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My NHS Employer Wouldn’t Recognise My Mask Exemption and Made My Life Misery

by Dr Damian Wilde
19 April 2023 9:00 AM

Viewed from the vantage point of the latest additions to the mountain of evidence about the lack of efficacy of face masks and their harm to wearers, that anyone – let alone a health trust – would mandate their usage to patients and staff beggars belief. But even in the early days of the COVID-19 ‘emergency’ it was clearly visible from the flipflopping guidance of ‘The Science [TM]’ that, except as a means of coercion and control, they didn’t work.

Looking back, it is quite clear that when it came to their mask policies, my employer, Mersey Care NHS Foundation Trust, had little interest in patient care and staff welfare. I struggled and I was bullied, as, to my knowledge, were other staff; and I know that there were clients who missed out on the care they needed. In my view, Mersey Care was all about corporate image; it had to be seen to be doing the right thing, so it could look good in front of healthcare chiefs.

I am an experienced clinical psychologist, specialising in psychodynamic psychotherapy. I am aware of the importance of relationships and the need to see a person’s face, allowing a vast amount of information to be exchanged and for patients to feel warm and comfortable. 

In July 2020, I started work for Mersey Care as a Highly Specialist Clinical Psychologist and was part of a community mental health team (CMHT). At the beginning, the relationship with my line manager, also a clinical psychologist, was a very good one.

In what was to become a running theme for Mersey Care’s mask policy, when asked about masks the response was ambiguous: some were wearing them, others weren’t.

For example, as part of Mersey Care’s standard employee induction, I attended conflict resolution training. During the classroom session, mask wearing was unnecessary. But, during the practical part, masks were required. Wishing to be flexible and amenable for my new employer, I donned one, but really struggled and felt distressed.

Thereafter, in August 2020, I had a consultation with my GP and we discussed the distress I experienced whilst wearing a mask. We agreed, given some past traumas, that I should be mask exempt. My GP explained that practices had been instructed by the Government not to issue personalised letters to people who were mask exempt, but to direct them to a Government website where people could download or print off an exemption card, which I did.

I informed my line manager about my exemption and she shared this with other managers at my hub. And for a while, there was no problem. However, in late October, the hub manager began to badger me about not wearing a mask. He seemed anxious about Covid. He implemented convoluted and restrictive rules at the hub. For example, in the staff canteen no one was permitted to eat in the company of anyone else; surplus chairs were piled in a corner and then, in an attempt to maintain this rule, sellotaped together.

My line manager started to email me about my unwillingness to wear a mask. Then she phoned me on my personal phone, outside of work hours, to discuss the matter. The following day, as I approached the hub’s staff entrance, my line manager and the hub manager, appearing out of nowhere, blocked me from entering the building; they were like bouncers at a nightclub. The hub manager was aggressive in his tone and told me that I would not be allowed into the hub unless I agreed to mask up. It felt excessive, threatening and intimidating.

I had a quick decision to make. I struggled to wear a mask, I was exempt from wearing one, and my line manager knew and accepted this. However, I had a new assistant psychologist starting work and several psychotherapy clients to see face-to-face, so I complied with their request and, taking a cloth mask from a box at the entrance, put it on. 

But my compliance wasn’t sufficient for my colleagues. They proceeded to follow me to my office, with the hub manager repeatedly asking if I would keep the mask on throughout the entire building. “Would you wear a mask here? Or here?” he demanded to know. The approach was over-bearing to the point that I felt physically intimidated and anxious; my knees were shaking so much, they were banging against the top of my desk.

It was a shocking experience, unnecessary, and unsupported by any rational reality. Despite knowing I was exempt, and despite being healthy and showing no symptoms of COVID-19, Mersey Care was forcing me to wear a mask. I have always been sensible and balanced when it comes to hygiene and risk, but this was way over the top and, frankly, frightening. And now the earlier decision that I could work without a mask, suddenly changed into, ‘every staff member, exempt or not, has to wear a mask at all times, unless alone in an office space’.

Over the months, I really struggled when wearing a mask but because I had a duty of care to see clients, who really needed a psychotherapy space, I continued to make compromises with those who were wielding power over me. It was made clear that, exempt or not, I had to wear a mask or work from home. Impractical and unworkable, it put me in a deeply awkward situation, one which management appeared to have no care or thought for. 

