I think this is a really key paragraph - particularly in context with the previous weeks of reporting there has been for the inquest into Maeve's death:
It isn't a small number of people with very severe ME to get a response from given the level of debility (and level of care that means for carers who are often their family)
I hope that those who know less about this read this without caveats to realise this genuinely does say that we are talking about rule and not 'the exception' potentially on how bad things are if you are on the receiving end of what actually ends up happening.
perhaps not for this thread specifically but I'm thinking of this quote/research, and the 'known knowns' of those who are currently and have been in hospital and had horrific experiences eg Karen, Carla, Millie, Alice, and I won't list anymore because I will end up leaving out people whereas these are just intended as examples.
I think it has become time that we also need some more research to find out all the other 'bad pathways' people could end up stuck under and might never even be identified even if they died because of 'additional diagnoses' etc. such as people getting shipped into NHS or private mental health situations.
Maybe there are some people who get good care or 'better' ie less harmful and we are all so very understanding of the situation of the hospitals or whatever at the moment so we categorise it as that. But is that these days even happening? I mean we can assume there is some 'safe care'.
It feels like we need, particularly for those who are severe and very severe, some proper monitoring mechanism to stop their outcomes and what happens to them being disappeared and find out what is the state of play today.
Is the term really that there needs to be some form of 'surveillance' ie in the technical term where it is being used research-wise to see what is happening when people enter a system.
I also think there are lots of tricks and 'cracks' being used where people are getting trapped in that further need elucidating. We need to know these so we can plug them to make people safe and stop one pathway from just being switched to another dangerous one. But also I think it would really show things up to be able to plot this 'chart' - and I suspect there are initiatives and pathways and decision charts behind these things, we just need to start with the big picture to see where people are being sent. Or what issues are coming up. Is it really, even, just down to 'don't know'.
Prior to this the attack of people's testimony has been on major hurdle to this, particularly where an insinuation of 'maybe it was a mental health complication and there is more to it' is assumed as some excuse behind the story. I imagine this might cause some fun in even allowing a dot to be put on a graph for some individuals - can these things come with some sort of censorship? But we, or ideally if things are really changing somewhere in the system or oversight, need to plot what is really going on. where are people ending up getting sent and what is happening to them. I think one path/issue is becoming a bit clear/more obvious because of this, are there others?
But are there
actually patterns - and I think the LBC stuff showed to me how being able to find a way to get everyone counted helps switch the picture from it being one example people can write off to it being a bit more obvious, and importantly switching the focus from it being a 'pwme issue' to a 'how people are treating/seeing/dealing with pwme issue' when we start building up those pictures. And those commonalities can try and be sold as 'due to personality types' or other nonsense, but really c'mmon.
And of course at that level of severity people hesitate for even small procedures that are planned because of the impact on their health. SO things don't need to mean someone gets stuck for 6months in a bad situation for serious unnecessary harm - even being stuck on a plastic chair for 12hrs or noisy wards with exertion from being talked at for many days leaves a difference in debility that is very significant: it just seems to be written off.