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Tuesday, July 10, 2012

A letter from a relative to Paul Miller acting CEO AWP


 
22nd June 2012

Chief Executive of AWP
Paul Miller - Acting Chief Executive
Avon and Wiltshire Mental Health Partnership NHS Trust
Jenner House,
Langley Park,
Chippenham,
SN15 1GG

Dear Mr Miller

I am writing to complain about Avon and Wiltshire Mental Health Partnership Trust’s decision to close the Psychopharmacology Clinic.

My mother is a patient of the clinic and has suffered with Manic Depression for in excess of 20 years.

My mother has been directed to every imaginable NHS and private healthcare avenue in order to access support in managing her mental health, and as a family we have lost count years ago of the number of different strategies, drugs, therapies, ‘next steps’ and doctors she has seen in this time. None of which brought her, or our family, any perceivable state of calm or quality of existence until she was able to access the support of Dr Andrea Malizia through the Psychopharmacology Clinic.

My mother continues to struggle each day of her life with depression which impacts upon every aspect of her existence. Her appointments with Dr Malizia are effectively what she lives for, a glimmer of hope within the darkness of her depression; each a small milestone for her to aim for. Each time she has an appointment, with Dr Malizia I hear her express to him “I’m safe when I come here to see you”. The clinic is her life line, in literal terms; access to some effective support which gives her the strength to keep trying new strategies presented by someone she trusts, someone whose expertise has allowed her to regain some vague minimal sense of what ‘normality’ might feel like.

My mothers treatment is far from complete, her last two appointments have seen changes to her medication and a chance to build upon what is glimmer of ‘my mum’ seen through the suffocating cloud of her depression. Her GP, although extremely supportive, has told us that she has no experience of treatment using the specialist medications prescribed through the Psychopharmacology Clinic. Without access to this specialist support and type of treatment, we doubt that my mother would be able to cope with life at all; ending her life as a result of her depression has always been a very real consideration for her that she does her best to fight against, a solution to escaping the despair she has to live with.

Please consider this letter a freedom of information request as to the consultation process undertaken by Avon and Wiltshire Mental Health Partnership Trust before taking the decision to close the Psychopharmacology Clinic. I find it abhorrent that, as a patient of the clinic, my mother had no knowledge of discussions around its closure prior to a decision being taken. The trust has a legal responsibility to undertake consultation and to complete an impact assessment before taking such a decision, and a lack of these processes would constitute illegal practice.

I would also like to request some clarification of exactly how this closure supports the aims of the trust publicized on the website. The trust claims; “Our aim is to enable and empower people to reach their potential and to live fulfilling lives through providing recovery and reablement focused services that yield positive outcomes for our service users and their carers.”

Finally, I ask you to consider how, as a trust, you would be able to justify a loss of life as a result of this closure. This appears a dramatic statement to make but, when you are close to someone who lives with severe mental health difficulties you begin to understand that, to that someone, taking your own life can seem like a practical solution to your problems.  To take away the one avenue of support that is preventing someone from taking this step, equates to switching off a life support machine – would you be able to justify doing this to a patient who had chance of recovery?

I look forward to your reply.



Yours sincerely




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