As part of the CPD programme mentioned, I also had the chance to speak with a Mental Health in-patient who was said by staff who had known him for years not to have "any insight" in his condition they called schizophrenia. On one occasion, within less than one hour, he told me how he had arrived with his family as small boy in the UK one cold February. His parents had had high hopes coming to this country. So he felt unable to thell them that he was bullied at school, began to retreat into himself and started to 'always feel different.' No insight? This turned out to be the first of many similar observations. Dr Eleanor Longden: "The question should not be: What is wrong with you?' - but: What happened to you?"
Today I heard an interview with an internationally renowned choreographer who at one point talked about observing open heart surgery for research purposes and he mentioned that the surgeon was operating to music, "Bach in fact". That reminded me of a cholecystectomy (key hole surgery) I was privileged to observe when studying a CPD course 'Interprofessional Learning' together with health staff at a University in the south of England, in 2006. The focused atmosphere I am only a little hesitant to call sacred increasingly left me in awe. The young surgeon disappeared quickly down the corridor after the op was completed. It seemed he needed to be alone. This only reinforced the impression.
A bit late switching on BBC Radio 4's Any Questions last night, I was more than interested to hear (Jeremy Browne saying): "When will we realise the NHS failing is not about the money but the structures that need changing." From experinece I am inclined not to disagree. However, much better put I found what may be referred to here, by a GP (born and bred in the UK, practising in England and himself involved in the new local Commissioning Group: "In this country (unlike others) the role of health managers is - to block (rather than to facilitate) proceses." Ouch.