As for the clients themselves, even though Mersey Care had announced that clients who were exempt could access our services maskless, this policy was applied inconsistently and often with devastatingly bad outcomes. There were occasions when I was walking to therapy rooms with clients when nurses would approach me and demand to know why clients were unmasked. It was an invasion of privacy for people who were already struggling psychologically.

There was also the matter of people being coerced into wearing masks in a therapeutic environment. People in psychotherapy have often experienced trauma and the need for a safe space is vital. A therapist’s face can convey understanding and containment; masks impede this and they also spell danger and discomfort. A therapy room should be a safe and comfortable space. That Mersey Care persisted with this draconian mask policy for some time was extremely troubling.

With regards to my personal mask wearing, I repeatedly asked for an individual risk assessment and every time I asked, my communications were ignored by my line manager and beyond. Mersey Care even ignored a letter sent in by an employment solicitor who had advised me on the situation. No discussions, no rationale, no compassion.   

Sometimes, I took the mask off. On one occasion I walked alone, for all of 10 seconds, from the bathroom to my office. The hub manager saw this. He said nothing to me, but instead submitted a datix incident report. Such reporting exists for serious clinical incidents involving staff or clients, for example those involving “falls, violence, needlestick/sharps, equipment failure and medication errors”. 

As well as being disproportionate and a waste of NHS time and money, it was a staggering abuse of power and a form of bullying. The hub manager submitted two more datix reports and visited me in my office, alone, to intimidate me about this. He was like the mask police and seemed to revel in pursuing me and making me feel uncomfortable; he and Mersey Care did not seem bothered about the impact upon patient care or staff welfare. All that mattered was total compliance with mask policy. 

In early February 2021, I was ordered to work from home. This was troublesome and difficult because, whilst waiting to move into a new property, I was temporarily living with my parents. I did not have a conducive home working space. Whilst some clients adapted to use of telephone or video-based therapy, some clients said they would only attend face-to-face psychotherapy and so, because of Mersey Care staff’s ruthless application of unscientific and harmful rules, they missed out on vital psychotherapy. 

I have no doubt that I was being punished for being the squeaky wheel, the nail that stuck out and needed to be hammered down. At one point the chair I was using gave me back pain, but Mersey Care refused to offer me any new equipment. And upon enquiring about the cost of increased use of electricity in my home, management informed me that staff were just expected to ‘get on with it’. They simply did not care. 

Notwithstanding, I adapted to home working and provided good client care. Communications to senior managers that they needed to be flexible with their mask policy elicited only a flat refusal to engage in any kind of discussion. The standard response was, “it’s the policy”. The rigidity was startling.

Eventually, after several requests for an independent assessment concerning masks, a manager referred me to occupational health. I had used its service before and it had been excellent, with caring and compassionate staff. This time the doctor assigned to my case had a cold and dismissive manner. Our telephone call lasted 17 minutes and culminated in him asking me if, so that I could overcome my fear of masks, I wanted therapy.

I worked from home until June 2022, when Mersey Care’s mask policy changed and staff did not have to wear masks any longer. However, within a month the mask rules changed again. It did not go back to the rigidity and vacuity of mandatory mask wearing, but it was “strongly recommended”. Sadly, most staff did acquiesce to this ‘request’. It seemed to me that coercion was at work here. I remember during meetings senior managers would come and tell staff who were maskless to put one on. Everyone, apart from me, would comply. At this point, my exemption was accepted. But it was sad to see managers in a mental health institution lean on staff to cover their faces. As a clinical psychologist, taught that ‘everything is relational’, it made me extremely uncomfortable seeing a colleague wearing one; how can things be relational when you can’t even see the person’s face? Masks are horrible and divisive things. 

In December 2022, I left Mersey Care to start my own private practice, Wilde Psychology. At Wilde Psychology, mask wearing is not mandatory.

The author is a supporter of Smile Free, which campaigns for the end of mask mandates and masking.

