One of the biggest mental health services in the NHS has been told it must make “sweeping reforms” after some staff were filmed allegedly abusing patients on mental health wards.
A Care Quality Commission (CQC) inspection of services at Greater Manchester Mental Health NHS Foundation Trust found “serious” safety problems in some acute and secure mental health wards.
Among its findings, the regulator revealed that “services were not always caring”, that there were not enough properly trained staff and that there were “significant concerns” about the sexual safety of patients in mixed-gender wards.
Community-based mental health care for adults was also considered to require improvement.
The regulator has now issued an enforcement warning to the trust and a deadline for improvements.
Helen, not her real name, told Sky News her adult daughter had been “let down” by the trust after a psychotic breakdown.
She said her daughter tried to kill herself but it was a “struggle” to get help.
“She desperately needed help but it took a long time to get that help,” said Helen.
“I just felt like there was nothing. No help. I asked [mental health services] to get help, but they were busy, they didn’t have enough time.
“I was always the one calling the police, calling the ambulance, driving around to find her if she had gone missing.”
She added: “It felt like on the one hand she needs the services, but on the other you have to ask: what do mental health services really provide?
“I feel they could have done so much more, in terms of psychological and social therapies, to help her recover.”
Helen’s daughter was admitted to a ward under the trust’s care, but Helen said she is “scared” for her daughter following reports of mistreatment of patients at some of the facilities.
She said: “You don’t know, when you’re not on those wards with them – the person you really care about – what are they experiencing services as?”
Bullying, mockery and humiliation
Earlier this year, an undercover BBC team filmed staff bullying, mocking and humiliating patients at one of the trust’s facilities.
Some patients were unnecessarily isolated for long periods, and others were physically restrained for no reason.
A spokesman for the trust said: “We accept the findings of the CQC’s recent inspections at our trust and are committed to making the changes and improvements that our service users deserve.
“Work is already underway to build better and more sustainable services.”
But local mental health campaigner Paul Baker told Sky News that families had raised concerns about the trust’s care services more than two years ago.
At the time, Baker said, trust bosses responded that there was no problem.
Baker, co-founder of CHARM, a group for better holistic mental health services, told Sky News: “We knew it wasn’t good about care and this is something I think the review process needs to look at: why has senior management become so isolated from the realities in what happens on the ground?”
He added: “We don’t just blame the trust. We think the trust is probably facing quite a few problems that are shared by other trusts around the country and we would support the idea of some sort of real root-and-branch review across the country into what we do with mental health and how we support people.”
NHS England this week placed the trust under the highest level of management intervention. It will also conduct its own independent review.