UK: The Yellow Card Scheme has been confirmed as the route to report 'adverse incidents' from GET and CBT (or has it?)

What about just reporting harms anyway? At least it will be seen, and then maybe ignored, but we can say we reported harms on the Yellow Card, there is no other option therefore we have to use that.

 

Absolutely - but it might be a wasted effort if it isn’t collated. My view is a proper collation system is required and SOON. Many GPs will look at the current yellow page set up and just say it doesn’t apply, and so not offficially report harm. Direct patient reports are probably taken less seriously.

 

By the way, I thought the system was changed so patients as well as professionals can fill it in?

 

I think that will be very important - we don't want doctors dissuading patients from making legitimate complaints.

 

Yes it seems so. I can’t help thinking however, that patient input will not be given the same weight as GP responses. It’s back to the same old chestnut, that patient testimony is disbelieved. Same reason that charity surveys are disregarded

 

So it seems the MERUK article has been updated. The answer to Jim Shannon was correct. No Yellow Card reporting for psych therapies

 

https://twitter.com/user/status/1017417097620516865

 

https://twitter.com/user/status/1017432337120886785

 

It's important to put them on record. Right now the mantra of "no harm recorded" is accurate. It's misleading because they specifically do not provide a means to report them. But it is accurate to say that no harm has been recorded. It's the same with PACE. We know there was deterioration and that they specifically buried it in the data.

It's a loophole they are exploiting to provide clinical advice that is free of clinical accountability. There is a basis for it with CBT, but GET is specifically physical therapy (with gaslighting on top but whatever) and as such should fall under some definition of clinical treatment.

You can be certain that once the psychosocial house of cards tumbles, everyone involved will claim to not have known about the consequences of what they were doing and they will point to the absence of any reported harm to make their case.

Government records, especially in medical services, are preserved by law. They may be dismissed but the record will be preserved. It will be useful later when hearings are held about who knew what and where to assign blame.

IMO every means to report the specific harm caused by GET should be used. Most are inconsequential, but at least records will be preserved that everyone involved fully know about the harm they are doing. In the face of evidence all they will have left is "I didn't believe it", which is not a valid excuse. But there has to be evidence in official records to bolster that case.

 

Acceptable for CBT but GET is physical therapy. It has an added layer of gaslighting but at its core it is physical therapy and not just a psychological treatment.

Question is whether physical therapy is exempted, which would be bizarre.

 

Alternatively I’ve heard CBT for ME, described as - GET with the added push from the psyche angle to adhere to physical increases. Both push for increase, even if they pull back first, the aim is to return to normal functioning.

Having said that both therapies are devised in line with a psychosocial premise. Neither seems to have any means to officially report problems.

 

https://twitter.com/user/status/1017491115551940608



https://twitter.com/user/status/1017494236357414913

 

From Facebook:

Though I don't know whether that means you are reporting more the therapist rather than the therapy?

 

@Tom Kindlon It would be reporting the therapist and their potential unethical behaviour, not the type of therapy itself.

 

Jim Shannon MP has now asked, on my behalf, how CBT/GET harms should be reported. He will let me know when there is a reply.

 

And now this
Thirty Mental Health Experts Write to Secretary of State About ‘Unprofessional’ Conduct of the UK Royal College of Psychiatry
https://www.madinamerica.com/2018/0...essional-conduct-uk-royal-college-psychiatry/