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Doctors' Mental Health at Tipping Point

Published 3 Sep 2018

Doctors' Mental Health at Tipping Point

Patients rely on doctors to look after their mental health but is enough being done to help the doctors when they are the ones with problems? There are concerns that some medical professionals in England are unable to get the help they need.

Mentalhealth

In 2017, 26-year-old junior doctor Sophie Spooner suffered a panic attack while working on a paediatrics ward.

Twenty-four hours later, she had taken her own life.

Her mother, Dr Laurel Spooner, believes her suicide was the result of depression which she had struggled with in the past. She had previously been diagnosed with bi-polar disorder.

"She was looking for a mental health service that would have understood her mental health problem in the context of being a doctor," Dr Laurel Spooner told the BBC's Victoria Derbyshire programme:

"If she could have seen somebody… and had the right medication, I expect she would still be here."

'Incredibly high risk'


Figures from the Office for National Statistics, covering England, showed that between 2011 and 2015, 430 health professionals took their own lives.

The NHS Practitioner Health Programme (PHP), is the only confidential service that offers doctors a range of assessments, treatment and case-management for all mental health problems.

But doctors can only self-refer to the PHP, without the need to tell their Clinical Commissioning Group (CCG), if they work in London.

Others can access the service, but in telling their CCG they consequently lose their anonymity.

Its medical director, Dr Clare Gerada, says: "Doctors are at an incredibly high risk for mental illness," she said. "Female doctors have up to four times the risk of suicide in comparison to people in the [general] population."

In 10 years, the PHP has helped more than 5,000 doctors, of whom slightly over two-thirds were women. The average age has dropped from 51.6 years to 38.9.

But doctors can only self-refer if they work in London.

Other doctors can access the service, but they must do so via their local clinical commissioning group (CCG), thereby losing their anonymity.

In texts to her mother before she died, Sophie Spooner said she feared she would be sent into hospital if she revealed her mental health issues and her colleagues would find out.

She also expressed her anger at not being able to access the PHP confidentially because she worked outside London.

'Last taboo'


Dr Gerada says the lack of confidentiality is a barrier and wants NHS England to extend the London approach to any doctor who needs support.

She believes acknowledging that doctors also have mental health problems is "the last taboo in the NHS".

Louise Freeman, a consultant in emergency medicine, says she left her job after she felt she could not access appropriate support for her depression.

"On the surface you might think 'Oh, doctors will get great mental health care because they'll know who to go to'.

"But actually we're kind of a hard-to-reach group. We can be quite worried about confidentiality," she said, adding that she believes doctors are afraid of coming forwards in case they lose their jobs.

"I was absolutely desperate to stay at work. I never wavered from that."

One of the biggest issues, according to Dr Gerada, is the effect on doctors of complaints from the public, which she says can "shatter their sense of self".

Sophie Spooner's death came two months after a complaint was made against her.

Nine months ago, consultant anaesthetist Richard Harding took his own life. A serious complaint had been made about him to the General Medical Council.

He was eventually cleared but the process took five months.

His wife Kate Harding, a GP, says it brought back depression he had not had for years.

"Those five months just felt endless. Even after the complaint had been shelved, he was the type of person - afterwards - who questioned his decisions a lot more.

"The effects are more long-lasting than you'd expect. I don't think it occurred to him to seek help."

Anna Rowland, assistant director of the GMC's fitness-to-practise department, said the organisation had made major reforms to its processes, with an emphasis on mental health, to ensure vulnerable doctors were identified and supported.

She said: "We're committed to continuing this work, and we're also keen to influence the way wellbeing is approached by other healthcare leaders through independent research... health organisations must come together to tackle these important issues."

NHS England said in a statement: "We launched the NHS GP Health service in 2017, a world-first, nationally funded confidential service which specialises in supporting GPs and trainee GPs experiencing mental ill health and which has already helped more than 1,500 GPs.

"NHS Trusts and clinical commissioning groups may offer additional support for professionals in their area, for example CCGs in London have commissioned the NHS practitioner health programme for their staff."

But Dr Laurel Spooner says more support is needed.

"If we don't learn lessons from this, these deaths will go on happening," she says.

Are you surprised by these rates of suicide amongst doctors?

7 comments


Eddyyy
on 04/09/2018

This is terrible...we should be protecting our healthcare professionals not making them feel guilt for being human.


avatar
Unregistered member
on 17/09/2018

Doctors are under tremendous pressure these days. They are made to work very long hours without sufficient breaks to rest or nourish themselves. They need to be supported by their seniors. When under such pressure of work, mistakes are liable to happen. It is bad enough that doctors  make errors  of judgement under pressure, but it is worse when their seniors condemn them instead of supporting them. Sure,when they make serious mistakes, they are liable for their actions. But that does not mean  they do not deserve support from  their seniors. These doctors have the rest of their lives to repent for their errors. it would make it easier for them to bear and not drive them to suicide. That's my opinion any way.


JosephineO • Community manager
on 18/09/2018

@nineteen_gale Yes, you are certainly right. The statistics are shocking and we do need to support our health care providers.

What do other members think?


avatar
Unregistered member
on 18/09/2018

Thank you Josephine0


Pippadog • Ambassador
on 05/11/2018

There is and has been a lack of Mental health care available for many years especially if the hospital didn’t have a mental health ward.

Mental health care has not been available to everyone, there is a high demand on the service.

we should look after our doctors all medical staff, ambulance staff, firefighters and police but most of all everyone.

The government have got a lot of work to get the Mental Health Service up to the standard required 

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