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Jesus christ, how appalling is it that the Labour puking festival of a conference, which really should have precluded anyone from ever voting for them again, is now a land of lollypops and sunshine? Who, outside people with country estates, are going to survive another four years of Tory-dom?
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Sep 29, 2014 21:29
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Junior G-man posted:Jesus christ, how appalling is it that the Labour puking festival of a conference, which really should have precluded anyone from ever voting for them again, is now a land of lollypops and sunshine? Actually I think you'll find both parties are exactly the same.
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Sep 29, 2014 21:32
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Noxville posted:Actually I think you'll find both parties are exactly the same. Yeah, but at least Labour pretends 
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Sep 29, 2014 21:35
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Cameron was on Northern Ireland local news appealing to the nationalist parties in the NI Assembly to please, please punish your poors. Absolutely no regard for the unique social and economic problems still blighting Northern Ireland on account of only emerging from 30 years of civil war in 1998. Nope, on your bikes scroungers! All that matters now is the hardworking taxpayer.quote:Speaking to UTV's Ken Reid on Monday, Mr Cameron urged Northern Ireland's main parties "even if they can't do all of welfare reform to do some welfare reform". quote:There can't be extra money. I don't think that would be fair on tax payers elsewhere in the United Kingdom. I was talking about this earlier when I phoned my mum and she said a lot of the working class unionist support for the Good Friday Agreement was won because people were promised that power sharing would make their futures less poo poo. Last week she got a leaflet through the door advising to take extra care on the roads this winter because damaged roads may go without repair and streetlight bulbs will not be replaced 
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Sep 29, 2014 21:45
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I hope David Cameron dies soon
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Sep 29, 2014 21:57
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gorki posted:Cameron was on Northern Ireland local news appealing to the nationalist parties in the NI Assembly to please, please punish your poors. Absolutely no regard for the unique social and economic problems still blighting Northern Ireland on account of only emerging from 30 years of civil war in 1998. Nope, on your bikes scroungers! All that matters now is the hardworking taxpayer. We're getting absolutely shafted by the Tories welfare reform and personally I support the refusal to rubber stamp the package presented to the assembly, NI was always going to be hit the hardest by the reforms to incapacity/DLA and not taking into account our unique circumstances is ridiculous. We're talking of losses amounting to about £650 a head in annual income, three of the four areas in the UK that will be hardest hit are in NI (in Derry the projections are £900 a head!). Our economy is also recovering considerably slower than the rest of the UK and there simply is not the capacity to employ everyone currently on incapacity, its a loving joke. More figures and poo poo on The Detail http://www.thedetail.tv/issues/279/welfare-reform/northern-ireland-is-uk-region-hardest-hit-by-welfare-reform
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Sep 29, 2014 22:08
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Noxville posted:Actually I think you'll find both parties are exactly the same. "There's barely a Rizla paper between them!" is completely true but also a few people, usually the very vulnerable, literally live or die by that figurative Rizla paper. It's the most depressing situation really, New Labour has a lot to answer for.
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Sep 29, 2014 22:17
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Vitamin P posted:"There's barely a Rizla paper between them!" is completely true but also a few people, usually the very vulnerable, literally live or die by that figurative Rizla paper. There's a shitload more than a rizla paper between previous Labour NHS policy and current tory policy and I'm at five friends and counting dead thanks to situations that absolutely should not have been allowed to happen. The NHS reached breaking point a long time ago. Crisis Teams no longer head out with any qualified medical staff, and the police are beginning to feel the strain of having to house people they know full well should be in a mental hospital. Thankfully, there are people willing to open more prisons for us 
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Sep 29, 2014 22:42
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Spangly A posted:Crisis Teams no longer head out with any qualified medical staff this is bollocks
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Sep 29, 2014 22:58
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Wont the Scrounger Card™ see an increase in theft and muggings as dependants seek an alternative income to fund their addictions? The entire thing doesn't sound very well thought out, but I guess on paper its a Daily Mailer's wet loving dream. Between the conservative announcements today and labours plan to freeze working and child benefits for another 2 years I feel that im kind of hosed either way.
