Tag Archives: lambeth

South London Mental Health Carers Forum Update – July 2026

By Matthew McKenzie – Chair of the South London MH carers forum

Another month has passed, and I would like to thank everyone who joined our South London Mental Health Carers Forum. It was fantastic to welcome carers, NHS professionals, voluntary sector organisations and local authority representatives from across South London to discuss issues affecting unpaid mental health carers.

As always, the forum provides a safe place where carers can raise concerns directly with decision makers, hear about new developments, share experiences and help shape improvements across mental health services.

For those who were unable to attend, here is a detailed summary of the meeting.

Welcome and introductions

We welcomed carers from across Lewisham, Lambeth, Southwark, Croydon, Richmond and surrounding boroughs, alongside representatives from:

  • Lewisham GP Mental Health Transformation
  • Carers First Croydon
  • Carers Hub Lambeth
  • POWHER (NHS complaints advocacy)
  • Southwark Council
  • Carers with lived experience
  • Voluntary sector organisations

The strength of the forum continues to be its mix of lived experience alongside professionals willing to listen directly to carers.

One particularly encouraging update at the beginning of the meeting was confirmation that South London and Maudsley NHS Foundation Trust (SLaM) is reviewing its Triangle of Care work and wishes to involve carers more closely in that process.

This is extremely important because Triangle of Care is one of the main national frameworks that helps mental health services work better with families and unpaid carers.

Lewisham Mental Health Transformation Update

Our first guest speaker was Dr Anna Robinson, GP Clinical Lead for Mental Health Transformation in Lewisham.

Dr Robinson explained that one of her main priorities is improving communication between GP practices and specialist mental health services. She recognised that many of the difficulties experienced by carers occur during transitions, particularly when someone moves between primary care and secondary mental health services. To help address this, she has already begun bringing together GP leaders and mental health professionals, creating opportunities for closer collaboration and establishing direct communication channels, including a new WhatsApp group linking GPs with mental health clinicians so concerns can be discussed more rapidly. She hopes these improvements will lead to better referral pathways, clearer discharge arrangements and more consistent communication between services.

Improving communication between GPs and mental health services

One of the biggest priorities is improving communication between GP practices and specialist mental health services.

Many carers know only too well how stressful it can be when someone is discharged from secondary mental health care back to their GP.

Communication delays often create uncertainty about:

  • medication
  • follow-up care
  • relapse planning
  • physical health monitoring
  • who is actually responsible for ongoing care

To improve this, Lewisham has already begun bringing together GPs and mental health clinicians, including establishing direct communication channels so problems can be discussed much more quickly.

This was welcomed by carers, although many explained there remains considerable work to do.

Carers’ biggest concern: discharge back to GPs

This became the largest discussion of the afternoon.

Many carers expressed anxiety about people with severe mental illness being discharged from community mental health teams back to primary care.

Some of the concerns raised included:

  • GPs may not know the patient as well as specialist teams.
  • Carers worry relapses may not be identified quickly enough.
  • Missed appointments are sometimes an early warning sign rather than a sign that someone is well.
  • Some medications require specialist monitoring.
  • Communication between services is still inconsistent.

One carer explained that if someone experiencing psychosis fails to attend appointments, it should trigger concern rather than assumptions that everything is fine.

Another highlighted that patients can sometimes cancel appointments themselves, meaning clinicians may never realise there is actually a developing crisis.

Dr Robinson acknowledged these concerns and confirmed they are exactly the type of issues she wishes to improve through stronger collaboration between GP practices and specialist services.

Early identification of mental illness in schools

Another important discussion focused on children and young people.

One parent shared how concerns about their child’s mental health had been dismissed at school months before a serious psychotic episode eventually occurred.

This led to discussion about whether all school staff should receive training to recognise early signs of serious mental illness as part of safeguarding training.

Dr Robinson explained that Lewisham is expanding mental health support teams in schools and is also developing alternative services for young people because traditional CAMHS services remain under enormous pressure.

The discussion highlighted how earlier recognition may prevent future crises for some young people.

Universal Care Plans and identifying carers

During the discussion I raised the growing use of the Universal Care Plan (UCP) across London.

One area we discussed was whether GP surgeries are identifying unpaid carers more effectively.

Many carers are still not recorded as carers within GP systems, meaning they may miss out on:

  • health checks
  • vaccinations
  • support services
  • referrals
  • carers’ information

Dr Robinson confirmed GP systems can record carers through coding, but acknowledged this often depends upon carers identifying themselves.

This remains an important challenge because many people caring for relatives still do not think of themselves as “carers.”

Better identification continues to be essential if carers are to receive the support they deserve.

The discussion also broadened into medication safety, the role of GPs in supporting people with long-term mental health conditions and the identification of unpaid carers within GP practices. A carer shared her own lived experience of being misdiagnosed and suffering severe adverse reactions to medication before eventually receiving the correct diagnosis and treatment. Dr Robinson acknowledged that medication can sometimes initially worsen symptoms and stressed the importance of clinicians discussing potential side effects openly with patients.

As I raised questions about the rollout of Universal Care Plans and whether GP surgeries are preparing to identify carers more effectively through SNOMED coding and improved care planning. Dr Robinson explained that GP systems can record carers, although this often depends upon carers identifying themselves, and recognised that many people providing substantial care still do not see themselves as carers. The discussion reinforced the importance of improving carer identification, strengthening communication between services and ensuring carers are recognised as genuine partners in care rather than remaining invisible within the healthcare system

Carers First Croydon

Our second presentation came from Carers First, the organisation delivering carers’ services across Croydon.

