As the CYGNET hospital scandals continue A
UHS own more than 200 psychiatric facilities in the USA and admitted nearly 450,000 patients last year.
UHS now run nearly half of UK NHS mental health services, owning both the ‘community living’ provision of the Cambian group and the Cygnet group
Health and Social Care Foundation Trusts commission UHS services for Clinical Commissioning Groups, as the only ‘qualified providers’ under the Health and Social Care Act 2012.
Nearly a fifth of NHS England’s budget is already spent on mental health services.
In July NHS England named its new adult/CAMHS care models to Cygnet hospitals just 10 days after some rated inadequate by CQC.
Priory Group are the main other providers. See here.
The inadequate/abusive mental services despite all media propaganda is not a shortage of money.
Since last year all new inpatient admissions to private hospitals.
And mainly enforced under MHA section, or MCA ‘incapacity’.
And unlike in the USA Medicare insurance system, NHS public funding never runs out and unregulated.
And in the UK there is no contractual liability to the service users via insurance contracts.
What do we know about UHS service provision, precious little, as they can hide behind commercial confidentiality.
We have employees reviews, a staff registered nurse posting last month;
‘Quit lying about how great your facilities are, because they’re truly a disgrace and are a reflection of how ignorant upper management is concerning how ethical the patient care within their facilities actually is.’
Here is the latest investigation into UHS hospitals in USA and how they are run for profit at expense of treating patients
And in 2012, UHS settled a lawsuit filed by the government against one of its youth facilities in Virginia.
A federal complaint alleged the hospital was delaying the release of patients, who no longer needed care in order to increase Medicaid payments, and deliberately provoking patients to gain reactions which would warrant longer stays, and altering therapists’ records to justify longer stays.
UHS closed the facility and later paid just under $7 million dollars to resolve the case.
Currently, at least three USA federal agencies are investigating whether UHS held patients longer than medically necessary to maximize profits, a claim UHS denies.
UHS stock fell 12% last December, losing $1.5 billion, on the release of a year long investigation by Buzzfeed.
‘’A yearlong BuzzFeed News investigation — based on interviews with 175 current and former UHS staff, including 18 executives who ran UHS hospitals; more than 120 additional interviews with patients, government investigators, and other experts; and a cache of internal documents — raises grave questions about the extent to which those profits were achieved at the expense of patients.”
“Current and former employees from at least 10 UHS hospitals in nine states said they were under pressure to fill beds by almost any method — which sometimes meant exaggerating people’s symptoms or twisting their words to make them seem suicidal — and to hold them until their insurance payments ran out.”
“Several people who ran UHS hospitals said corporate bosses pushed them to cut their hospitals’ staff further and further each year, regardless of the impact on employees’ safety or on their ability to care for the people being admitted.
Each year, hospital administrators presented their budgets to a panel of corporate leaders. And each year, people who were involved with the process say, corporate execs offered the same prescription: Cut more staff.”
The publication also spoke with several former patients of UHS, who allege they were held against their will, and that counselors twisted their statements during evaluations in order to forcibly admit them. Even the vaguest or passing mention of suicidal thoughts was used to hold them, the report said.
The report went on to describe a corporate culture that included more annual bonuses for outstanding financial performance, than payments for outstanding patient care. One former hospital administrator described it by saying that the priority was the bottom line, not the staff and patients.
The Buzzfeed 2016 report is here https://www.buzzfeed.com/rosalindadams/intake?utm_term=.gcrEp1AzBD#.uoDAEPMKyq
Two nurses from the facility, Brooke Glen Behavioral Hospital, said they had direct experience with the company holding patients longer than necessary to collect higher insurance payments.
They recalled telling doctors that patients were safe to be discharged, but that the doctors would ask when their “last covered day” was — the last day Medicare, Medicaid, or their private insurance would pay for — and discharge them then, regardless of their condition.
Facilities advertise free mental health assessments.
For example; “Highlands can help,” proclaims the website for Highlands Behavioral Health in Littleton, Colorado, announcing, “but only if you call to speak with a caring professional, or to schedule a free confidential assessment 24 hours a day, 7 days per week, please call.”
Staff members from across the country said such assessments were often not what they appeared to be.
As when people called to ask for help or inquired, internal documents and interviews show, UHS tracked what a former hospital administrator called each facility’s “conversion rate”, that was the percentage of callers who then actually came in for psychiatric assessments, and then the percentage of those people who became inpatients.
“They keep track of our numbers as if we were car salesmen,” said Karen Ellis, a former counselor at Salt Lake Behavioral.
In the UK a mental/ behaviourally disordered patient, nor his family has any effective rights either under the MCA and/or the MHA.
As CQC reports show an increase in admissions after assessment, longer and more detentions in mental hospitals.
And as GPs, schools, social services, hospitals, police, carers, employers and charities are now promoting and assessing our mental health, should we not investigate mental health services independently, as has happened in the US.
And not leave our most needy at the mercy of apparently our most greedy ?
Does this not appear the present modus of UK mental services ? Explaining why all are so concerned for our present ‘mental ‘ health and why the MHA is May only legislative venture.
And without an insurance company like Medicare looking after patient’s interests we without experts, rights or lawyers are at the mercy of a for profit cult with a public NHS money stream.
And the Cygnet hospital scandals continue with this the latest abuse investigation in May 2019