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Sep 29, 2014 23:04
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stickyfngrdboy posted:this is bollocks When's the last time you interacted with one? (redacted) Spangly A fucked around with this message at 00:29 on Sep 30, 2014 |
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Sep 29, 2014 23:09
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Spangly A posted:When's the last time you interacted with one? recently
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Sep 29, 2014 23:11
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stickyfngrdboy posted:recently Ok, are you counting social workers as qualified medical professionals? (redacted) Spangly A fucked around with this message at 00:29 on Sep 30, 2014 |
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Sep 29, 2014 23:13
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I like that Osborne is trying to obfuscate what's actually being affected by that "working age benefits" freeze. Like my Carer's Allowance. I'm sure the Tories would have you believe that they're striving to make my life easier, being part of the Big Fuckin' Society All in this Together, then are freezing the benefit I have to claim because I CAN'T be present at a full-time job without taking away my mother's independence. I'm actually looking into applying for Income Support this week, after discovering I should be eligible for it.
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Sep 29, 2014 23:15
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Fumble posted:Wont the Scrounger Card™ see an increase in theft and muggings as dependants seek an alternative income to fund their addictions? The entire thing doesn't sound very well thought out, but I guess on paper its a Daily Mailer's wet loving dream. It will certainly lead to 40p on the pound groceries traded for cash by people that lack a social safety net but have addictions. Shoplifting and pay-day lender debt will increase. The social signifier of the card will make people less inclined to start receiving the economic support available to them. And it'll open a new market for lobbyists to parcel out where the cards can be used (extra pasta for Scrounger Cards if you "buy" at Tesco! Tampons only available to Scroungers at Asda!). It's brutality masquerading as policy.
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Sep 29, 2014 23:18
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I don't think crisis teams have ever had medical professionals. At least, not as a policy. The reliance on them is absolutely a problem, the mental health section of the NHS is getting cut down fast and it was never top-tier to start with.Hijo Del Helmsley posted:I like that Osborne is trying to obfuscate what's actually being affected by that "working age benefits" freeze. It's more of a cut than a freeze, since it doesn't follow inflation.
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Sep 29, 2014 23:20
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(whole lotta redacted)
Spangly A fucked around with this message at 00:28 on Sep 30, 2014 |
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Sep 29, 2014 23:26
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Spangly A posted:and was told yesterday that as a former drug addict, I would be offered no support as they believed I would be noncompliant. 
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Sep 29, 2014 23:37
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Of course crisis teams have psychiatrists. They are fully multidisciplinary. Just because you have t seen one doesn't mean they aren't available or are being consulted with behind the scenes. Anyway regardless of profession, mental health has been working in a more generic way for a long time, social workers, nurses,OTs etc on the front line are doing the same roles
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Sep 29, 2014 23:50
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Serotonin posted:Of course crisis teams have psychiatrists. They are fully multidisciplinary. Just because you have t seen one doesn't mean they aren't available or are being consulted with behind the scenes. Anyway regardless of profession, mental health has been working in a more generic way for a long time, social workers, nurses,OTs etc on the front line are doing the same roles Then it's regional, I was outright told they no longer have psychiatric on staff (redacted) Spangly A fucked around with this message at 00:28 on Sep 30, 2014 |
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Sep 29, 2014 23:58
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Some surprising news from a few days ago: The only NHS hospital run by private firm provides ‘poor’ care, inspectors say.
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Sep 30, 2014 00:03
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Spangly A posted:Then it's regional, I was outright told they no longer have psychiatric on staff and were unwilling to find an on-call from the hospital for me. they no longer have psychiatric staff, on the psychiatric ward or dept of the hospital? or there is no psych ward or dept? so where are the crisis team coming from? they cant do poo poo without a psychiatric assessment of the patient, to see if the patient's needs can be better met by crisis team involvement rather than a hospital stay. How can a crisis team be involved without a psychiatrist?