Jessica and Toby introduced their service and explained how they are developing support specifically for unpaid carers, including those caring for someone with mental illness.

Although their service supports all carers, they recognised that mental health carers often experience unique challenges.

These include:

  • confidentiality barriers
  • crisis situations
  • unpredictable relapses
  • emotional exhaustion
  • isolation
  • uncertainty around care planning

Their presentation showed a genuine understanding of the pressures faced by mental health carers.

I agree. For a blog, that section reads more like meeting notes than an article. Here’s a much smoother narrative version that still captures the main points without relying on long bullet lists.

Carers First Croydon: Supporting Carers Before Crisis

The organisation commissioned by Croydon Council to provide support for unpaid carers across the borough. Jessica and Toby introduced the service and explained how they are working to ensure carers receive support much earlier in their caring journey, rather than only when they reach crisis point. Although the organisation supports carers of all ages and caring situations, they recognised that those caring for someone with mental ill health often face unique challenges, including emotional exhaustion, confidentiality issues, unpredictable relapses and the constant uncertainty that can accompany serious mental illness.

A key message throughout the presentation was that support for carers needs to be holistic. Carers First offers statutory carers assessments, practical advice, emotional support, peer support and wellbeing activities, but these conversations extend far beyond simply discussing the caring role. Staff work with carers to understand the wider impact that caring has on everyday life, including issues such as employment, finances, poor sleep, housing difficulties, physical health and emotional wellbeing. The aim is to identify the pressures that make caring more difficult and then work alongside carers to find practical solutions, whether through grants, referrals to other organisations, respite opportunities or local wellbeing services.

The presenters emphasised that many carers wait too long before asking for help, often believing they should simply cope on their own. By the time support is requested, carers may already be physically and emotionally exhausted. Carers First hopes to change this by encouraging earlier referrals from GPs, mental health services and carers themselves, allowing support to be put in place before problems become overwhelming. The earlier carers receive advice and practical assistance, the more likely they are to maintain both their own wellbeing and their ability to continue caring.

There was also a strong focus on carers’ own health and wellbeing. The presenters spoke about activities such as carers cafés, Qigong sessions, volunteering opportunities and wellbeing programmes, not simply as recreational activities, but as an essential part of sustaining carers over the long term. One particularly powerful message from the presentation was that self-care should never be viewed as a luxury or something to feel guilty about. Instead, looking after carers is fundamental to maintaining safe, sustainable caring relationships. By supporting carers emotionally, socially and practically, organisations like Carers First help ensure that carers themselves remain healthy enough to continue supporting the people who rely upon them.

Southwark Council Engagement: Safeguarding Review

Later in the meeting we welcomed representatives from Southwark Council, who attended to discuss the council’s current review of safeguarding arrangements and, importantly, to hear directly from carers about their experiences. The discussion recognised that safeguarding is not simply about responding to abuse or neglect, but about ensuring that people with mental health needs receive safe, person-centred care while families and carers are appropriately involved throughout the process.

The review aims to strengthen safeguarding by making it:

  • More consistent across services.
  • More proportionate to individual circumstances.
  • More person-centred and focused on outcomes.
  • Better at involving families and carers where appropriate.
  • More responsive to concerns raised by people with lived experience.

Council representatives emphasised that this was not simply a consultation exercise but an opportunity for carers to genuinely influence how safeguarding develops in Southwark. Those attending the forum were encouraged to continue sharing their experiences so that future improvements are informed by the realities of supporting someone with mental illness.

Questions and discussion

The discussion that followed highlighted a number of recurring themes experienced by carers across South London.

Several carers explained that they often recognise subtle changes in a person’s behaviour weeks before professionals become aware that something is wrong. As the people who know their relative best, carers felt that their observations should be taken more seriously when concerns are first raised, particularly where there is evidence of deteriorating mental health or increasing risks.

Questions were also raised around how safeguarding concerns are assessed and whether professionals always communicate effectively with families once a concern has been reported. Some carers described occasions where they were uncertain about what action had been taken, what the next steps were, or whether their concerns had been fully understood.

There was also discussion about balancing confidentiality with safeguarding responsibilities. Whilst recognising the importance of protecting an individual’s rights, carers emphasised that excluding families from conversations can sometimes mean valuable information about risks, changes in behaviour or previous crises is overlooked. Many felt that better communication with carers could strengthen safeguarding rather than compromise it.

Another important point raised was that safeguarding should not only focus on responding after a crisis has occurred. Instead, carers felt services should recognise early warning signs, intervene sooner where possible and view carers as partners in identifying emerging risks before situations escalate.

The representatives welcomed these reflections and acknowledged the value of hearing directly from lived experience. They encouraged carers to continue engaging with the review process so that future safeguarding arrangements better reflect the realities faced by families supporting someone with serious mental illness.

Lambeth Update

We were also pleased to receive an update from Karen Ibrahim, Mental Health Carers Coordinator at Carers Hub Lambeth, who shared a number of developments taking place across the borough to improve support for unpaid carers.

