Extra training for mental health workers after rise in attacks in Lancashire

EXTRA training is being given to NHS staff after the number of assaults and threats against mental health workers in Lancashire reached a two-year high.

While in 2010-11 there were 744 incidents, per 1,000 staff, this has risen to 828 for the last year.

And the rate of physical and verbal attacks has peaked at 82 and 91 each month, higher than previous high watermarks of 70 to 79, recorded in summer and autumn 2010.

Much of the problem has centred on adult mental health wards and specialists services, according to a report presented to Lancashire Care Foundation NHS Trust directors.

And health bosses are working closely with police and Crown Prosecution Service lawyers to see whether the use of illicit drugs is a factor behind the rise.

Susan Rigg, the trust’s peformance management director, said: “We are taking this matter seriously with discussions within each network being used to investigate reported incidents.

“There is currently an analysis of the trend of violent and aggressive incidents across the trust.

“Certain key areas have already been identified which should be undertaken to improve staff and patient safety.

“Staff training is to be reviewed to ensure that staff fully understand recognising aggression triggers, appropriate engagement and a physical skill that is used as a last option.”

The number of violent incidents by patients on non-staff members, which could include other service users or visitors, has also been steadily increasing since last September.

Across the county an extra seven were reported, from February to March, as health chiefs have seen bed occupancy rates rise, and the complexity of mental health problems being treated increase.

Security specialists at the trust are said to be working with ward managers to review safey strategies in particular problem wards. There were 64 more such incidents in 2011-12 than 2010-11.

The trust covers the whole of the county and employs around 7,000 members of staff across more than 400 sites.

Comments(10)

mavrick says...
10:16pm Sun 17 Jun 12

Are we reaping the seeds sowed a few years ago? Perhaps the cuts may have something to with it. Will Susan Rigg be going on these wards to tell the aggressors to mend their ways? £20, Billion taken out of the NHS and it won't affect patient care. It doesn't seem like that from here. Perhaps care in the community is the way forward-not.

Michael@ClitheroeSince58 says...
10:24pm Sun 17 Jun 12

The problem is that people with mental health problems are becoming very paranoid and feel they are under threat with the cuts, things have become so bad I have had to disconnect my phone due to one particular person ringing me in the middle of the night worrying and stressed, but that don't help me when I have to get up at 6:30am I feel most of them have nothing to fear but something seems to be going wrong regarding communications and it needs sorting fast be fore more harm is done.

frank says...
11:12pm Sun 17 Jun 12

Michael@ClitheroeSin
ce58
wrote:
The problem is that people with mental health problems are becoming very paranoid and feel they are under threat with the cuts, things have become so bad I have had to disconnect my phone due to one particular person ringing me in the middle of the night worrying and stressed, but that don't help me when I have to get up at 6:30am I feel most of them have nothing to fear but something seems to be going wrong regarding communications and it needs sorting fast be fore more harm is done.
i know a lot of people with mental health problems. most are getting 'more paranoid' or genuinely worried that they're being singled out in the benefits witch hunt.
they may look fit and well (that goes against them in any witch hunt 'medical') but that doesn't mean that they can cope with life as well as other people on a day to day basis.
what's it matter if they kill themselves , it's one less benefit to pay out isn't it? this government set out telling half truths about people on IB to turn public opinion against ALL those on the benefit, not just those exploiting it.
as usual with this country it's teh honest who always suffer.
seems the mental health staff are bearing the brunt of this fact.

Am i in yet..? says...
11:30pm Sun 17 Jun 12

Maybe the rise is due to benefit cuts and the inadequacy of the company left to assess claimants.. If they decide that a person is fit for work and the person is not fit then that said person is left with no help or means to gain a living. That person out of desperation might go to the extreme of either attempting to commit suicide and run the risk of nobody turning up to save them from themselves or assaulting an NHS worker rather than risk being arrested for assaulting a member of the public and going to prison simply to make themselves unemployable. If that is the case then the whole system of the assessments is questionable and its most likely the cause of rising assaults on members of the mental health teams. Or it could be that they are not well enough to have their benefits cut and they shouldn't have been in the community to begin with however there is nowhere else to put them. It was Thatchers government that closed all the mental health units releasing thousands of unstable patients into the community during the eighties and nineties. You can't just shut places like Brockhall and Calderstones without having repercussions a decade or two later in life. If places like Calderstones and Brockhall were running at full capacity as they once did and it was a simple process to send people there who claim to have mental health problems as they once did am 100% sure that we wouldn't have as many people on the sick claiming to suffer with mental health problems as we do. And there would be adequate safe accommodation with the correct care that these patients desperately need instead of treating mental health patients within the community as we have become accustomed to over the past fifteen years or so.