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Sep 30, 2014 00:07
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big scary monsters posted:Some surprising news from a few days ago: The only NHS hospital run by private firm provides ‘poor’ care, inspectors say. the solution is obviously more privatisation e: I'm joking, but you know that someone somewhere is arguing that unironically 
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Sep 30, 2014 00:08
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Spangly A posted:Then it's regional, I was outright told they no longer have psychiatric on staff and were unwilling to find an on-call from the hospital for me. They probably meant there was no doctor on duty in the team at that time, not that they didn't have one at all.
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Sep 30, 2014 00:12
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big scary monsters posted:Some surprising news from a few days ago: The only NHS hospital run by private firm provides ‘poor’ care, inspectors say. Maybe the private firm should have invested more in the upkeep of an expensive, valuable CEO to turn things around. Was their CEO badly paid? Maybe that's why it couldn't cope.
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Sep 30, 2014 00:12
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stickyfngrdboy posted:they no longer have psychiatric staff, on the psychiatric ward or dept of the hospital? or there is no psych ward or dept? so where are the crisis team coming from? they cant do poo poo without a psychiatric assessment of the patient, to see if the patient's needs can be better met by crisis team involvement rather than a hospital stay. How can a crisis team be involved without a psychiatrist? Quite easily. Frontline assessment in psychiatry is often carried out by a professional other than a doctor. Trust me, most doctors in psychiatry other than the consultants are GP trainees on rotation and a experienced mental health nurse or other allied professional will run rings around them in terms of knowledge about mental health, particularly i terms of risk management.
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Sep 30, 2014 00:14
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Yeah I looked it up and it is policy to have a psychiatrist on-hand, but I can't find whether that means that they're literally part of the team or just someone that the team can consult. Anyway, can you somehow strongarm the GP into giving you an emergency appointment by mentioning malpractice? I really can't see any reason they'd have not to provide you with one except for sheer negligence.
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Sep 30, 2014 00:17
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stickyfngrdboy posted:they no longer have psychiatric staff, on the psychiatric ward or dept of the hospital? or there is no psych ward or dept? so where are the crisis team coming from? they cant do poo poo without a psychiatric assessment of the patient, to see if the patient's needs can be better met by crisis team involvement rather than a hospital stay. How can a crisis team be involved without a psychiatrist? I'm already known to the crisis team, they respond to the pager. They don't have permanent on-call staff psychiatrists, who I met with during every callout in my first year of hospitalisation. This I have been told is a recent change for budgetary concerns. The local psych ward has been closed down due to budget for the last two years. All inpatients in this time, including myself on one occasion, are either sent to Ashford or the Cygnet ward in London. Which charges £5k a week. No patients have been sent to Cygnet in the last six months, and the police told us on saturday that they've nearly trebled the number of 136' issued in this time. I don't know where the crisis team base now. Margate, I think. Spangly A fucked around with this message at 00:27 on Sep 30, 2014 |
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Sep 30, 2014 00:18
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Then make a complaint via PALS
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Sep 30, 2014 00:21
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Serotonin posted:Then make a complaint via PALS Man I'm not trying to be combative here, PALS already know. I've got a much, much better chance than a lot of people in my position would have. The entire situation is literally killing people and I just flipped at the thought that they weren't required to bring a Psych by policy, I'm sorry. e; I also went way more in depth personally than I wanted to. I'm not comfortable with that and will be editing out personal details. Spangly A fucked around with this message at 00:27 on Sep 30, 2014 |
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Sep 30, 2014 00:24
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big scary monsters posted:Some surprising news from a few days ago: The only NHS hospital run by private firm provides ‘poor’ care, inspectors say. In any decent world Labour would be running with this to an election victory. But doing so would mean them ditching their current Shadow Health Secretary, as he signed off on its privatisation in the first place.