Karen explained that Carers Hub continues to expand its offer to carers, with several new initiatives now available. One of the most significant developments is the introduction of the Lambeth Carers Card, which is intended to help carers identify themselves more easily when accessing services and encourage wider recognition of the vital role unpaid carers play. Alongside this, Carers Hub has strengthened its welfare benefits support, enabling carers to access specialist advice on benefits, financial entitlements and income maximisation, an increasingly important service given the financial pressures many carers continue to face.

Another important area of work has been raising awareness of carers throughout local services. Karen described the continued delivery of carers awareness training for professionals, helping frontline staff better understand carers’ rights, the challenges families experience and why carers should be recognised as partners in care rather than simply relatives accompanying patients. She also highlighted the ongoing development of the Lambeth Mental Health Carers Group, which continues to provide carers with opportunities to share experiences, influence local services and receive peer support from others who understand the realities of caring for someone living with mental illness.

Questions and discussion

The discussion then moved towards some of the more difficult experiences carers continue to face within inpatient mental health services.

One issue raised was the safety of inpatient wards, with concerns expressed about incidents involving patient-on-patient violence and the emotional impact these situations can have on both patients and their families. Carers discussed the importance of ensuring that safety concerns are taken seriously and that families are kept appropriately informed when incidents occur.

Questions were also asked about how carers’ concerns are escalated when they believe someone is at risk or when communication between staff and families begins to break down. Karen acknowledged that these situations can be extremely distressing for carers and stressed the importance of maintaining open communication between inpatient teams, community services and families wherever possible.

The discussion also reinforced the wider importance of involving carers throughout a person’s mental health journey, rather than only contacting families during periods of crisis. Participants agreed that carers often hold valuable knowledge about changes in behaviour, early warning signs and previous experiences of relapse, and that this lived experience should be recognised as an important contribution to safe and effective care.

Karen thanked carers for continuing to share their experiences and encouraged everyone to remain engaged with Carers Hub Lambeth, emphasising that feedback from carers plays a vital role in helping improve local mental health services and ensuring carers’ voices continue to influence future developments.

Looking ahead

Our forum will continue bringing together carers, NHS services, local authorities and voluntary organisations to improve mental health support across South London.

If you are an unpaid mental health carer living in South London, you are always welcome to join us.

Together we can continue raising carers’ voices, influencing services and helping ensure that carers are recognised not simply as visitors to mental health services, but as valued partners in care.

Lewisham, Southwark & Lambeth carer forum update October 2025

The recent Carers Forum brought together unpaid carers, health professionals, and community organisations from across South London to share updates, experiences, and ideas for improving mental health support. The event, chaired by Matthew McKenzie, created a safe and open space for carers to connect, exchange information, and have their questions heard by local health leaders.

Setting the Scene

Matthew opened the session by welcoming carers from across Lambeth, Lewisham, and Southwark. He spoke about the importance of providing carers with dedicated time to hear from service providers, particularly those supporting someone with mental ill-health and to ensure their voices shape local mental health strategies.

Continue reading →

Interview with Ionie Hughes

Supporting unpaid carers is a greatly unrecognized yet profoundly impactful endeavor. In our latest interview from a series dedicated to highlighting those who go out of their way to aid and uplift unpaid carers, Matthew McKenzie had the opportunity to speak with Ionie Hughes.

Ionie talked about how she tries to reach parent carers through her charity, Socialising Angels, which is a C.I.C that was created to help reduce isolation, which focuses to help young adults with social, emotional and mental health needs.

You can watch the full interview below.

Drawing from her personal experiences and relentless advocacy, Ionie provides invaluable insight into the unique challenges and necessities of unpaid carers. Below, we delve into Ionie’s story, her organization, and the far-reaching influence of her work.

Training and Positive Influence

Ionie is trained in Rational Emotional Behavior Therapy, reinforcing her belief that altering one’s mindset and belief systems is crucial for overcoming challenges. She emphasizes positive thinking and speech, offering powerful encouragement and practical advice to other carers. Her ability to balance personal experience with professional training enhances her effectiveness as a support figure.

Socializing Angels: A Community Endeavor

About the Organization

Socializing Angels CIC, founded by Ionie in 2022 and operational since 2023, is based in Brixton. The organization aims to bring young adults with various disabilities into the community, providing them with social engagement opportunities. This initiative not only enriches the lives of the young adults but also offers respite to their parent carers.

Challenges of Running a Non-Profit

Running a community interest company like Socializing Angels comes with its own set of challenges. As the CEO, Ionie juggles multiple responsibilities without financial compensation, as most of the organization’s funds are directed toward service provision. The startup phase of the CIC is heavily reliant on external funding and the dedication of its founder.

Ionie’s work extends beyond service provision for her own son to advocating for and supporting other young adults and their families. This dual role often leads to overwhelming exhaustion and the risk of burnout. However, her steadfast commitment to both her son and her organization underscores the dedication and resilience inherent to unpaid carers.

The Unseen Challenges of Unpaid Carers

Daily Struggles and Lack of Recognition

Unpaid carers perform a plethora of tasks around the clock, often without recognition or financial remuneration. Their roles are multifaceted, ranging from advocacy to personal assistance and emotional support.

Ionie points out that unpaid carers frequently experience burnout due to the nonstop nature of their responsibilities. The mental toll of continually advocating and caring for a loved one, compounded by the financial strain of a cost-of-living crisis, is immense.

