tuesday, 1 July 2014

Bronllys Grand Opening - Wellness & Recovery Learning Centre

Last Thursday saw the Grand Opening of the new Wellness and Recovery Learning Centre at Felindre Ward in Bronllys Hospital, Talgarth, South Powys.

L - R: Philip Bowen (High Sheriff of Powys), Christine Field (Trustee Powys Mental Health Alliance), Jane Cooke (PAVO Mental Health Project Officer), Paul, Freda Lacey (PAVO Participation Officer), Laura Gallagher (PAVO County Mental Health Development Officer).
The DIY Futures project, with its vision of learning in relation to mental health wellness and recovery, has helped enable an exciting new development in the acute in-patient mental health ward in Bronllys Hospital, Powys. Through funding agreed with The Big Lottery Fund, petitioned by the Powys Patients' Council, originally facilitated by Powys Mental Health Alliance and now developed and managed by Powys Association of Voluntary Organisations (PAVO), the new Centre (also known as the Quiet Room) opened its doors.

Powys Wellness and Recovery Centres aim to reinforce and develop people’s strengths. The new Centre will provide a peaceful and relaxing place where books and online information, supporting learning about our mental health, wellbeing and recovery, can be accessed by patients on the ward.

My colleague Freda Lacey, who has been key in liaising with the many different agencies involved in the project, told me more about the Centre:

"The room or centre has been under development for some time and patients, volunteers, ward staff and other agencies, which have been linked with the Lottery funded DIY Futures project, have all contributed to helping shape and develop the room. Match funding was contributed by The League of Friends and the Felindre Legacy Trust (charitable funds donated to the hospital) to help outfit the room with new flooring, and furniture. Books promoting recovery, people’s stories or lived experiences of living with mental distress, information on medication and other useful resources have been purchased for the room. Two laptops with internet access have been provided for patients in order to help with accessing online information such as local support groups and/or community mental health wellness and recovery learning centres. Training will be provided on how to use the laptops for writing and self-support."


L - R: Mel Evans (Chairman Powys teaching Health Board), Philip Bowen (High Sheriff of Powys)
Mel Evans, Chairman of Powys teaching Health Board, and Philip Bowen, the High Sheriff of Powys, opened the Centre to a packed corridor of invited guests. These included patients and staff on the ward, other mental health professionals, representatives from Bronllys Hospital & Community League of Friends, the Felindre Legacy Trust, the Community Health Council, Powys Mental Health Alliance, Powys Association of Voluntary Organisations, and other voluntary sector mental health groups from across Powys.


Mel spoke to thank everyone, including the funders, for their contribution to the new Centre. Before they cut the ribbon and pronounced the Centre well and truly open, Philip read an extract from Shakespeare’s tragedy Macbeth to set the scene. Macbeth is seeking support from his doctor to ease his wife’s troubled mind:
Macbeth:

Canst thou not minister to a mind diseas'd,
Pluck from the memory a rooted sorrow,
Raze out the written troubles of the brain,
And with some sweet oblivious antidote
Cleanse the stuff'd bosom of that perilous stuff
Which weighs upon the heart? 

Doctor:
Therein the patient
Must minister to himself.

Philip then spoke about the DIY Futures book “it’s the inside that matters”, a book that has “had me in tears”, adding that when seeking recovery “what better way than painting or writing about your problems.” He read extracts from the book, adding that it was very apt for the hospital setting. Many of the current patients and visitors on the day, who had not seen the book before, received their own personal copy to read. Future patients will have access to the book in the new room – and all agreed that there could not be a more useful and apt legacy of the DIY Futures project.



Jane Cooke, previously the DIY Futures Project Manager until May of this year, (she is now back as a Mental Health Project Manager at PAVO) told us about the e-book version of “it’s the inside that matters”, the DIY Futures Stories Project book. Stocks of hardback copies of the book are now running low but anyone with internet access can now dip into the stories of the people who came into contact with the project during its five year life.

The grand opening - visitors take a look around
L - R: Carla Rosenthal, (Powys Mental Health Alliance Magazine Editor), Penny Price (Ward Manager, Felindre Ward, Bronllys Hospital), Terry Hurford (Trustee Bronllys Hospital & Community League of Friends)
Visitors and patients also took the opportunity to look at some of the artwork from the DIY Futures book which was temporarily on display. Other artwork on the walls had been produced by the art group at Brecon & District Mind. The ward patients had created an amazing “recovery tree” with colourful leaves and inspiring words:
  • Once you replace negative thoughts with positive ones, you’ll start having positive results.
  • The only difference between a good day and a bad day is your attitude.
  • Keep a green tree in your heart and perhaps a song bird will come.
  • Positive thinking will let you do everything better than negative thinking will.
  • Make your optimism come true.

