NHS - A tale of two half's

I have just come to the end of my therapy / care with my local secondary mental health team, and the support and understanding has been superb. I was probably made much more relatable as my therapist was also on the spectrum.

Unfortunately at the same time I have had to have major open heart surgery. This has meant I have had a few trips post operation to our local A&E department. They have absolutely no allowance for people on the spectrum, in particular no accommodation is made for heighten sensitivities. For me this is bright lights and noise. I now have my little survival kit ready at hand, dark glasses, cap and noise cancelling headphones. However, at best these are sticking plasters, I still return home completely drained, and now have this great reluctance to go to A&E. 

I have found my coping strategies work everywhere else, and if worst comes to the worst I can just retreat. This is obviously not an option with A&E unless you're prepared to take some potentially serious consequences health wise. I'm finding it some what ironic that the organisation that is charged with our healthcare in the UK is also the one not making any concessions in organisation or infrastructure.

Many of the doctors have a deal of sympathy, saying it's not really an acceptable environment for the allistic let alone for those on the spectrum. It seems to me much is made of the steps forward in mental health awareness, but the one organisation that ignores it the most is the NHS.

Do others have similar experiences?

Parents
  • I have a completely ridiculous and similar incident

    I needed stitches for self injury after a meltdown (identified by 111 call including a video feature, very cool) so was sent off to an urgent treatment centre. I signed in. The urgent treatment centre wasn't too bad but it still had a number of stimuli (crying children, general busy noise, periodic medical beeping) and I was also recently post meltdown, but it wasn't high enough that I'd be unable to cope.

    When assessed by the nurse and a photo had been sent off to the plastics team in urgent care, the plastics team told the nurse that they couldn't deal with self inflicted injuries in urgent care and I would need to go next door to A&E so that someone could be 'keeping an eye on my mental wellbeing'. I guess in theory this meant the brief conversation I had with the doctor who eventually stitched up my legs, but in practice it meant I had to wait at least twice as long, in a much busier and more overwhelming environment, and got potentially lower quality care for my busier injuries (there were issues with how they cared for the stitches and they didn't give me any post care instructions which the nurse who removed them was very cross about).

    So in this case, they did change where I was due to my autistic distress, to a less suitable environment!!

Reply
  • I have a completely ridiculous and similar incident

    I needed stitches for self injury after a meltdown (identified by 111 call including a video feature, very cool) so was sent off to an urgent treatment centre. I signed in. The urgent treatment centre wasn't too bad but it still had a number of stimuli (crying children, general busy noise, periodic medical beeping) and I was also recently post meltdown, but it wasn't high enough that I'd be unable to cope.

    When assessed by the nurse and a photo had been sent off to the plastics team in urgent care, the plastics team told the nurse that they couldn't deal with self inflicted injuries in urgent care and I would need to go next door to A&E so that someone could be 'keeping an eye on my mental wellbeing'. I guess in theory this meant the brief conversation I had with the doctor who eventually stitched up my legs, but in practice it meant I had to wait at least twice as long, in a much busier and more overwhelming environment, and got potentially lower quality care for my busier injuries (there were issues with how they cared for the stitches and they didn't give me any post care instructions which the nurse who removed them was very cross about).

    So in this case, they did change where I was due to my autistic distress, to a less suitable environment!!

Children
No Data