Integrity and Unwavering Commitment

Despite these challenges, the integrity and love that motivate unpaid carers are evident. They dedicate themselves selflessly to the welfare of others, driven by an unwavering commitment to their loved ones. This spirit of selflessness is emblematic of the unpaid carer community.

Essential Skills for Carer Outreach

Knowledge of Community Resources

For carers seeking to make a difference, understanding the community landscape is crucial. This involves attending meetings, forums, and various community events to stay informed and engaged. Personal interactions and shared experiences are key elements in creating a supportive network.

Empathy, Compassion, and Understanding

Ionie highlights the importance of empathy, compassion, and active listening in supporting fellow carers. Building a rapport and a community based on mutual understanding and shared experiences can provide both practical support and emotional solace.

Personal Experience and Advocacy

Personal experience is a powerful tool in advocacy. Ionie’s own journey has been instrumental in shaping her ability to help others. By sharing her story and the strategies that have worked for her, she provides a valuable blueprint for other carers seeking guidance and support.

Conclusion

Ionie Hughes’ journey and dedication shine a spotlight on the often-overlooked world of unpaid carers. Her relentless advocacy, personal sacrifices, and the establishment of Socializing Angels CIC stand as a testament to the incredible impact one person can have in making the world a more inclusive and supportive place.

Through recognizing and addressing the challenges faced by unpaid carers, we can begin to create a more understanding and supportive environment. It is imperative to appreciate and uplift those who selflessly dedicate their lives to the care of others, often without any form of compensation or recognition. Ionie’s story is a powerful reminder of the strength and resilience that define the carer community.

Southwark & Lambeth carer forum update September 2024

Welcome to a brief update of the carer forum for Southwark & Lambeth. The forum is facilitated by Matthew McKenzie, carer activist and author. The online carer led group runs once a month.

Quick recap

matthew, a carer activist, discussed the purpose of his online groups aimed at those caring for someone with a mental illness. There was also updates from a project to improve the Trust’s understanding of service users’ and carers’ experiences. The project, co-produced with service users and carers, collects stories to report back to the Trust’s Executive board and directorates, with a focus on improving services for people, particularly in mental health. The last presentation from Matthew McKenzie also discussed the challenges of navigating the mental health system, the importance of self-education and support networks, and the need for better engagement with mental health providers.

Carer Activist Groups and Service Improvement

Matthew, a carer activist, discussed his online groups for carers of individuals with mental illness in Lambeth and Southwark, aiming to tackle carer stigma and improve services. Debora, a Lead Commissioner Officer, joined the meeting as matthew spoke about his work on a book featuring carers’ stories.

We then had Morgan, present a project to improve the Trust’s understanding of service users’ and carers’ experiences. The project, co-produced with service users and carers, collects stories to report back to the Trust’s Executive board and directorates. matthew raised concerns about potential stigma and repercussions for carers sharing their stories, which Morgan addressed by emphasizing anonymity and confidentiality.

Initiative Discussion and Story Collection Project

After Morgan’s presentation, Matthew initiated a discussion about an initiative, seeking feedback and questions from the attendees. Morgan clarified that the project, originally set to end in November, had received additional funding from the Maudsley charity and was now extended till the end of September next year. The project aimed to improve services for people, particularly in mental health, by collecting stories from service users and carers. Morgan explained that the stories could be collected in various environments, including private rooms at libraries or community centers, to ensure comfort for the storytellers. The project also offered a £15 voucher for those sharing their stories. Morgan encouraged those interested in collecting stories to contact them via email. matthew then proposed to distribute the project details to his mailing list and Whatsapp groups. The conversation ended with matthew setting the scene for the next part of the discussion, which would involve sharing personal experiences and allowing carers to seek advice from the group.

More details on sharing your story below.

https://slam.nhs.uk/stories

Navigating Mental Health System as a Carer

matthew moved on to discuss the complexities of navigating the mental health system as a carer, emphasizing the importance of understanding one’s rights and the need for education in accessing mental health services. He shared his personal experiences as a carer for his mother with schizophrenia and his brothers with autism, and mentioned his role as an author, having written several books including working on his new book “Telling Your Story as a Carer“.

He also touched on his interest in poetry as a means of sharing difficult experiences. A carer member of the group defined navigating the mental health system as trying to get the best services in place for a loved one, knowing what services are available and implementing them. Another carer shared her personal experience of struggling to get her loved one recognized as unwell, which led to a difficult situation. The discussion aimed to educate the group members about the challenges and strategies involved in navigating the mental health system.

Navigating Mental Health Challenges and Support

A carer shared her experiences with her loved one’s mental health and the challenges she faced in accessing appropriate care, emphasizing the importance of a good General Practitioner (GP) and social worker. matthew agreed, highlighting the need for better support and guidance for carers. One carer discussed the challenges faced by their son in accessing mental health services, expressing frustration at the lack of support from their GP and the single access point.

Matthew Mckenzie then moved on to discuess the challenges faced by families and carers in navigating the mental health system, suggesting that the system should focus more on the families and carers. matthew emphasized the importance of understanding specific mental health conditions and the need for better education and support for those navigating the mental health system.

Effective Caregiving Strategies and Support Network Building

Matthew McKenzie emphasized the importance that carers work on self-education on medical conditions and treatment options, understanding the healthcare system, and building a support network. This needs support from professionals, but the more carers learn, the better.

