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We are very keen that people who use our services tell us about their experiences, good or bad to enable us to learn and improve. If you have used one of our services please visit our services pages, find the service you have used and leave a comment.

If you need to contact our Patient Advice and Liaison Service (PALS), you can find contact details here:​


I am very interested in undertaking rTMS for treatment resistant depression and I have the funds in place to do so.

Before I proceed, however, I have two questions:

1) If I would like to undertake rTMS as a means to reduce or eliminate the medications I am taking, is it advisable to do this before or after rTMS therapy? I am worried that coming off medication afterwards may 'undo' the effect of rTMS.

2) If I would like to use rTMS to prevent relapse, what maintenance schedule is recommended if, for instance, I would like to take no medication. For instance, would one session per month be an adequate preventative measure? I am keen to maintain the effect of rTMS before I relapse and, therefore, avoid the cost of a repeat course of acute treatment.

I have been reading the anticonvulsants may decrease the effectiveness of rTMS according to Canadian guidance. I take 1800 mg gabapentin as one of my drugs. Is there any truth in this?

To answer your questions, whether you receive rTMS or not, your medication will have to be considered carefully. Most people having rTMS also take medication, unless they have decided to avoid tablets altogether. Many also have psychotherapy. Every component of a carefully considered treatment plan will have a synergistic action. In other words, other interventions may in fact help the chances of recovery with rTMS.

It is true to say that certain medications will be a better choice for a given individual than others, but this would apply in any case, even if you are not having rTMS.

As far as the maintenance is concerned, you are right, we often recommend something like one treatment every month or so, depending on personal circumstances, and this is often enough to keep you well.

Finally, no, I don't think the Gabapentin would be a significant obstacle.

Kind regards

Dr Rafael Euba

This borough’s mental services services are grossly negligent and I’m surprised there hasn’t been deaths as a direct result of the lack of care.

I was severely assaulted 6 years ago and tried to access the services two years later. I tried to commit suicide several times in one year and I have now seen on my notes that I was discharged on the same day I left the hospital. One telephone conversation note that I have read says that I told them I have active plans to kill myself and was going to try again, and the action taking was ‘discharged back to GP, further follow up not required’. I have request multiple times to see someone as my mental health made me unable to function doing simple tasks and I have been refused every time. I have been on 13 different medications in four years as a result of this. I was put on the counselling list in 2014 and I have chased it regularly, and unsurprisingly I am still yet to hear from them and assume I’ve been taken off the list without being told.

After another attempt on my life last year I finally saw a consultant psychiatrist in a private clinic and was diagnosed appropriately and now take anti psychotics.

I now work for the NHS and so I can’t afford to continue going to the private psych because I cannot afford it. The medical reports have been sent to this team and they refuse to acknowledge them and have said this diagnoses are not on the system. Why would they be, you’ve refused to see me? With this diagnoses and with anti psychotics that only a psych can prescribe and change the dose, they still refused to see me. I had a telephone triage and the information I gave has been down shockingly inaccurately to say I drink more than a litre of spirits a day..? How incompetent do you have to be when writing a report where I take prescription sedatives and work full time to not realise that drinking every day and that much doesn’t add up? I have looked at the telephone assessment notes and this isn’t even what the person has written. It seems like facts have been changed to once again take me out of the criteria to see a clinician. The psychiatest has actually told my GP to reduce my dose without meeting me or speaking to me, she told a nurse to tell me, it wasn’t a discussion.

The way I have been treated over several years by this site is disgusting, and seriously negligent. The team does not have any regard for patients and appear to deliberately creating and changing facts to stop very ill patients from getting access. This centre has caused me now to have no access to a specialist, whilst on psychoactive sedatives and anti depressants and beta blockers. Where do I go? The incompetence is terrifying and appalling.

I was referred by my GP for nail surgery on my ingrowing toenail which i had been suffering with for quite sometime. My first appointment was on Weds 4th April at the Fairfield Centre with a lovely lady called Caryn who not only explained everything to me but got me booked in for the surgery on Fri 6th April at the Garland Centre with Christian who performed the surgery for me. All I can say is how lovely they both were I must say they are worth their weight in gold. I can not believe I had suffered with this for so long and now after only not even a week after the surgery my toe feels so much better. I can not thank them both enough and would just like to say if anyone is suffering with ingrowing toenails get yourselves to see Caryn and Christian they really are the best. Thanks to them I'm now pain free.

Dear Janet

Thank you for taking the time to send such a lovely compliment in relation to the nail surgery you had.

We are delighted you are no longer suffering and are pain free as a result of the service.

I will pass your comments onto Caryn and Christian I know who will value your feedback.

Best wishes

Lisa Thompson
Associate Director

My gp faxed an Urgent referral for me to be seen by Orpington Mental Health Services. A few weeks later had a telephone appointment (assessment) with a nurse. After that nothing happend. Then recently, I found out I had been discharged with a referral to Mind who I am already engaged with - and I told the nurse that on the telephone appointment. Frustrated that I can't get to see a psychiatrist with a view to getting therapy for my long standing mental health problems.

Dear Laura

I am sorry to hear you have been disappointed by our service.

I know that Mel Bunyan, a senior clinician in our team, is in touch with you and you are agreeing a way forward. I hope that helps to resolve things for you.

Thanks for bringing this to our attention.

