Dear Mental Nurses, Doctors...anyone really

What the fuck is going on?  I need you to shed some light on something for me.

Why are GP's sending self harmers and anorexics who steadfastly refuse ALL TREATMENT as direct admissions onto medical wards?

These people have no medical issues. This is happening a lot lately.  I can understand an overdose needing IV parvolex but when they are purely mental health issues we cannot manage them.   We don't know what to do with them.  Psychiatry is refusing to take them over until we "force feed" these patients.  This is something medical doctors and nurses ARE NOT ALLOWED TO DO UNDER ANY CIRCUMSTANCES IN A DISTRICT GENERAL HOSPITAL AND WE DON'T MAKE THE LAWS.  We can't section them apparantly as they need to go to their previous psyche facilities for that.  News to me. We have resorted to begging these patients to eat, on our hands and knees.  This includes the chief exec visiting these patients and doing some begging.  The psyches won't take these patients over but will be taking the hospital to court if we don't "make" these people eat, stop threatening suicide etc etc etc.

Why the hell are the medical consultants getting this dumped on them?

The GP's are even sending people to AAU with "anxiety" and no other problems at all.  Even if we can get the psyches into see them (mission impossible on a good day), it could take over a week.  And medical patients die due to lack of beds, and getting discharged to early to free up more beds.

We have no RMN's on staff so basically we are up shit's creek.  The local psychiatric hospitals won't "get involved".

What am I missing here.  These patients definitely do NOT have medical issues.  No electrolyte imbalances yet.....or confusion related to infection.  Nothing like that. 

What is going on?

Will probably have to delete this.