He stressed the need for effective communication during appointments, the significance of care plan meetings, and the potential need to change GPs if communication is not effective. matthew also highlighted the financial aspects of caregiving, the importance of planning for emergencies, and the need for self-care. He encouraged caregivers to seek support from others and stay informed about upcoming healthcare policy changes. matthew plans to attend a session at Parliament to raise awareness of the group’s challenges and influence policy.

Navigating Mental Health System Challenges

Matthew discussed the challenges of navigating the mental health system, emphasizing the importance of understanding the roles and time constraints of various professionals. He suggested the use of local counselors as a potential resource and highlighted the role of organizations such as the Care Quality Commission and Integrated Care Boards in ensuring good value for money and meeting patient and carer needs.

Matthew also stressed the need for support for carers and the importance of lobbying and engaging with organizations like Patient Opinion and HealthWatch. He urged attendees to share their experiences to bring about change and not to isolate themselves. A carer shared her positive experience with a mental health provider and advised others to research and choose the right GP practice and doctor. matthew agreed, highlighting the value of support groups and mental health advocates. He expressed concerns about the lack of support from local mental care providers, but also stressed the need for better engagement with them.

Carer Awareness and Advocacy Discussion

Matthew McKenzie then discussed his experiences as a carer and his efforts to raise awareness about carers’ issues. He mentioned his involvement in various groups and his plans to share his insights on his YouTube channel.

Matthew also emphasized the importance of carers being identified and registered, and he encouraged the group to lobby for their rights. He mentioned an upcoming event with the MP and encouraged the group to attend. matthew also shared resources and promised to send a PDF summary of the meeting to the attendees. He ended the conversation by expressing his gratitude and wishing everyone well.

Healthwatch Lambeth to include black carer’s voices

Calling carers from Black African and/or Black Caribbean communities in Lambeth. There is an exciting project that asks for your views.

It has consistently been shown that black men have the poorest experiences and outcomes when it comes to mental health services. So Healthwatch Lambeth wants to hear your experiences of caring a male relative who has a Serious Mental Illness, been hospitalise as a result of their illness and then discharged to their GP.

This is a core part of Healthwatch Lambeth’s new mental health project and each carer would receive a £15 shopping voucher for their time.

The borough of Lambeth want those to recover, stay well, and lead a fulfilling life.

Lambeth Healthwatch also wants to talk to carers as they play a key role in supporting people with a Serious Mental Illness.

To share your views, please contact Anna D’Agostino at 07737 599224 or email Anna at anna.dagostino@healthwatchlambeth.org.uk

Bringing the Lambeth community together for health and wellbeing.

Welcome back to another blog by carer activist Matthew McKenzie. I run many groups aimed at those caring for someone unpaid. They could be caring for someone suffering mental illness or caring for someone affected by cancer. One of the groups I run is the Joint Southwark & Lambeth mental health carers forum.

So I was delighted to attend a fun filled community event over in Lambeth.

The weather was perfect for the health event. The event focused on the Lambeth community and beyond. It was a way to bring the community together.

We all have something in common, just as we all have importance in health and wellbeing. So it was a fun afternoon where everyone could come together and learn what the borough of Lambeth if providing for the community.

The event was called “Thriving Vassall and Coldharbour Health Day”. It took place over at Wyck Gardens on the 21 July 2023 from 3pm to 7pm.

When I attended the wellbeing festival, the first thing I noticed was how everyone was enjoying themselves. There was no fussing or fighting, people were relaxing, enjoying the music, learning about health and eating the food provided.

I met up and chatted with Karen Hooper who is a carer and does so much to promote community links in Lambeth.

I then spoke to stall holders at Age UK Lambeth, Disability UK Lambeth, Kooth stall, SHARP Gallery and more.

The Wellbeing Festival provided fun for all the family. Workshops and activities to help attendees stay fit and healthy. It was great to see a focus on young people’s mental health from the Kooth stall.

We also had stalls from South London & Maudsley regarding mental wellbeing services.

Involvement and providing feedback on health services is so important. So it was great to see Lambeth Healthwatch giving advice and information at their stall.

I noticed there was Jewellery Making and Face painting for children attending as it is great for young people to get creative. There was also a bouncy castle.

There were other Stall holders including Lambeth Childhood, Active Lambeth, Primary Care Network engagement (especially from the social perscribers). We also had stall information from Moasaic Club House, Certitude, Loughborough Farm, Buzwakk Recording Studio, Big Kid Foundation, Repowering London and Lambeth Libraries.

We also had some great singing performances on the day.

With so much bringing the community together, I enjoyed my visit to the Health and Wellbeing day, everyone was friendly and many wanted to chat about their services to help the community.

A big thank you to the main organisers Anthea, at Thriving Vassall & Coldhabour (Fiveways), Surjit from Ecosystem Coldharbour and Kamika from Chips and to everyone who came to the event.

Joint Southwark & Lambeth MH Carers forum February 2022

Welcome to my latest update for joint Southwark & Lambeth carers forum. I have been unwell with COVID for the past week, but due to my previous vaccinations the affect was not so horrible. If I did not have the previous vaccinations I am sure the COVID would have been 10 times worse. If you are caring for someone vulnerable please get the vaccination as you cannot always avoid catching the virus. It is good to have some form of protection rather than nothing.

