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The ICMP team West Locality at Yeoman House demonstrated to me just how time pressed their working lives are by not attending my son’s CPA meeting this week at Memorial Hospital because “it wasn’t going to be a Section 117 meeting and their time would be better utilised elsewhere”. My son’s current CCo did inform me he wasn’t attending due to the reason I have just given which highlights to me he has a work load that is impacting on his priorities. It also highlights the fact that the Memorial Hospital location is hard to reach and involves a lengthy journey by public transport.
There was no written contribution in his absence. In fact there was no written agenda of the CPA given to me to refer to or indeed a written copy of the previous CPA for me to refer to. I did not know who had been invited to attend or who could not attend.
I have seen a greater number of staff and professionals at Ward Rounds than I did at this week’s CPA meeting.
I did receive a timely apology from my son’s psychiatrist who is on annual leave.

Hi, is there any support available to bottle feeding mothers? There is so much information and support for breast feeding, but I cannot find anything easily available for bottle. In particular a physical support group to attend with a bottle feeding consultant type person present to assist with advice & queries.
Many thanks

Dear Ruth

Thank you for taking the time to post your query on the website.

A member of our health visiting team will make contact with you directly.

The health visiting service in Greenwich provides Health Advice drop in Sessions across the borough on each day of the week. These are staffed by our experienced health visitors and nursery nurses who are all skilled in advising parents on infant feeding, including both bottle and breast feeding.

You are welcome to attend any of the sessions where the team would be pleased to speak with you.

You can find the Health Visiting timetable for these sessions here:

There is also information available to support you with infant feeding here:

Your local children's centre will have a programme of parent and baby drop in sessions where you can meet other parents. You will be able to find out more about your nearest Children's Centre here:

Kind regards

Ellen Shelly
Head of Public Health Nursing 0-4 years

I have depression a lot of my life. I don’t know if TMS would work for me. I would like to try it and would like to know how much I would pay per session. I take sertaline 200mg every day but I does not give me much relief. My doctor said it is not available on the nhs.

Thank you for your email Martina, and I'm sorry to hear about your ongoing struggles with depression.

rTMS is a new technique with some evidence for the treatment of depression (though this looks no better than 'ordinary' treatments and it can be hard to work out for whom it might be best suited).

rTMS is available in some NHS locations, including Oxleas, although referral for that needs to be by a consultant psychiatrist who feels, with you, that other talking therapies or medications would not be preferable.

You might wish to have a discussion with your GP about whether or not you feel together you have been able to manage your depression or not, and whether you might need a specialist review in mental health services. We could not promise that rTMS would be given, but it could be considered. I understand that rTMS is available in the private sector but unfortunately that is not something we can advise on.

Yours sincerely

Dr Derek Tracy
Clinical Director

I can't thank Norman ward enough for the care and support they gave me after my overdose. If it wasn't for them and in particular Egbe who was my primary nurse I honestly wouldn't be here today.
Thank you all for helping me stabilise my condition and making me feel safe.

Dear Mrs D

Thank you so much for the lovely compliment regarding your recent stay on Norman Ward.

Our teams work hard to provide high quality care and its very encouraging for them when a comment such as this is received.

I have ensured that the Norman Ward team are aware and they are delighted to have been able to help you. We will make sure Egbe gets a special 'thank you'.

Best wishes

Estelle Frost
Bromley Service Director

I will like to truly thank all the staff at Oxleas NHS Greenwich Community Services most especially the Podiatric Surgery Service in SE18 2AE. For a while now, I have been very skeptical about the direction of the NHS however, the rate of speed at which I was seen to from Consultation to surgery within 6 week wow, what a result. I want to specially thank the Dermatologist Surgeon Ms Caryn Motimer for keeping me calm during the minor surgery procedure, she talked me through the process making feel at home. Thank you Caryn God bless you.

Dear Ayobambo

Many thanks for you kind words, we really appreciate that you have taken time to feedback to us regarding your experience. We will pass your comments to the Caryn, who will appreciate this feedback.

We are pleased you had a good experience and wish you well for the future.

Kind regards

Angie Miller
Service Manager for Adult Community Services (Greenwich)

I am complaining about the physiotherapy services for Bexley residents that have complex needs.
once again, their hydrotherapy service has come to a halt.

but this apart, why does Bexley adults with learning disabilities not have any physiotherapist service. its an appalling situation which affects the some of the most vulnerable people in Bexleyy. even when and if a physio is in post, if it is the same as in the past, it will only be 1 person to serve the whole borough of bexley for 3 days of the week.
how on earth is 1 person supposed to supply all the physio thats need for these people.

its so bad that we have to pay £55 per week for private physio for our daughter. As she receives NHS/CCG funding we should not have to do this, but what else are we supposed to do.