Am i in yet..? says...
11:30pm Sun 17 Jun 12

Maybe the rise is due to benefit cuts and the inadequacy of the company left to assess claimants.. If they decide that a person is fit for work and the person is not fit then that said person is left with no help or means to gain a living. That person out of desperation might go to the extreme of either attempting to commit suicide and run the risk of nobody turning up to save them from themselves or assaulting an NHS worker rather than risk being arrested for assaulting a member of the public and going to prison simply to make themselves unemployable. If that is the case then the whole system of the assessments is questionable and its most likely the cause of rising assaults on members of the mental health teams. Or it could be that they are not well enough to have their benefits cut and they shouldn't have been in the community to begin with however there is nowhere else to put them. It was Thatchers government that closed all the mental health units releasing thousands of unstable patients into the community during the eighties and nineties. You can't just shut places like Brockhall and Calderstones without having repercussions a decade or two later in life. If places like Calderstones and Brockhall were running at full capacity as they once did and it was a simple process to send people there who claim to have mental health problems as they once did am 100% sure that we wouldn't have as many people on the sick claiming to suffer with mental health problems as we do. And there would be adequate safe accommodation with the correct care that these patients desperately need instead of treating mental health patients within the community as we have become accustomed to over the past fifteen years or so.

Am i in yet..? says...
11:42pm Sun 17 Jun 12

Am i in yet..? wrote:
Maybe the rise is due to benefit cuts and the inadequacy of the company left to assess claimants.. If they decide that a person is fit for work and the person is not fit then that said person is left with no help or means to gain a living. That person out of desperation might go to the extreme of either attempting to commit suicide and run the risk of nobody turning up to save them from themselves or assaulting an NHS worker rather than risk being arrested for assaulting a member of the public and going to prison simply to make themselves unemployable. If that is the case then the whole system of the assessments is questionable and its most likely the cause of rising assaults on members of the mental health teams. Or it could be that they are not well enough to have their benefits cut and they shouldn't have been in the community to begin with however there is nowhere else to put them. It was Thatchers government that closed all the mental health units releasing thousands of unstable patients into the community during the eighties and nineties. You can't just shut places like Brockhall and Calderstones without having repercussions a decade or two later in life. If places like Calderstones and Brockhall were running at full capacity as they once did and it was a simple process to send people there who claim to have mental health problems as they once did am 100% sure that we wouldn't have as many people on the sick claiming to suffer with mental health problems as we do. And there would be adequate safe accommodation with the correct care that these patients desperately need instead of treating mental health patients within the community as we have become accustomed to over the past fifteen years or so.
Maybe the rise is due to benefit cuts and the inadequacy of the company left to assess claimants.. If they decide that a person is fit for work and the person is not fit then that said person is left with no help or means to gain a living. That person out of desperation might go to the extreme of either attempting to commit suicide and run the risk of nobody turning up to save them from themselves or assaulting an NHS worker rather than risk being arrested for assaulting a member of the public and going to prison simply to make themselves unemployable. If that is the case then the whole system of the assessments is questionable and its most likely the cause of rising assaults on members of the mental health teams. Or it could be that they are not well enough to have their benefits cut and they shouldn't have been in the community to begin with however there is nowhere else to put them. It was Thatchers government that closed all the mental health units releasing thousands of unstable patients into the community during the eighties and nineties. You can't just shut places like Brockhall and Calderstones without having repercussions a decade or two later in life. If places like Calderstones and Brockhall were running at full capacity as they once did and it was a simple process to send people there who claim to have mental health problems as they once did am 100% sure that we wouldn't have as many people on the sick claiming to suffer with mental health problems as we do. And there would be adequate safe accommodation with the correct care that these patients desperately need instead of treating mental health patients within the community as we have become accustomed to over the past fifteen years or so.

Just let me know if I repeat myself its a problem I suffer from.

Heretical says...
12:02am Mon 18 Jun 12

Couldn't agree with you more.
Mental Health Care teams have been struggling for a long time and more beds due to go for dementia patients.
Make it harder for people to get into the system by making them wait forever and you end up with people who are more ill.
Scare vulnerable people and they get more ill...as said a broken arm you can see....a damaged psyche you can't..
Yes protect the staff.....but protect the patients too....they are a darn sight more vulnerable.