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Sep 30, 2014 02:54
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Spangly A posted:Man I'm not trying to be combative here, PALS already know. I've got a much, much better chance than a lot of people in my position would have. The entire situation is literally killing people and I just flipped at the thought that they weren't required to bring a Psych by policy, I'm sorry. I wasn't trying to be combative either, I just wanted to make the point that the role of the medic within the MDT in mental health is radically different from in other branches of medicine, and frontline assessments being carried out by someone other than a psychiatrist is not about cuts or poor practice and in many cases, especially crisis work where often the majority of their initial contacts are offering brief support or assessment of emotional crisis. Often other professionals are as able or better able to offer an appropriate intervention. I wasn't commenting on your particular circumstances. There's no doubt that government cuts to the NHS budget are disproportionately impacting on mental health care, I see it daily, and I'm sure that your experience reflects that, but not necessarily because a crisis team are not obliged to provide someone with a face to face assessment by a consultant psychiatrist.
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Sep 30, 2014 07:02
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It's also important to recognise that, due to the very egalitarian nature of labour distribution in mental health services, there's not much a doctor can offer that a well trained mental health nurse can't also offer. It pretty much just comes down to prescribing pills, which, as we've discussed in here before, don't actually work beyond the placebo effect in the majority of cases. So, as Serotonin's being saying repeatedly, other mental health professionals can usually provide a better and more appropriate intervention than a psychiatrist can, especially in the crisis situation.
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Sep 30, 2014 07:27
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Does anyone have Goddamntwisto's excellent post on the deficit saved by any chance?
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Sep 30, 2014 07:40
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kim jong-illin posted:It pretty much just comes down to prescribing pills, which, as we've discussed in here before, don't actually work beyond the placebo effect in the majority of cases Hrrrrrrrrrrrrrmm On the plus side, Ketamine is tearing through phase 3 with flying colours. The american phase 3s showed nearly 3x the effectiveness of proper use of SSRI, in a single dose, maintained for two weeks. Our trials are showing immediate marked improvement, maintainable, in chronic treatment-resistant cases. On the negative side, gently caress the mentally ill, giving someone a controlled substance would mean admitting that government drug policy has always been about disenfranchisement. So it's never going to go to 4s. haakman posted:Does anyone have Goddamntwisto's excellent post on the deficit saved by any chance? I have the debt one and I'm just going to start hoarding everyone's now.
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Sep 30, 2014 08:10
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Spangly A posted:
That's the one I mean.
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Sep 30, 2014 08:15
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What, is ketamine being used as an anti-depressant, or at least being trialled as one? Or am I completely misunderstanding what Spangly A just posted?
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Sep 30, 2014 08:28
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Moderate doses of it seem to have a positive effect on severe depression.
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Sep 30, 2014 08:37
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haakman posted:That's the one I mean. twisto posted:National debt is completely and totally unlike household finances. The thing is that people just aren't used to thinking of money on those terms and default to thinking about credit cards, egged on by politicians who want to manufacture a crisis to implement their political agenda. JFairfax posted:What, is ketamine being used as an anti-depressant, or at least being trialled as one? Or am I completely misunderstanding what Spangly A just posted? Several trials have finished, the UK one is running. I've not read any definite requirements for a phase 4 to be granted but the rumourmill seems to think the government wants 6 weeks maintenance per dose. I've got a few of the papers handy if you're interested. Filboid Studge posted:Moderate doses of it seem to have a positive effect on severe depression. .5mg/kg is hardly moderate, you're not going to notice any intoxication.
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Sep 30, 2014 08:41
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Medicated Ketamine for depression? This strikes me as a little risky, but back in Bristol Ketamine was loving huge, and still is, as a recreational drug - as I assume it is in various other places of the country. But the problem is it has a nasty habit of loving up your bladder, I think the irreversible physical effects are quicker to manifest themselves than for pretty much any drug that is popular in the UK. http://news.bbc.co.uk/2/hi/uk_news/england/bristol/somerset/7867449.stm Like kids in their early 20s having their bladders removed. http://www.ketaminebladdersyndrome.com/KBS/Welcome.html So... yeah... I mean it sounds like the doses you're talking about aren't going to be the same league as kids who can hoover up a couple of Gs in a day or two, but it's a pretty solid recreational drug with some sever physical effects with prolonged heavy use...
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Sep 30, 2014 08:49
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