Mental health review tribunals.

نویسندگان

A N Khan

Dean S Murgatroyd

چکیده

given a Grade D in the re-grading which compares unfavourably with their colleagues working on the in-patient unit. In common with many day hospitals, our nurses exhibit a high degree of clinical autonomy and are responsible for a substantial caseload of community based patients. They must liaise with families, community carers and the psychiatric firms to which the patients are attached. In addition they are responsible, with other members of the multidisciplinary team, for developing care plans for their patients, and ensuring that these plans are executed, and take a large part in maintaining the therapeutic programme of the day hospital. Since the majority of our patients have long-term disabilities our staff nurses often have to maintain contact with patients over many years. This work contrasts sharply with the tasks of a staff nurse on an in-patient unit, arguably requiring a much higher degree of professionalism than is gener ally found among nurses who have not yet left the security of the hospital in-patient base. I would be interested to know from colleagues whether they too have discovered anomalies in the grading of the nurses with whom they work and what, if anything, they have been able to do to rem edy the situation. There is no doubt that if, in my unit, the grading is unchanged we shall be unable to retain and recruit staff. This will of course suit management, desperate to save money, but is hardly designed to encourage policies of community care. FRANKHOLLOWAY St Giles ' Hospital Stales' Road

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