『How broken is the healthcare system? | Dr Lucy Pocock』のカバーアート

How broken is the healthcare system? | Dr Lucy Pocock

How broken is the healthcare system? | Dr Lucy Pocock

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概要

Episode 50 of this neurodivergent parenting podcast takes a clear, practical look at how families in the UK end up navigating the healthcare system when they suspect their child might be autistic and/or ADHD. Mark is joined by Lucy Pocock, a registered GP and parent of a neurodivergent child, as they pull back the curtain and take a deep dive into how the system works (and why it so often doesn’t). They talk through the routes families are typically funnelled into when they’re seeking support: school evidence, GP involvement, referrals, and the confusing reality that the pathway can look completely different depending on where you live. It’s the sort of honest, informative discussion many families of autistic, ADHD and PDA kids wish existed when they first started asking questions. Mark and Lucy also unpack what happens once ADHD enters the mix - including medication pathways, titration, prescribing delays, and the complexities of shared care. Lucy explains why bottlenecks happen, what GPs can and can’t do, and how those constraints land on families already stretched to breaking point. Along the way, the conversation touches on demand-avoidant (PDA) profiles, why some parents go private, and what families can realistically expect when it comes to letters and evidence for things like EHCP and DLA. It’s the kind of candid, good humoured and insightful chat that this neurodivergency parenting podcast is known for. CHAPTER TIMESTAMPS (ESTIMATED) 00:00:37 - Episode 50 intro 00:01:20 - Meet the Guest (Lucy Pocock) 00:03:07 - Topic of the Week – UK healthcare and ND referrals (the two main routes) 00:09:23 - The postcode lottery, delays, and mismatched pathways 00:17:42 - ADHD medication: shared care, titration, and why CAMHS take so long 00:27:31 - Lucy's journey with her own PDA son's diagnosis as a GP 00:34:00 - Training: Oliver McGowan and the impact within the NHS 00:37:15 - How much neurodiversity scepticism is there within the healthcare system? 00:42:00 - What can you do if your GP is not informed about neurodiversity? 00:46:15 - Are there really parents trying to take advantage of the system? 00:56:00 - What support can we ask for from our GP that we don't know about? 00:59:45 - Could GP's relieve some of the burden from CAMHS? 01:04:30 - GP limitations on prescribing drugs: melatonin and anti-depressants 01:07:00 - Shared care, Right to Choose and commissioning constraints 01:10:45 - Is the system broken? Why is support for neurodivergency such a postcode lottery? 01:20:30 - How can we fix the flaws in the healthcare system? 01:27:00 - Looking at the positives 01:30:03 - Neurodiversity Champions 01:32:27 - Tiny Epic Wins 01:35:26 - What the Flip Moments LINKS TO STUFF WE MENTION IN THIS EPISODE Shared care - https://www.wessexlmcs.com/guidance/understanding-shared-care-nhs-right-to-choose-and-private-providers/ Right to choose - https://adhduk.co.uk/right-to-choose/ CAMHS - https://www.youngminds.org.uk/young-person/your-guide-to-support/guide-to-camhs/ Oliver McGowan training - https://www.hee.nhs.uk/our-work/learning-disability/current-projects/oliver-mcgowan-mandatory-training-learning-disability-autism FII (Fabricated and Induced Illness) - https://www.nhs.uk/mental-health/conditions/fabricated-or-induced-illness/overview/ Neuroshambles: Medicating our children | Danielle Jata-Hall - https://neuroshambles.com/episode/medicating-our-children-danielle-jata-hall Melatonin - https://www.nhs.uk/medicines/melatonin/ Neuroshambles: The Bumpy Road to Diagnosis | Tam - https://neuroshambles.com/episode/the-bumpy-road-to-diagnosis-tam Murmuration Community, Bristol - https://www.murmurationcommunitytherapy.com/ Incredible Kids, Bristol - https://incrediblekids.org.uk/ CONTACT NEUROSHAMBLES 🌐 Website: www.neuroshambles.com 📧 Email: hello@neuroshambles.com 📸 Instagram: @neuroshambles 🎵 TikTok: @neuroshamblespod 📘 Facebook: Neuroshambles CREDITS 🎶 Theme music by Skilsel on Pixabay: pixabay.com
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