NHS Tayside report on mental health unit must be made public, minister told

Health Secretary Jeane Freeman has been urged to ensure an internal report on treatment at a mental health unit is published in full.

BBC Scotland has claimed leaked copies of NHS Tayside’s internal inquiry into the Carseview Centre in Dundee show it found untrained staff were using risky restraints on patients, and the number of incidents in which restraints were used was high.

NHS Tayside said it is acting on the recommendations in the internal assessment and plans to reduce restraint use, but stressed “our median rates of violence and restraint do not make us an outlier with other mental health services in Scotland”.

Mental health minister Clare Haughey said the health board is required to deal with a number of recommendations from the report at a local level.

Scottish Liberal Democrat leader Willie Rennie said: “Experts and whistle-blowers have raised serious concerns about this behaviour.

“The Health Secretary must ensure that the complete report is published as soon as possible and that its recommendations are delivered in full.”

Scottish Labour health spokeswoman Monica Lennon said: “This report now needs to be published in full without delay.

“Health Secretary Jeane Freeman needs to desperately get a grip of the problems at NHS Tayside, which are not limited to mental health services.”

Scottish Conservative mental health spokeswoman Annie Wells said the report “needs to lead to sweeping changes, not just at Carseview but across Scotland”.

She added: “We need to ensure that this behaviour is not being repeated elsewhere, and then take action so that it cannot ever happen again.”

Concerns about treatment at the unit were raised last year.

Professor Peter Stonebridge, acting medical director at NHS Tayside, said: “The concerns raised last year about the use of restraint in Carseview are a particular focus for our least restrictive care steering group who are working with staff, patients and carers to reduce the levels of restraint within our inpatient wards.

“We report our rates of violence and restraint to the Scottish Patient Safety Programme Mental Health and it is clear that our median rates of violence and restraint do not make us an outlier with other mental health services in Scotland.

“People have told us about the impact restraint has on their mental wellbeing and we will ensure that their stories drive forward the reductions we are determined to achieve.

“We are acting on the recommendations in the internal assessment and are determined to make a difference and support our dedicated staff to deliver the best possible mental health services across Tayside.”

Ms Haughey said: “NHS Tayside have acknowledged that a number of recommendations from this report were required to be progressed as part of their mental health quality improvement programme, and this is a matter for the NHS Tayside board to deal with at a local level.

“Those who require it should have the best quality of care and the lessons learned from the ongoing independent inquiry into mental health services across Tayside will be shared widely to help shape and deliver future services to ensure this.”

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