L - R: Bill Fawcett (Vice Chair, Powys Mental Health Alliance), Andrew Hopkins (Senior Nurse, Mental Health Specialist Services, Aneurin Bevan Health Board)
L - R: Paul, Jill Dibling.
Browsing the bookshelves I found many other books and flyers available to the patients. To mention just a few – Mindfulness: A practical guide to finding peace in a frantic world, the British Medical Association Concise Guide to Medicine and Drugs, Trauma & Recovery by Judith Herman, A Straight Talking Introduction to the Causes of Mental Health problems, Living with Voices: 50 Stories of Recovery, The Rainbow Journal: For young people who self-injure, Overcoming Anxiety, Stress and Panic. (Some of these books have already been reviewed on our blog – see links). There is also a comprehensive selection of Mind’s Information leaflets.

L - R: Jane Cooke (PAVO Mental Health Project Officer), Carl Cooper (PAVO Chief Executive Officer)
Terry Hurford (Trustee Bronllys Hospital & Community League of Friends), Kelvin Mills (Trustee, Powys Mental Health Alliance), Bill Fawcett (Vice Chair, Powys Mental Health Alliance)
Jan Chilton (Ponthafren Association 1-1 Worker)
On the day people reminisced a bit about the past, about the old Mid Wales Hospital, how life used to be for patients there, on the recent past when the room now housing the Wellness and Recovery Centre used to be a table tennis room. But the overall sense was of hope and optimism for the future – a future made better for patients on Felinde Ward by the creation of a new quiet space just for them.


Friday, 20 June 2014

We need to talk about GP appointments...

Hot on the heels of the mental health debate in the Welsh Assembly Government last week, Health & Social Services Minister Mark Drakeford took the opportunity yesterday to announce an additional £650,000 of funding for psychological therapies in Wales. How that will pan out on the ground to help out with waiting lists of up to 6 months in some areas has yet to be seen, but it is, nevertheless, a good news story.…

However, another news report, with a somewhat bleaker outlook, also caught my attention this week. Dr Paul Myers, chair of the Royal College of GPs, said that “the GP profession in Wales is at risk of crumbling in just five years unless greater investment is put into the system….” He added that issues with workforce and recruitment, as well as increasing workloads for GPs, meant morale was at rock bottom and some practices were facing closure.

Dr Myers warns that unless there is an increase in NHS funding for the profession from 7.8% to 11%, general practice in Wales could fall apart in a matter of years. This is not the first news story to highlight the crisis in the Welsh GP service… ITV reported in April this year that many GPs are reaching retirement age, and recruitment is proving challenging particularly in rural areas of Wales. Retired GP Roger Burns from Pembrokeshire drew attention to some of the issues, including this most recent story, on NHS Reality.

When people experiencing mental distress for the first time (or those close to them) contact us at our Information Service, one of the first options we suggest is that they make an appointment to see their GP. But these days that process might in itself provide a barrier to recovery.

When I have needed to see a GP in the last twelve months I have rung and been told that there is a two week wait. Last week a PAVO colleague was informed that it would take a month to see the GP of her choice! So, when I know I really need to see a GP quickly I follow a regular routine, especially if it is a Friday or Monday. I make sure I am up and by the phone at 8.30am when the surgery opens. And then I start ringing. Usually the line is engaged. Everyone else is probably doing the same! We are, in effect, competing to win the very few appointments – usually cancellations – that might still be available on that day. I might press redial fifty times before I eventually get through…but whether I will be lucky enough to get an appointment that day is another matter…

I can’t help wondering to myself… but what if the other people who are trying to get through to the surgery switchboard have a really serious problem they need to talk to their GP about… maybe they are older… or have a young child… who decides who should be seen first? No one! It is a complete lottery!

When we do get an appointment there is more waiting involved… This business of looking after our health and wellbeing is truly a waiting game.  Last time I sat for 45 minutes after the time my appointment was scheduled, in a GP surgery absolutely bursting at the seams, before I saw a GP. And once I’m in there for my snatched five minute consulation I almost feel guilty for taking time out of the busy GP’s life… S/he has to see about 59 other patients that day after all…

And if you are emotionally distressed, where will just five minutes with a GP get you? Especially if you are told that the waiting time for psychological therapies could be many, many months?

So, really I’m not at all surprised to read Dr Myers’ comments… or to note that Dr Charlotte Jones, chair of the British Medical Association’s Welsh General Practitioners Committee, warned last month that general practice in Wales was in “intensive care”.

According to the Royal College of GPs - due to the sheer volume of GP workloads, in this year alone, patients will have to wait longer than a week to see their GP on at least 27 million occasions.

In another online article this week, it was reported that nurses at the Royal College of Nurses’ annual conference suggested that: "patients should be charged up to £10 a time to see their GP to deter "time-wasters" and those with minor symptoms". (On the same webpage is a link to a video called “Self diagnose illness with new apps”…..)

Would you be willing to pay £10 to see a GP if it cut down on appointment waiting times?

There is a petition – calling to save general practice Wales – on the Royal College of GPs’ website here.