Speakers for my February forum were

  • Southwark Heathwatch
  • Lambeth Healthwatch
  • Kieran Quirke the Mental Health lead from Kings College NHS FT

Just a quick reminder, the aim of my carer forums is to allow unpaid carers who care for someone suffering mental ill health, get a chance to network and hear updates on what the services are doing for carers and for those using health & social care services. My carer groups cover half of London.

  • Megan Isherwood and Gosia Kaczmarczyk from Southwark healthwatch presents

There have been a few changes over at Southwark Healthwatch and it had been a while since they attended the group and engage with unpaid carers. Megan who is the research and projects officer at Southwark Healtwatch gave us a quick introduction on some of their projects. Megan also let my group know how they could get involved with Southwark Healthwatch and their upcoming events.

Megan mentioned that there is a Healthwatch in every area of England, and they were created from the Health and Social Care Act of 2012. Healthwatch are a statutory organisation. Healthwatch are funded by the local authority that being Southwark council, but healthwatch Southwark are very much independent. Healthwatch Southwark hosted by community Southwark and has helped them to work closely with the voluntary community groups in the area of Southwark.

Basically Healthwatch Southwark want everyone who lives in the London Borough of Southwark to be able to access and receive the best possible health and care services appropriate for our diverse community. As a reminder Healthwatch Southwark are the independent champion for the patient voice.

So Healthwatch are here to represent the local community and make sure that services work for those in the borough of Southwark. So this means that they listen to local people about their health and social care needs and experiences. Healthwatch Southwark helps patients and service users voice their views and concerns in order to make services better and more suited to their needs. Healthwatch also have a signposting function. So they can provide advice and information helping people to navigate the very complicated health and social care system. Healthwatch knows that navigating the system can be a real maze, but as an extra form of empowerment they also promote patient involvement in shaping services.

This can mean helping people to get involved in health and social care decision making bodies and processes. Megan continued to talk about how their community engagement can lead to different ways for local people to have their say. Regarding generic experiences this can be both online and in person. Healthwatch also have the power to enter and view services, like GPS, hospitals care homes. Healthwatch can go in and observe them and find out the views of patients and staff.

Healthwatch Southwark connects with local voluntary and community organisations and work collaboratively with them. Healthwatch conducts research, and works on reports and give recommendations to health commissioners (Southwark CCG). Healthwatch also influences boards and committees particular the Southwark Council health and wellbeing board.

Healthwatch feeds into monitoring systems and consultations and they share these concerns with commissioners to make sure your voice is heard and to aid directly into influence change. Megan wanted to finish up her talk focusing on mental health, so she talked about their recent mental health services project. This was a recent report on the mental health services which is published their website site. It came about due to a workshop held in January, where lots of people attended, and there were representatives from South London & Maudsley hospital where they presented their formal response to the report. The report basically identified the key themes and areas that about unmet needs around SLaMs adult mental health community services provision where Healthwatch made recommendations to them on how to address these unmet needs.

The report involves carrying out a survey to find out people’s experiences of the services. Healthwatch focused on issues of access, waiting, suitability, impact and staff. So in the end Healthwatch received 81 responses, which was from service users and carers. The key findings were that the Southwark improving access to psychological therapies, which is IAPTs on if you’re talking therapies, and also the community mental health teams, which were the most used services, followed by crisis services, integrated psychological therapy teams and assessment and liaison services.

Since my carer forum tends to focus on wellbeing, the next section was from Gosia Kaczmarczyk who is Southwark Healthwatch Community Engagement Officer. Gosia did a wellbeing meditation session online for the group to experience. Gosia then went on to talk about the volunteering opportunities at Southwark Healthwatch.

Since Southwark Healthwatch do the enter and view programme. They are going to be working on induction training to train these representatives in the coming months. They will also be recruiting for community engagement.

Healthwatch will also recruit for committee health ambassadors where those interested can even become an advisory board member. Such opportunities can have an impact on how healthwatch do their work and what they are focusing on. It is like a really important part. Volunteers can also help guide healthwatch on their upcoming events.

Anna D’Agostino from Lambeth Healthwatch presents

After the talk and engagement from Healthwatch Southwark, it was now Healthwatch Lambeth’s turn to talk about what they do. Anna who is the Engagement Lead for Mental Health gave the carers an overview of what Healthwatch Lambeth does. Anna also reminder my forum that Healthwatch was established in 2013 as a charity, where each part in England has a HealthWatch. In fact there are around 150 Healthwatch organisation throughout England. Anna mentioned it was established to give the people a stronger voice on how health and social care services are really set up and in some cases challenge the way that they are actually run those services. This is why healthwatch really want to hear people voices.

Healthwatch contacts people, liaise with them and gather their feedback, and then they contact the providers to see how services can be improved.

As with what Healthwatch Southwark does. Healthwatch Lambeth does Enter and View – Where they visit commissioned services, interview service users and staff suggest how the service can improve.
Healthwatch Lambeth also do Information & Signposting – they help people find the information & services they need and signpost them to organisations that can provide support.

Anna wanted to talk about a particular project Healthwatch Lambeth are currently running this is in regards to healthcare during the Pandemic.

Healthwatch Lambeth want to talk to people with mental health needs and their carers
How easy or difficult was it for you to access healthcare?
Did you get the support you needed?
Where you offered an annual health check?
Were you offered Covid-19 testing and/or the vaccine?

