It was Christmas Eve in the workhouse
The beadle was pissed as a newt,
The cold froze the porridge right over
And affected brass monkeys to boot.
The paupers looked forward to Christmas
As a time of indulgence and fun,
They got cocoa instead of cold water
A cracker, double porridge and buns.
The dinner was really the favourite
The thing they looked forward to best,
Featuring bulk issue reconstitute chicken
Which weren’t poorly but just looked depressed.
They could sing if they did it quietly
They could eat until they nearly felt full
They could kneel and pray extra long praises
Give thanks and other such bull.
So excitement were rising each minute
As Christmas came nearer their way
But just seconds before it struck midnight
A terrible voice said “Nay!”
“What bastard has pissed in me clog!”
(Twas the beadle who shouted in rage)
“For this no-one eats Christmas dinner
And I’ll put you each back in your cage.”
For he was a sensitive person
Who liked a laugh with the lads
But he got the hump at pissing in footwear
He’d borrowed that day off his dad.
“You’ll have nowt but stale bread and water”
Said he “Till the culprit owns up”
But no-one said they had done it
So the beadle locked them all up.
They spent the whole day bewailing
That their dinner had gone to the dog
And they cursed in despair that awful day
Someone pissed in the beadle’s clog.
But here comes that part of the story
The moral and pointed bit
That makes you see God’s got a plan
So you laugh and don’t give a shit:
The chicken was packed in Argentina
A friendly South American place
And was teeming and creeping with typhoid
That came from the old River Plate.
And so in the other workhouses
The paupers were dropping like flies
But as to this one it was only
The usual high average died.
And the paupers danced and sang praises
That they’d only had water and bread
Which doubled as a wake for the beadle who’d
Ate chicken and now was well dead.
So the moral we see quite clearly:
This is: God loves the poor,
And if you’ve only got bread and water
Why! he loves you ten times more.
So leave it all to your masters
It’s all for the best in the end
Don’t shout and be stubborn and nasty,
If the boss says bend, YOU BEND!
And the paupers have got a new beadle
Who never gets piss in his clog
Cos the typhoid that did for the old one
Also slayed his incontinent dog.
A Mental Health Act managers’ review is normally held at a hospital.
The following people will usually be there:
- The managers
- Your responsible clinician
- A nurse from the ward or your community nurse
- A social worker
- A hospital administrator
Your nearest relative may be invited if you want them to be there. If you do not want your nearest relative there, they can share their views in the reports of the hospital team. You also have the option of asking an Advocate to attend in order to give you support. In certain circumstances you can seek the attendance of a legal representative.
The managers will have read through the reports. Make sure you have had an opportunity to read the reports prior to the meeting. Remember that you can ask for the meeting to be delayed/adjourned if you have not had time to fully read the reports. After this the chairperson will give you a chance to speak. At the end of the hearing the hospital managers will decide if you should stay under your section or be discharged from it. Being discharged from the Section does not mean you are discharged from hospital – if the doctor suggests you can remain in hospital informally (that means voluntarily) then you are able to decide this for yourself. All three of the managers have to agree for you to be discharged unanimously. Even if only one of the managers disagrees then the Section will remain in place.
The government has put in place a number of precautions to prevent medication shortages regardless of what happens during Brexit. However, make sure to voice your concerns to your local Pharmacist. They’re a fantastic resource and can give you more up to date information on any medication that might be an issue and in case of any delays in obtaining them will know exactly what to do. The government has also introduced a “serious shortage protocol” for the antidepressant Fluoxetine, which allows pharmacists to give patients an alternative strength or form of the drug because of temporary shortages of some doses.
“My Government will bring forward proposals to reform adult social care in England to ensure dignity in old age. My Ministers will continue work to reform the Mental Health Act to improve respect for, and care of, those receiving treatment“.
Even if the Government is able to get this through Parliament approval – what does it mean.We keep waiting!!
The responsible clinician (RC) may not make a community treatment order unless—
- (a) in the RC’s opinion, the relevant criteria are met; and
- (b) an approved mental health professional states in writing—
- (i) that he agrees with that opinion; and
- (ii) that it is appropriate to make the order.
The relevant criteria are—
- (a) the patient is suffering from mental disorder of a nature or degree which makes it appropriate for that person to receive medical treatment;
- (b) it is necessary for that person’s health or safety or for the protection of other persons that he should receive such treatment;
- (c) subject to that person being liable to be recalled as mentioned in paragraph (d) below, such treatment can be provided without them continuing to be detained in a hospital;
- (d) it is necessary that the responsible clinician should be able to exercise the power under section 17 E(1) to recall the patient to hospital; and
- (e) appropriate medical treatment is available for that patient.