NHS hot topics Mental health-Emotional, psychological and social well-being of an individual. Impacts how we feel, think, talk and handle stress and determines whether we make healthy choices. Mental health important at every stage of life as it can overlap and also affect physical health which is just as important. How COVID has affected mental health:-Domestic abuse rates higher, suicide rates, self-harming and families unable to see sick ones in hospital in their last moments. -HCP at hospitals PTSD long working hours and number of deaths seeing is not easy – for staff there will be specialist mental health care and for more extensive problems specialist centre of excellence -Lockdowns and pushing families and elderly into isolation-Financial difficulties for those who have lost their jobs -Parents difficulty children going to school extra responsibility to provide food etc -Cancelling of eye operations and cataract removal- affect elderly pushing them deeper into anxiety. Problem of electives. Issue of women with perinatal mental health issues developing anxiety and depressionLots of funding per year goes towards eating disorder problems like bulimia and diabetics who lower intake of insulin to lose weight so seek mental health therapy about body image part of NHS long term plan -Access to services can be difficult postcode lottery for mental health so analyse which areas go to A and E for this and then provide more services there – pilot scheme those will get carewithin an hour who come in with mental health problems Confidentiality Confidentiality is a duty that is set out by GMC guidelines that doctors must follow. It is whereby any information shared from a patient is kept private between themselves and implied consent between the healthcare team and not revealed to any third party. Can only be breached in certain circumstances where the patient has consented, if not doing so then other people will come into harm and where a patient may lack capacity and revealing information may benefit them more. Confidentiality is important to build trust and comfort of patient. If not a thing patients may not come in at all and may reveal less information to doctor making job difficult for doctor to care for patient and may lead to inaccurate diagnosis that may be more harmful for the patient in the end. Important to know boundaries of confidentiality and when it can and cannot be breached. -Maintain doctor and patient relationship-Where it must be breached for justice to society and patient safety Effect of patient safety, effect breaching has on colleague or patient itself, any other alternatives other than breaching? By breaching confidentiality it may infringe upon patient autonomy and trust but in certain situationsautonomy is not always absolute.
Beneficence and non-maleficence- -Benefits another from harm or may benefit the patient-May cause more harm to patient than good and impact mental health and may not come in future so long term harm and consequences to health as a result of breaching confidentiality.