Kieran Quirke From Kings NHS trust presents

Kieran gave us a brief update from King’s College Hospital NHS Foundation Trust. Kieran admitted that since the last time he came to the group, a lot of the projects have been put on hold because the Omicron virius (a varient of the corona virus). It is only in the last couple of weeks, things are starting to get back towards a state normality however one of the first things to mention is that visiting the hospital is now back to to visitors or patients across the majority of sites, which is an improvement.

Kieran mentioned that Kings NHS trust can hopefully start moving forward on some of the John’s campaign stuff, which I stalled during the pandemic where the dementia and delirium team are leading. Kieran mentioned two important things to mention updates where the first was the launch of their butterfly Cafe dementia group, which is due to start on the 8th of March in the afternoon, and they have got a venue for that where it is going to be held at the institute of psychiatry, They have got a room within the lounge area. Where that will be running monthly.

It’s free to attend. There’s no ability to provide transport, unfortunately, but there is wheelchair access and there will be some refreshments.
It is also going to be supported by KINGs NHS volunteers alongside some of their community partners. All they need to do is email in advance to say they’re coming where there is a bit of a chance to plan for numbers that is needed to provide for.

Another update is joint working with Mosaic clubhouse, where they come in and engage with some of their medical patients. This project was unfortunately delayed because of the pandemic. So it has taken a little while to get it back up and running. They are looking to launch in March, although it is a pilot and will initially work with four wards being medical wards. If there is a patient with a mental health concern, that is within the psych liaison threshold, The ward can then refer to Mosaic Clubhouse and Mosaic will send to a member of staff and a service user who will come and visit and spend some time with the patient and talk them about signposting Community Services, and then potentially revisit if need be, it’ll be on the medical wards, so there’ll be probably quite short, brief interventions. But that’s another really positive development.

The last update is that they plan to develop a new carers policy. This is one of those projects, which has been suspended and suspended, but hopefully now they will start to get the wheels rolling underneath it. The final update is for Matthew to get involved in KINGS NHS carers day celebration.

This is my update for my Joint Southwark & Lambeth mental health carers forum for February

Joint Southwark & Lambeth MH Carers forum January 2022

Welcome to the first joint Southwark & Lambeth mental health carer forum. As usual the forum brings together unpaid carers from both London boroughs and beyond to seek engagement from mental health, health & social care services. There will at times be national speakers or I might talk about carer empowerment or carer awareness from my books.

Speakers for January were

Cristina Clarke – Non Regulated Staff Code of Conduct Project
Lee Roach – Lambeth reflections on carer focus
Alice Glover – SLaM involvement structure breakdown

Cristina Clarke presents

Cristina explained a little bit about her role and work that she is doing to support the nursing Directorate. The project is specifically on unregulated staff code of conduct that they are currently reviewing. Cristina is a nurse by background where she is supporting the Deputy Chief Nurse for the trust to look at the policies and the clinical policies across the Maudsley NHS Foundation trust. Cristina is also working on safer staffing. One of the things that they have done recently, is set up a service user and carer review group looking into such policies. It is true that in the past policies can often be quite dry, quite long, lengthy, and at times don’t always have the voice of people using the services and haven’t always been scrutinized appropriately. So they have had to set up a group where service users and carers get involved, unfortunately they are low on carers, in fact, most of the people in the policy review group are service users, so they really want more voices from carers to help review clinical policy going forwards.

The thing is it’s not only policy regulation, but it’s related to staffing. They have got a code of conduct for the NHS trust, which is for those who aren’t sort of governed by a statutory agency. For example where the nursing workforce are governed by the National Nursing Midwifery Council, or medics are usually members of the GMC. SLaM have recognized that there’s a huge proportion of the workforce, including peer support workers, and psychologists, clinicians that don’t have a code of conduct. Still the Trust has regulation policy but it’s quite old. So they have been reviewing it and wanting to bring it up to date with national guidance. They are looking at aligning the policy with the trust strategy that was reviewed recently. Cristina mentioned that they are really keen to get some feedback from service users and carers, because it effects such a huge part of The workforce who are providing care day in and day out.

Cristina reminded us if anyone was interested in getting involved in policy review they actually have got some focus groups coming up. If they want to just have a read a bit and get some feedback, whether it be in a quite a structured way, or if it’s just informally just having a chance to read and feedback is all that is needed.

Alice Glover presents on involvement at South London & Maudsley

It was now Alice Glover turn to present. She is one of Muadsley’s Patient & public involvement leads. Alice actually attends my forums from time to time, and she wanted to talk about encouraging people to get involved at the NHS trust if the can. Alice and SLaM are really keen to get more carers / family carers to be involved in some of the NHS trust improvement work. Alice mentioned it was quite timely hearing what Christina had just talked about, because that’s a really good example of how people can get involved in helping improve the services. Alice moved to talk a bit about what the involvement register and how it works in terms of opportunities for people to review the policies.

The involvement register is literally a list of people who have experience of the SLaM services, either as a service user, or as a family member or carer, once you’re on this list, you can be paid for your time, if you help Maudsley services with service improvements. So the people that are in the group that Christina talked about are actually members of the involvement register, they may come together and meet once every six weeks. People can be paid for their time during the meetings, but they are also paid for their time if they’re reviewing documents.