Dear Pamela

Thank you for your comment on our website.

The Bexley Learning Disability Team is committed to continuing to provide a physiotherapy service for people with a learning disability.

As you are aware, our current physiotherapist is leaving her post at the end of this week. The position will be vacant for a short period of time whilst we recruit into the post. We can advise that we have successfully interviewed for the post and will write out to parents and carers to advise them when we have a start date for the new staff member.

While we have this vacancy we cannot, unfortunately, operate a hydrotherapy service as we require two physiotherapy staff to meet the safety requirements of the pool.

Hydrotherapy sessions are not run on a continuous basis but for a course of six to eight sessions followed by a break to allow other clients to access the service. Following a break, sessions are restarted if assessed as beneficial for the service user.

I hope that this provides reassurance about the future of the physiotherapy service within Bexley.

Kind regards

Helen White
Bexley LDT Team Manager

this looks good is it still in action? do you have a hydrotherapy pool?

Dear Sarah

Sorry for the delay in responding to your question. The Bexley MSK Service uses the hydrotherapy pool at Goldie Leigh for one session a week, patients who would benefit from hydrotherapy can be referred for this treatment once they have been assessed by a physiotherapist.

Kind regards

Helen Jones


How do I get a referral to Cahms. My son is 4 and diagnosed ASD and we are under Bromley ( he also has an EHCP). He has started school and is suffering anxiety which is affecting his behaviour. am I able to do a self referral? Or do I need to contact my Gp?

Dear Sarah

All referrals into CAMHS come through Bromley Y, to which you can self-refer. This can be done at

Bromley Y will advise you if your son meets CAMHS threshold or whether they can offer the help he needs. The difficulties you have briefly described are common in young people on the autism spectrum so it would certainly be useful to discuss what support the school can offer.

We would also strongly encourage you to make contact with MENCAP ( and National Autistic Society ( as they may have support for your family.

Best wishes

Dr Ben Wellens
Clinical Lead for CYP IAPT

I appreciate that services like Time To Talk are available for free and provide help to those who need it; I had been with TTT previously in another area and recently self-referred. Whilst I do appreciate the time taken by my supporter throughout the CBT I'm disappointed there was not more clarity into the services provided at the start.

I've recently finished ~2 months of CBT and I was very clear throughout the entire process that I did not believe CBT was for me and would have little to no benefit. I went through the CBT purely so I could then be referred for counselling after completion. However, after having my final review last week my supporter told me that TTT counselling is not appropriate for my situation and has instead given me details to self-refer to various long-term counselling services.

Had that information been provided to me 2 months ago I would have been fine to go to another service. The decision that TTT counselling is not for me was made based on information that was provided in the initial telephone assessment so to be told of this only after finishing the ~2 months of CBT is more than disappointing. I now have to look into another service which will have their own waiting times and assessments. I've essentially wasted 2 months with TTT which could have been avoided had I just been told at the initial assessment that I would not be put forward for counselling.

Dear J

We are sorry to hear of your experience.

Stavros Markatselis, Deputy Clinical Lead (telephone: 020 3260 1102) will be happy to have a conversation with you regarding the issues you have raised.

Kind regards

Sophia Ploumaki
Associate Director

I would like so say what a fantastic team of district nurses working for you, I would like to say I have the utmost respect .
for the treatment they are showing to my partner, the care and attention they are showing her is exceptional ensuring her needs are fully met.
They explain the treatment they are about to give and always ask her and myself if we are happy to have the treatment they are about to give and the whole time are telling her what they are doing, they have always given the greatest of care and consideration while carrying out any treatment in a very dignified manor.
I would like to say the care that is being provided by the nurses is second to none and in my opinion could not be faulted.
When we have need your out of hours team they have been just as committed as the day staff, I would like to say thank you to all the staff looking after my partner including Melrose who has shown concern not only to my partner but also myself.
I would just like to add if anyone complains about the team you are sending to us tell them to get a life or just send them around to me.
Again I will never be able to thank your staff enough for the way they are looking after my partner.

Dear John

Thank you for the complimentary comments about the District Nurses.

I understand that the nurses have been caring for your partner, jointly with the nurses from the Palliative Care Team.

I will pass on your comments to the District Nursing Team and also to the Palliative Care Team. The nurses really appreciate that you have taken the time to post such positive feedback, and I am pleased that your partner received the best quality care from a dedicated, skilled and compassionate team.

Best wishes

Connie Greig
Service Lead for District Nursing and Long Term Conditions