Best wishes

Estelle Frost
Bromley Adult Mental Health Service Director

I was contacted the day after my request to be self-referred. I received a timely telephone assessment with Leanne shortly after, in early April. She came across as professional, thoughtful, kind, and very friendly over the phone. I felt contained throughout the conversation, and understood. Whilst brief in duration, the assessment was thorough, incorporated outcome measures, and I felt able to speak in depth and open up. My preferences of therapeutic option and times to meet for therapy were respected, and I was treated with dignity and respect over the phone. Really lovely experience. Compliments to the service so far!

Dear Sam

Thank you very much for your taking time to offer us feedback regarding your experience of first contact with our service.

At Greenwich Time to Talk we strive to constantly improve our services - your feedback is invaluable to us in that process.

Kind regards

Sophia Ploumaki
Associate Director, Greenwich Mental Health Services

I was suffering ingrown toenail for more than a year. Had an appointment and surgery done by Caryn and her Nail Surgery Team in Fairfield centre. She was very professional and Caryn did a splendid job. Now I can walk with ease.
I might consider doing the surgery for my other toe just to prevent having the same issue. If I would do that - I hope Caryn would be the person who would do the surgery due to her great skills.

Dear Krists

Many thanks for your website comments regarding your recent nail surgery treatment under the care of Caryn and team.

We are delighted to hear all went well and you found this such a positive experience. I have passed on your comments onto the whole team who are equally happy for you.

Many thanks once again for taking the time to relate your gratitude and I have no doubt will reassure many others with the same original toenail problems to seek advice and treatment for the service.

With kind regards

Andrew Macfarlane
Consultant Podiatrist

Last visit Feb 20.
Diagnosis, dementia/ altzeimers. We were informed that we would receive a letter from the consultant we saw. And that our GP. Would be advised of prescribed treatment. And details of a monthly visit to your clinic. Since then no word! Can you please advise?
The clinic personnel were friendly, reassuring and welcoming.

Dear Elizabeth

Thank you for taking time to write to us.

We take patient and family input very seriously as we constantly aim to improve our services. We are sorry for the delay you have experienced in receiving a clinic letter.

Elaine Newman, Manager of the Memory Service in Greenwich (020 8836 8670), will be in touch with you to discuss this issue further.

Kind regards

Sophia Ploumaki
Associate Director, Greenwich Mental Health Services

I can see here that someone has had the same problem as me with your text messaging service - I had a morning appointment on Tuesday for a 2 year development check however I received a text message stating the appointment was at 1, so when I arrived at Storkway I was disappointed to be told that the health visiting team leave at 12.30 and the problem with your texts has happened a lot! Because of this my son missed a day of nursery (which we pay a lot of money for) and it completely messed up my 11 month olds routine.
I went onto the weighing clinic at Eltham Medical Practice to speak to someone about it and the health visiting team there arranged for me to go to Kidbrooke for the check. Although they were very helpful the whole process from storkway to the end of the check took over 3 hours all because of the mistake of the text message. This isn’t acceptable, please fix or change the service you use to one that actually works!!

I also noted to the health visiting team that nowhere on the letter received does it state that the development checks are not compulsory. If I had known I perhaps wouldn’t have put myself out and ruined mine and my children’s day!

Dear Jodie

I'm sorry the text messaging service has given you an incorrect time to attend your appointment, and that you spent some time to eventually have the check at the Kidbrooke clinic.

We have now suspended the text messaging service while the developer makes the amendments to the system.

Development assessments are an important time to check that your child is developing and is, at two, getting ready to be at nursery and later on to school. We hope that the check proves useful to you as a parent, and if your child does have any problems this is a good time to raise these and if necessary referrals to other specialist services are made.

We hope that all parents will wish their child to have a development check; though it isn't compulsory, we hope the benefits make it a valuable opportunity.

Kind regards

Helen Day Barnes
Service Manager

Yet again another phone appointment booked and completely overlooked!
daughter diagnosed in august last year 2017 - seen the nurse Christine once in Dec 2017 was told would get apt in April to see the doctor word yet, phoned several times for advice and help and to try and get apt book and have had telephone appointments booked to even discuss anything which never happen, even though I am glued to my phone awaiting the call.
I phoned again today to complain, and have been told that there has been no appointment booked as of yet, and that the request for the appointment to see the Doctor didn't even happen until Feb 2018. Not impressed with service so far and will be making contact with PALS :-(

Dear Emma

We are sorry that you have not received an appointment for your daughter.

The service manager will call you later today and will review why this delay has happened.

Kind regards

Maria Tanner
Associate Director for Specialist Children Services

I went to Storkway for a 2 year development check. When I got there I was told that the health visitors leave at 12:30pm. I received 3 text messages telling me my appointment was at 1. I had to take time off work for it. We called the clinic but got nowhere. Disappointing

Dear Tracy

I am sorry to hear that you had this disappointing experience when you attended an appointment with the health visiting team.

This seems to have happened due to an error with the text messaging reminder service that Oxleas uses. It may have truncated your messages, so that the text that you received said you had an appointment for 1, but the original full message would have given your appointment time as 11.30 or 12.00.

Thank you for making us aware of this issue, which I will address with our IT team to be sure it does not occur again.

We tried to contact you directly to arrange another appointment for your child's 2 year developmental review, but were unsuccessful with the email address that you supplied.

Could you please contact Nyree Traynor on 020 8836 8621 and she will be delighted to help.

Kind regards

Ellen Shelley
Head of Public Health Nursing 0-4 years

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