Zorgfuik

Why Zorgfuik began.

My name is Rogér Castelijn. Zorgfuik grew out of experience, frustration and the conviction that getting stuck in care must not remain a private problem when the same pattern keeps returning.

🔒 Stories are never forwarded to any organisation. We use experiences to reveal patterns.

Time to de-complicate care

De-complicating means carefully unravelling complexity, so it becomes visible where things truly break down. In care, the problem is rarely one desk or one form, but the sum of rules, handovers, funding, assessments and missing ownership.

From a process-management perspective, I look at impact, urgency, dependencies, missing information and who truly owns the next step.

“When no one sees the full story, everyone keeps staring at one small piece of the puzzle.”

How it began

Stuck himself, despite twenty years of process experience

Zorgfuik was not conceived behind a desk. It was born of first-hand experience.

Rogér has more than twenty years of experience with processes, IT service delivery and analysing ways of working that grind to a halt. Yet he experienced for himself how hard it is to escape a care trap once care, rules, organisations and responsibilities become entangled.

That experience made it painfully clear: if someone who unravels complexity for a living still gets stuck, what must it be like for someone who does not speak the language well, is less digitally skilled, is mentally overloaded or struggles to stand up for themselves?

Not every mistake is a care trap. A referral that fails to arrive or a letter that goes missing is annoying, but not in itself a structural problem. It only becomes a care trap when mistakes, waiting times, desks and missing coordination keep piling up, until you end up having to coordinate everything yourself.

“Even with that experience, I noticed how quickly you get stuck when no one has the full overview. The system stops being a safety net and becomes a cement mixer with hold music.”

Getting stuck while seeking help

I asked for help because I couldn't go on anymore. Not to be difficult, not for attention. Simply because I was done.

What preceded this is a long story — one that started six years ago and which I will write more about later. The endpoint of that road was a medication trap centred around oxycodone, first properly prescribed for pain, then slowly becoming a problem of its own. For treatment I ended up at a rehabilitation clinic. And while I was in that trajectory, a depression began — heavier than anything I had experienced before.

I sent the clinic emails for weeks saying things were not going well. That it was dark. That the thoughts were increasing. Responses came, but no help. They closed my file. The reason: I was using tramadol. That they had prescribed it themselves made no difference to the procedure.

Relief instead of help

My GP listened. And when I told her I had suicidal thoughts and plans but promised not to act on them, I heard something I will not forget: relief. No concrete plan, no action that day. Just the relief that I would not become her problem. She promised a conversation with the practice nurse. A week and a half later, she called to say there was space in two and a half weeks. The referring party had indicated in her first message that she wanted to think along with me. Then silence — a week and a half after I wrote that things were very dark and the thoughts were increasing, a response finally came. But as soon as my situation truly got through to her, it went quiet again.

📸 Do you recognise this? Are you having thoughts that frighten you right now? You do not have to wait. Call or chat at 113.nl, available day and night. In acute danger, call 112.

What my experience taught me

I am used to unravelling complex situations. But unravelling my own situation was no longer possible. Getting myself out of bed in the morning was already exhausting enough. And still I tried to make the system work the way I always had: documenting everything, escalating where I could, referring back to previous agreements at every new conversation. And still I got stuck. Four months in a trap of pain clinic, addiction care, mental health referrer and GP — every party looked at a piece of the puzzle and nobody saw the whole.

Why this is not just my story

If someone used to unravelling complexity still gets stuck, what does that mean for someone who does not speak the language fluently, is less digitally skilled, has no network to fall back on, or who as an asylum seeker barely has access to the right care? That question would not let me go. The frustration, the trap and the knowledge that this happens to others too — that is why Zorgfuik exists.

What is missing is ownership with mandate

Every party does its bit, but no one can look across the whole, take decisions or move organisations to act straight away. As soon as a situation becomes complex, institutions tend to point at each other.

And when no one will or can take ownership, the person seeking care is routinely sent back to their GP, to sort it out all over again. That is why Zorgfuik calls for independent ownership with mandate: one party or official who can look across organisations, enforce agreements and stop people being sent endlessly from desk to desk.

“Even a GP cannot work miracles when institutions keep pointing at each other and no one takes responsibility for the whole.”

✅ Wat Zorgfuik doet

Collecting and bundling experiences, so it becomes visible where people get stuck and which patterns keep returning. Raising awareness and building pressure for structural improvement.

⛔ What Zorgfuik is not

Not a help service, legal desk or complaints board. Zorgfuik does not take over individual cases and does not point at individual culprits. We are not looking for culprits. We are looking for patterns.

From citizens' initiative to foundation

Over the coming months, Zorgfuik will be brought under a foundation, to take the initiative forward carefully, independently and professionally.

That process runs alongside Zorgfuik, but is separate from the immediate call to share experiences and sign the petition, which is the top priority right now. Building the foundation involves costs, including incorporation, technology, privacy, communication and legal safeguards.

We are looking for people to get involved, including board members. Do you recognise yourself in this mission and want to help build it? Get in touch.

Process management in plain language

Where does something get stuck? Which link is missing? Who is allowed to decide? What happens while someone waits? These are not luxury questions, they are questions that can stop people from sliding further.

Press or a conversation?

For press, professionals and stakeholders, I am happy to make time for a conversation, by phone, via Teams or in person.

Email contact@zorgfuik.nl

Want to help?

Sign the petition, share your experience or pass Zorgfuik on. The foundation now being set up is also looking for people to get involved, including board members.