Although the patients’ shouts, wails and coughs seemed to be coming ever closer, I had one quick look at the paperwork to see what lay ahead of me. As most psychiatric nurses knew, the ‘main’ work was done in the office where endless reassessments, four-inch thick care plans, and wheel barrows full of Trust guidelines and protocols, all helped the practitioner stay away from his or her embarrassingly unchangeable patients. The office was effectively the unit ‘computer’ where virtual reality took over from the real world, and great strides forward were made in the abstract. Here, the staff could demonstrate immaculate records, action plans and lots of locked cupboards to the numerous auditors and inspectors of one form or another who constantly packed the place like robots at a cybernetics convention….


2 Responses to “Paperwork”

  1. Oh my. Where have you been? You are an amazing writer and I laugh out loud at most of your posts. I’m just starting a blog (don’t have a clue how to do it-it’s taking me forever) and you’re stuff will be on it. I don’t even know yet who the heck you are or if there’s a book…. just wanted to let you know.

    Lori – Toronto Canada
    (well I’m actually in Mexico right now but will be home in a couple of weeks)

  2. Hi Lori, Thanks very much indeed for your kind comments. Yes, the blog’s based on a book which is now afree pdf on my site It can also be downloaded free for Kindle and other e-readers at or

    Hope your blog goes well. Let me know when it’s up and running! Cheers, Leo

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