Tags: COVID-19Face MasksMask MandatesNHSPsychology

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    24 Comments
    Oldest
    Newest Most Voted
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    FerdIII
    FerdIII
    2 years ago

    Mental health ‘experts’ wearing a face anus wrap….the perfect illustration of just how useless the NHS is, and how stupid our society has become.

    177
    -3
    Benthic
    Benthic
    2 years ago

    I asked my doctor if she would do me the courtesy of removing her face nappy to talk to me, her response was she was wearing it to protect me. Her selfless, self sacrifice brought a tear to my eye.

    Good luck with your new practice.

    164
    -2
    10navigator
    10navigator
    2 years ago
    Reply to  Benthic

    I wholly agree with the sentiment.
    I’m trying to work out ‘selfless, self-sacrifice.’
    My brain tells me it’s a tautology, but maybe not, as selfless and self sacrifice don’t mean precisely the same thing.

    20
    -1
    Benthic
    Benthic
    2 years ago
    Reply to  10navigator

    Thats what I like about this site, some good blogs, great comments and English lessons as well 🙂

    36
    -1
    HelzBelz
    HelzBelz
    2 years ago
    Reply to  Benthic

    Wearing it to protect you! Doesn’t it make you want to punch them in their stupid, sneering, smug, self satisfied sheep-like but obscured faces!

    99
    -2
    Benthic
    Benthic
    2 years ago
    Reply to  HelzBelz

    Funny enough yes.

    36
    -1
    RW
    RW
    2 years ago
    Reply to  Benthic

    A sensible reply to that would be I didn’t ask for this protection, hence, you aren’t doing this for me but for yourself.

    52
    0
    Benthic
    Benthic
    2 years ago
    Reply to  RW

    I did mention I have had covid twice, the original Wu-flu and Omicron and was fairly confident that I would survive another bout.

    She looked at me with that condescending look you can only get from an NHS GP.

    36
    0
    RW
    RW
    2 years ago
    Reply to  Benthic

    I’d consider changing GPs (if that’s possible) as the medical judgement of this lady seems somewhat impaired.

    27
    0
    Mogwai
    Mogwai
    2 years ago
    Reply to  RW

    I’d be asking to see her credentials because I’d assume she’s an imposter otherwise. It’s a bit like a medical doctor telling you not to go outside with wet hair or you’ll catch a bad cold. Is this really what years and many hours of ( expensive ) medical training results in? Sheesh..

    30
    0
    huxleypiggles
    huxleypiggles
    2 years ago

    Out and out bullying. The line manager should be hauled in, given the mother of all bollockings and then sacked.

    131
    -2
    Miss Dolly
    Miss Dolly
    2 years ago

    The idea of a Health Trust getting rid of a specialist clinical psychologist is so moronic.

    They take decades to train (as most of them have PhDs before they even start professional clinical psychology training) and are as rare as hen’s teeth.

    Presumably the Trust were keen to make the waiting lists for Clinical Psychology even longer.

    102
    -2
    Sceptical Steve
    Sceptical Steve
    2 years ago
    Reply to  Miss Dolly

    Ironically, at my wife’s former employers, the Clinical Psychology Department doubled in size during the pandemic years. They do however, seem to have a significant “churn” as staff leave for other opportunities a few years after completing their training.

    Last edited 2 years ago by Sceptical Steve
    25
    -2
    Sceptical Steve
    Sceptical Steve
    2 years ago

    My wife worked in the Clinical Psychology department of our local hospital trust throughout the pandemic, but left (took early retirement) in April 2022 because of the continued imposition of the mask mandate and the generally lousy working conditions that had been imposed on the more junior staff under the guise of Covid-19 prevention measures.

    The requirement to wear a mask at all times (even though she worked alone in her own office) was bad enough. More demotivating, however, was the decision of the Trust to encourage all staff to work from home wherever possible, which left her area of the hospital deserted for much of the working day, meaning that she was effectively working alone, which increased her sense of personal anxiety.

    Most demotivating, however, was the sense that most of the senior management and clinicians were quite enjoying the luxury of working from home, and were not subject to the same restrictions they had imposed on the more junior staff.

