'Why doesn't person-centred care extend to vulnerable people?'

摘要

Does anyone ever look at the lofty principles organisations use to describe themselves? Do we think any of these actually make the transition to operational levels? I have worked alongside vulnerable people, such as those with learning disabilities or mental health problems, for more than 30 years. There have been some changes in that time. Currently, we like to think we are "person centred", where the fundamental idea is that the vulnerable person holds the power, not the nurse or carer. Many of our brightest minds have elaborated on this, and we now stand at a glorious crossroads where vulnerable people write their risk and support plans andlive their lives as they wish. Actually, no. In my current work, I lead teams that transfer vulnerable people between services in the UK and abroad, attend court hearings, funerals and so on.