Alice mentioned she understands that there maybe challenges around they’re carrying responsibilities but also people may be working. So for carers, it may be really important to have opportunities to comment on documents in their own time when it’s convenient for them. If they are able to get on the involvement, register, then there are differences that people can be paid for their time. And the payment rates are 10 pounds an hour for reading documents outside of meetings, if you’re on a Zoom meeting or a team’s meeting, and you might be using your data, then the payment rate currently is 15 pounds an hour. And you can do up to 30 hours a month. On the involvement register, it’s a very ad hoc, most people don’t do anywhere near 30 hours is completely up to you. Most people would do maybe a couple of hours a week before that.

I produced a list of involvement operations which Alice started talking about at length. Alice mentioned the list is quite a broad list. Each of the departments have collated a list of the sorts of things that people are involved in. Alice mainly covers Lambeth and Southwark. In those boroughs there are advisory groups. This is were there are a group of people with lived experience who meet every month and discuss service improvements.

Alice finished up her talk stating that a staff member or manager might come along to the advisory groups and say what projects they are thinking of doing, it could be thinking of making a change to the inpatient services and they want to know what the group thinks about it. As a carer, or family member, they can bring their own perspective and say, “Well, that might work. But have you thought of this?”

Alice feels that when people are designing services, historically, there have been times when the carers perspective hasn’t been included, and Maudsley NHS are trying to work harder to make sure that does happen. So advisory groups meet every month and basically they are a group of people giving advice around their lived experience.

Lee Roach presents on how Lambeth MH services have been engaging with carers

Lee Roach who has been supporting the forum wanted to run through some of the support that Lambeth MH services have been providing to carers. SLam now have a dedicated carer support service. There is carer support service for psychosis and bipolar. They predominantly have been operating their meetings by phone during the during the pandemic, plus they have a monthly support group where they run over teams a bit like matthew’s carer forums, which are kind of moderately well attended. It seems people have contacted by phone rather than using using online technology for groups. The Lambeth services usually have around 100 contacts a month with carers.

There are other means of carer support in the form of ward carer champions. Lee mentioned that the carer champions are individual staff members who are either based in one of their teams. So either at the ward or in one of the community mental health teams. They have been able to maintain a register of carer champions in all of their community mental health settings. So for the short term, their Lambeth support services the focus within the home treatment teams and all of the wards in the hospital who have got carer champions.

Lee continued stating that the way that they support them is that they have a forum every two months, which they share with Southwark support staff. So Southwark & Lambeth carer champions tend to meet and update. They have also been running these online groups, which have been reconfigured a number of occasions, around dates and times and things. Although online meetings are quite successful with community carer champions from the Lambeth community teams, there are not so successful with the impatient carer champions. So Lee is looking at probably running inpatient face to face groups as soon as possible with the carer champions.

The idea of these meetings is that they can share good practice. So some of the things that weren’t on the wards might not be working as effectively on those mental health teams. Some of the issues might come up against, and also just an opportunity for for those of us dealing with carer’s role in Southwark or Lambeth to kind of update them on changes across the trust new initiatives. These things could be like what will have an impact on carers. As mentioned Lee has been running a Lambeth inpatient family and carers group. These run every two weeks. Where it is a virtual meeting where they use the Microsoft Team’s platform. Lee has to request carer details from the impatient team managers and the carer champions where he gets in contact with carers and then he explains about the meeting, and then invites them along.

Lee also talked about support from matrons at the hospital who come along to the online carer support groups. They are joined by the community pharmacist to answer questions about medication that carers might have. Lee is also involved with Carer’s Lambeth Hub, where he attends a number of different meetings that they run carers collaboration. These groups usually discuss carers strategy where to make sure South London and Maudsley are finding out what’s going on with other carer organizations.

So that we can make sure that our people we’re working with about that, and also that we’re involved in black thrive, Lambeth wide initiatives around carers and Lee attends Matthew’s National triangle of care meetings, this is where South London & Maudsley is working on there triangle of care audit. There are going for their first star.

Joint Southwark & Lambeth MH Carers forum August 2021

Welcome to a brief update of my Joint Southwark and Lambeth Mental Health carers forum for August 2021. There was no speaker for that month so I presented on the following being:

The Importance of carer involvement

Plus I also presented on Carer empowerment

Funnily enough the turn out for the joint forum was very good and to be honest I couldnt present for a long while due to carers speaking to each other on how things have been developing for them.

Continue reading →

Joint Southwark & Lambeth MH Carers forum July 2021

Welcome to the July update of my Joint Southwark & Lambeth Carers forum. The forum is focused on unpaid carers who care for someone suffering mental ill health.

Speakers for the July forum were

Carol Ellis: Promoting her son’s book regarding surviving suicide

MP Helen Hayes – Speaking about carer updates for the boroughs

Dr Natasha Tyler – An associate Researcher from University of Manchester

DR NATASHA PRESENTS ON HER RESEARCH.

Dr Natasha started off by saying that as a researcher from the University of Manchester at the patient safety Translational Research Center. She has been working with Matthew probably for about three or four years now. He’s been involved in quite a bit more research and she was just going to give a little bit of an overview about involving carers in quality and safety research. Dr Natasha wanted to speak a little bit about involving carers in quality and safety research.

Continue reading →