    78
    -1
    olaffreya
    olaffreya
    2 years ago

    I too worked in mental health for the NHS, this in a management position. I refused to wear a mask on principle and battled with senior management regarding my observed non-compliance. I went through the disciplinary process to being threatened with dismissal.

    When challenged the Trust I worked for had no answer to my arguments other than resorting to the same old rhetoric about keeping people safe and Government guidance.

    I was then paid to work from home (work I did little of) and eventually (when the mask mandate was relaxed) left and started my own practice. The irony being that now earning more and have a better work life balance. Of course no masking.

    My brother-in-law also works for an NHS Trust and does have a mask exemption. He has now been paid to stay at home for close to two years! Totally bonkers. The people responsible for this madness are malign, asinine creatures with not a wit of common sense or the ability to think critically.

    The hapless, venal, and dystopian entity called ‘Government’ could end this evil tomorrow. They care no to. This issue fundamentally crystallizes the absolute moral bankruptcy of government and politicians.

    118
    -2
    HelzBelz
    HelzBelz
    2 years ago
    Reply to  olaffreya

    The hapless, venal, and dystopian entity called ‘Government’ could end this evil tomorrow.

    But instead they will cede all responsibility for the declaration of a so called ‘health emergency’ and the actions to manage said health emergency (restrictions, mandatory medical and non-medical interventions) to the unelected WHO.

    Very worrying.

    56
    0
    TheBasicMind
    TheBasicMind
    2 years ago

    This is the kind of situation where a letter from a lawyer can do a world of good. I would have put the employer on legal notice.

    51
    0
    Sforzesca
    Sforzesca
    2 years ago
    Reply to  TheBasicMind

    Contact a good employment law law firm with a view to taking action for constructive dismissal.
    Insofar as legal costs are concerned you should check your home insurance policy as most include cover for said legal costs.
    Alternatively you could purchase “after the event” legal costs cover.

    And everybody, just spread the word. This is an option for anyone who has been similarly treated.

    It may also be possible to sue for consequential loss caused by “stress” by way of a personal injury claim.
    Lawyers are going to be very busy….

    48
    0
    BurlingtonBertie
    BurlingtonBertie
    2 years ago
    Reply to  Sforzesca

    Providing you can find one who is prepared/able to take on the case. If a practice has a conflict of interest with another client, they’re not going to take the case. The SRA are also getting heavy on any solicitors who take case which challenge the official diktat.

    16
    -1
    TJN
    TJN
    2 years ago

    But my compliance wasn’t sufficient for my colleagues …

    Of course not, what was required was total, utter submission.

    53
    -1
    JayBee
    JayBee
    2 years ago

    I have never been challenged in the UK for claiming my exempt status during that craze.
    My observations are that after a few reported tussles, people and businesses got very aware of the Equality act 2010 and a short reference to it then sufficed to be let alone.
    I think your mistake was to wear that mask even once, instead of steadfastedly refusing to do so and threatening court action under that law if refused entry.

    In Germany, mask exemptions, which were only valid if given by a doctor via a medical certificate, were routinely and illegally ignored by many facilities, in particular by schools.
    The medical associations demanded that doctors don’t grant them at all, those who did often faced court action. The certificates were also often confiscated by the police and then used to prosecute the doctor who issued it: Germany at its finest…
    The courts rarely ruled in the exempt person’s favour- a judge who did is now being prosecuted for that, flawless and well researched, ruling and faces a 5 year prison sentence if convicted.
    Today, many clinics still demand people wear masks, despite the law no longer being in place AND they ignore these exemptions. Totally crazy and highly illegal, but: see above, a proper justice system has ceased to exist there.

    48
    -1
    Jabby Mcstiff
    Jabby Mcstiff
    2 years ago

    That’s how it works. No explicit rule just the measurement of compliance. The point is that the measurement is the weapon.

    15
    0
    Jabby Mcstiff
    Jabby Mcstiff
    2 years ago

    It is a sad situation when you feel this distance between yourself and the people around you.

    14
    0
    DevonBlueBoy
    DevonBlueBoy
    2 years ago

    Isn’t this the same Health Trust who bullied a contributor to DS who was struggling with mental health issues who also had a face nappy exemption? If so then 10 out of 10 for consistency 👏👏

    10
    0

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