Am i in yet..? says...
8:50am Mon 18 Jun 12

Am i in yet..? wrote:
Am i in yet..? wrote:
Maybe the rise is due to benefit cuts and the inadequacy of the company left to assess claimants.. If they decide that a person is fit for work and the person is not fit then that said person is left with no help or means to gain a living. That person out of desperation might go to the extreme of either attempting to commit suicide and run the risk of nobody turning up to save them from themselves or assaulting an NHS worker rather than risk being arrested for assaulting a member of the public and going to prison simply to make themselves unemployable. If that is the case then the whole system of the assessments is questionable and its most likely the cause of rising assaults on members of the mental health teams. Or it could be that they are not well enough to have their benefits cut and they shouldn't have been in the community to begin with however there is nowhere else to put them. It was Thatchers government that closed all the mental health units releasing thousands of unstable patients into the community during the eighties and nineties. You can't just shut places like Brockhall and Calderstones without having repercussions a decade or two later in life. If places like Calderstones and Brockhall were running at full capacity as they once did and it was a simple process to send people there who claim to have mental health problems as they once did am 100% sure that we wouldn't have as many people on the sick claiming to suffer with mental health problems as we do. And there would be adequate safe accommodation with the correct care that these patients desperately need instead of treating mental health patients within the community as we have become accustomed to over the past fifteen years or so.
Maybe the rise is due to benefit cuts and the inadequacy of the company left to assess claimants.. If they decide that a person is fit for work and the person is not fit then that said person is left with no help or means to gain a living. That person out of desperation might go to the extreme of either attempting to commit suicide and run the risk of nobody turning up to save them from themselves or assaulting an NHS worker rather than risk being arrested for assaulting a member of the public and going to prison simply to make themselves unemployable. If that is the case then the whole system of the assessments is questionable and its most likely the cause of rising assaults on members of the mental health teams. Or it could be that they are not well enough to have their benefits cut and they shouldn't have been in the community to begin with however there is nowhere else to put them. It was Thatchers government that closed all the mental health units releasing thousands of unstable patients into the community during the eighties and nineties. You can't just shut places like Brockhall and Calderstones without having repercussions a decade or two later in life. If places like Calderstones and Brockhall were running at full capacity as they once did and it was a simple process to send people there who claim to have mental health problems as they once did am 100% sure that we wouldn't have as many people on the sick claiming to suffer with mental health problems as we do. And there would be adequate safe accommodation with the correct care that these patients desperately need instead of treating mental health patients within the community as we have become accustomed to over the past fifteen years or so.

Just let me know if I repeat myself its a problem I suffer from.
After posting my repeated comments I then find this on the net explaining that its the NHS managers that are putting their staff at risk by not using the funds given to them by the government in the correct manner.

Quote: NHS managers in England have been accused of "shocking discrimination" in commissioning mental health services.

The Mental Health Policy Group from the London School of Economics said three-quarters of people with depression or anxiety got no treatment.

The committee of senior academics and medical professionals described this as a "real scandal".

Care Services Minister Paul Burstow said mental health should be treated as seriously as physical health issues.

The committee is headed by economist Professor Lord Richard Layard and includes some of the country's most eminent mental health experts.

Official guidance

It said the NHS in England was guilty of injustice in its treatment of people with mental illness.

The group's report found that among those aged under 65, nearly half of all ill-health was mental illness.

It said six million people had depression or anxiety conditions and yet three-quarters got no treatment.

This was often because NHS managers failed to commission properly the mental health services recommended in official guidance, the experts added.

They said £400m earmarked by the government for psychological therapy was not always used for its intended purpose because there was no obligation on managers to do so.

The committee concluded that mental health services should be expanded, but if anything it was being cut.

'Little cost'

Lord Layard said: "If local NHS commissioners want to improve their budgets, they should all be expanding their provision of psychological therapy.

"It will save them so much on their physical healthcare budgets that the net cost will be little or nothing.

"Mental health is so central to the health of individuals and of society that it needs its own cabinet minister."

Mr Burstow said investment in mental health services was "already delivering remarkable results".

"Mental ill-health costs £105bn per year and I have always been clear that it should be treated as seriously as physical health problems," he said.

"We will shortly publish our plans to make sure the NHS, councils, voluntary organisations and others can play their part in improving the nation's mental health.

"The coalition government is investing £400m to make sure talking therapies are available to people of all ages who need them."

happycyclist says...
11:33am Mon 18 Jun 12

Jobcentreplus make people mentally ill.

frank says...
3:58pm Mon 18 Jun 12

Heretical wrote:
Couldn't agree with you more.
Mental Health Care teams have been struggling for a long time and more beds due to go for dementia patients.
Make it harder for people to get into the system by making them wait forever and you end up with people who are more ill.
Scare vulnerable people and they get more ill...as said a broken arm you can see....a damaged psyche you can't..
Yes protect the staff.....but protect the patients too....they are a darn sight more vulnerable.
the quickest, yet most risky way to get into teh system is to ahve a go at killing yourself, pretty soon it'll probably be the only way.
waiting for help takes forever.
imagine going to hospital witha broken leg and being told to wait 6 months.
still "they have mental health problems, what the hell does it matter".
as said above like most things wrong with this country now this goes back to thatcher.

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